MARCELO ZUGAIB
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina - Docente
LIM/57 - Laboratório de Fisiologia Obstétrica, Hospital das Clínicas, Faculdade de Medicina
LIM/57 - Laboratório de Fisiologia Obstétrica, Hospital das Clínicas, Faculdade de Medicina
11 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 11
- Effect of vaginal progesterone in tocolytic therapy during preterm labor in twin pregnancies: Secondary analysis of a placebo-controlled randomized trial(2017) HERNANDEZ, Wagner R.; FRANCISCO, Rossana P. V.; BITTAR, Roberto E.; GOMEZ, Ursula T.; ZUGAIB, Marcelo; BRIZOT, Maria L.Aim: Our aim was to investigate the effect of the prophylactic use of vaginal progesterone on the latency period from the initiation of tocolytic therapy to delivery in twin pregnancies with preterm labor. Methods: This study was a secondary analysis of a randomized, double-blind, placebo-controlled trial of twin pregnancies in mothers who were exposed to a 200mg vaginal progesterone ovule or a placebo ovule daily from 18 to 34weeks gestation. Patients who were administered tocolysis with Atosiban because of preterm labor were included. The latency from tocolysis to delivery, mean gestational age at delivery and the rates of delivery within 48h and within seven days were compared between progesterone and placebo groups. Results: The analysis included 27 women in the progesterone group and 30 in the placebo group. The baseline characteristics were similar between the groups. Overall, there were no differences in the latency period to delivery (17.5413.54days and 21.58 +/- 13.52days; P=0.289), rates of delivery within 48h (14.8% and 6.7%; P=0.40) or within seven days (29.64% and 23.3%; P=0.76) or mean gestational age at delivery (32.53 +/- 3.33 and 34.13 +/- 2.87; P=0.08) between the progesterone and placebo groups, respectively. Conclusions: Prophylactic use of 200mg of vaginal progesterone does not influence the latency to delivery in women with twin pregnancies treated with tocolysis because of preterm labor.
- EFFECT OF THE MICROENVIRONMENT ON THE PLACENTAL BEHAVIOUR: RESPONSE OF THE CHORIONIC VILLI TO NORMAL AND PREECLAMPTIC PREGNANT SERUM(2017) PRADO, Karen; CASTRO, Karla; LORENZON-OJEA, Aline; CARDOSO, Elaine; HOSHIDA, Mara; ALVES, Eliane; FRANCISCO, Rossana P. Vieira; ZUGAIB, Marcelo; BEVILACQUAL, Estela
- Placental weight and birth weight to placental weight ratio in monochorionic and dichorionic growth-restricted and non-growth-restricted twins(2017) SOUZA, Mariangela Alves; BRIZOT, Maria de Lourdes; BIANCOLIN, Sckarlet Ernandes; SCHULTZ, Regina; CARVALHO, Mario Henrique Burlacchini de; FRANCISCO, Rossana Pulcineli Vieira; ZUGAIB, MarceloOBJECTIVE: The aim of the present study was to compare the placental weight and birth weight/placental weight ratio for intrauterine growth-restricted and non-intrauterine growth-restricted monochorionic and dichorionic twins. METHODS: This was a retrospective analysis of placentas from twin pregnancies. Placental weight and the birth weight/placental weight ratio were compared in intrauterine growth-restricted and non-intrauterine growth-restricted monochorionic and dichorionic twins. The association between cord insertion type and placental lesions in intrauterine growth-restricted and non-intrauterine growth-restricted monochorionic and dichorionic twins was also investigated. RESULTS: A total of 105 monochorionic (intrauterine growth restriction=40; non-intrauterine growth restriction=65) and 219 dichorionic (intrauterine growth restriction=57; non-intrauterine growth restriction=162) placentas were analyzed. A significantly lower placental weight was observed in intrauterine growth-restricted monochorionic (p=0.022) and dichorionic (p < 0.001) twins compared to non-intrauterine growth-restricted twins. There was no difference in the birth weight/placental weight ratio between the intrauterine growth restriction and non-intrauterine growth restriction groups for either monochorionic (p=0.36) or dichorionic (p=0.68) twins. Placental weight and the birth weight/placental weight ratio were not associated with cord insertion type or with placental lesions. CONCLUSION: Low placental weight, and consequently reduced functional mass, appears to be involved in fetal growth restriction in monochorionic and dichorionic twins. The mechanism by which low placental weight influences the birth weight/placental weight ratio in intrauterine growth-restricted monochorionic and dichorionic twins needs to be determined in larger prospective studies.
- OBSTETRIC AND PERINATAL OUTCOMES IN PREGNANT WOMEN WITH PERINATALLY ACQUIRED HIV-INFECTION-PRELIMINARY RESULTS(2017) OSMUNDO JUNIOR, Gilmar de Souza; RODRIGUES, Agatha Sacramento; KREBS, Vera Lucia Jornada; ZUGAIB, Marcelo; FRANCISCO, Rossana Pulcineli Vieira
- Validation of QF-PCR for prenatal diagnoses in a Brazilian population(2017) MORAES, Renata Wendel de; CARVALHO, Mario Henrique Burlacchini de; AMORIM-FILHO, Antonio Gomes de; FRANCISCO, Rossana Pulcineli Vieira; ROMAO, Renata Moscolini; LEVI, Jose Eduardo; ZUGAIB, MarceloOBJECTIVES: Quantitative fluorescence polymerase chain reaction (QF-PCR) is a rapid and reliable method for screening aneuploidies, but in Brazil, it is not used in public services. We investigated the accuracy of QF-PCR for the prenatal recognition of common aneuploidies and compared these results with cytogenetic results in our laboratory. METHOD: A ChromoQuant QF-PCR kit containing 24 primer pairs targeting loci on chromosomes 21, 13, 18, X and Y was employed to identify aneuploidies of the referred chromosomes. RESULTS: A total of 162 amniotic fluid samples analyzed using multiplex QF-PCR were compared with karyotyping analysis. The QF-PCR results were consistent with the results of cytogenetic analysis in 95.4% of all samples. CONCLUSION: QF-PCR was demonstrated to be efficient and reliable for prenatal aneuploidy screening. This study suggests that QF-PCR can be used as a rapid diagnostic method. However, rearrangements and some mosaic samples cannot be detected with this test; thus, those exceptions must undergo cytogenetic analysis.
- Fetal gastroschisis: antepartum fetal heart rate analysis by computerized cardiotocography(2017) ANDRADE, Walkyria S.; BRIZOT, Maria de L.; MIYADAHIRA, Seizo; OSMUNDO JUNIOR, Gilmar de Souza; FRANCISCO, Rossana P. V.; ZUGAIB, MarceloObjectives: To describe the antenatal fetal heart rate (FHR) parameters analyzed by computerizedcardiotocography (cCTG) in fetuses with gastroschisis and compare the FHR parameters with ultrasound gastrointestinal markers.Methods: A retrospective analysis of antepartum cCTG records were conducted in 87 pregnant cases with fetal gastroschisis between 28and 36 weeks (plus 6 days). A comparative analysis of the median distribution of the following FHR parameters was performed: basal FHR, short-term variation (STV), FHR accelerations and decelerations, episodes of high and low variations, and variations in low and high episodes. FHR parameters and ultrasound gastrointestinal markers were also compared.Results: The majority of FHR parameters did not present significant changes throughout gestation. An increased number of records with episodes of low variation (p=0.019) and an increased number of accelerations >15 bpm (p=0.001) were the only observed changes throughout gestation. Stomach herniation was significantly associated with a lower STV (p=0.018) and a higher frequency of records with low episodes (p=0.049).Conclusions: The cCTG analysis indicated that the FHR parameters in fetuses with gastroschisis presented different patterns from those observed in normal fetuses. Stomach herniation was associated with altered FHR patterns.
conferenceObject FIRST-YEAR PROFILE OF BIOMARKERS FOR EARLY DETECTION OF RENAL INJURY IN HEALTHY INFANTS(2017) KOSTIC, Dusan; BEOZZO, Glenda Priscila Neves Dos Santos; KATO, Andre Henrique Teruaki; KREBS, Vera Lucia Jornada; BUNDUKI, Victor; ZUGAIB, Marcelo; KOCH, Vera Hermina Kalika- Effect of Prenatal Counseling on Breastfeeding Rates in Mothers of Twins(2017) MIKAMI, Fernanda Cristina Ferreira; BRIZOT, Maria de Lourdes; TASE, Terezinha Hideco; SACCUMAN, Elizabeth; FRANCISCO, Rossana Pulcineli Vieira; ZUGAIB, MarceloObjective: To investigate the effect of antenatal breastfeeding counseling on the breastfeeding rates for women who give birth to twins. Design: Prospective randomized trial. Setting: Multiple Pregnancy Unit, Obstetrics Department, University of Sao Paulo, Brazil. Participants: A total of 171 mothers of twins and their 342 infants. Methods: The participants were randomized into the prenatal counseling group (PCG) or control group (CG). Breastfeeding data were collected through personal interviews at three times after birth: 30 to 40 days (Time 1), 90 days (Time 2), and 180 days (Time 3). The primary endpoint was a comparison of the mothers' breastfeeding rates between PCG and CG in each analyzed period. The secondary endpoint was the comparison of the overall rates of twin infant breastfeeding between PCG and CG until 180 days after birth. Results: The final analysis included 68 women pregnant with twins in the PCG and 60 in the CG. There was no significant difference in the breastfeeding rates between PCG and CG in the analyzed periods: Time 1 (odds ratio [OR] = 1.87, 95% confidence interval [CI] [0.71, 4.95]), Time 2 (OR = 1.50, 95% CI [0.72, 3.10]), and Time 3 (OR = 1.06, 95% CI [0.51, 2.19]). Also, no difference existed in the overall rates of breastfeeding between PCG and CG at 180 days. Conclusion: In women pregnant with twins, antenatal breastfeeding counseling did not significantly affect the breastfeeding rates. Further research about the best moment to counsel mothers of twins is needed to improve breastfeeding rates.
- Determination of Fetal RHD Genotype Including the RHD Pseudogene in Maternal Plasma(2017) ZIZA, Karen Chinoca; LIAO, Adolfo Wenjaw; DEZAN, Marcia; DINARDO, Carla Luana; JENS, Eduardo; FRANCISCO, Rossana Pulcineli Vieira; MENDRONE JUNIOR, Alfredo; ZUGAIB, Marcelo; LEVI, Jose EduardoObjective: To examine the accuracy of fetal RHD genotype and RHD pseudogene determination in a multiethnical population. Methods: Prospective study involving D-negative pregnant women. Cell-free DNA was extracted from 1 ml of maternal plasma by an automated system (MagNA Pure Compact, Roche) and real-time PCR was performed in triplicate targeting the RHD gene exons 5 and 7. Inconclusive samples underwent RHD pseudogene testing by real-time PCR analysis employing novel primers and probe. Results: A positive result was observed in 128/185 (69.2%) samples and negative in 50 (27.0%). Umbilical cord blood phenotype confirmed all cases with a positive or negative PCR result. Seven (3.8%) cases were found inconclusive (exon 7 amplification only) and RHD pseudogene testing with both conventional and real-time PCR demonstrated a positive result in five of them, while two samples were also RHD pseudogene negative. Conclusion: Real-time PCR targeting RHD exons 5 and 7 simultaneously in maternal plasma is an accurate method for the diagnosis of fetal D genotype in our population. The RHD pseudogene real-time PCR assay is feasible and is particularly useful in populations with a high prevalence of this allele. (C) 2016 Wiley Periodicals, Inc.
- EXPRESSION OF ENDOPLASMIC RETICULUM STRESS MARKERS IN CHORIONIC VILLI TREATED WITH SERUM FROM PATIENTS WITH PRE-ECLAMPSIA(2017) CASTRO, Karla; PRADO, Karen; LORENZON-OJEA, Aline; SMUZCEK, Basilio; HOSHIDA, Mara; FRANCISCO, Rossana; ZUGAIB, Marcelo; ALVES, Eliane; VERAS, Mariana; BEVILACQUA, Estela