http://hdl.handle.net/11422/25242 Thu, 30 Jul 2026 15:56:57 GMT 2026-07-30T15:56:57Z http://hdl.handle.net/11422/29158 Title: Rastreio ultrassonográfico para prevenção de parto prematuro: elaboração de protocolo clínico-assistencial Author(s)/Inventor(s): Machado, Gabriela Gatti Advisor: Matta, Fábio Gutierrez da Abstract: Background: Preterm birth, defined as a delivery occurring before 37 completed weeks of gestation, is one of the leading causes of neonatal morbidity and mortality and remains a major challenge in modern obstetrics. Early identification of pregnant women at increased risk is essential for the implementation of effective preventive measures. Objectives: This study aims to develop a clinical and care protocol for ultrasonographic screening to prevent preterm labor at the Maternity School of the Federal University of Rio de Janeiro, integrating the best scientific evidence on diagnosis and management. Methodology: This is a descriptive, theoretical study based on a literature review, including guidelines and recent articles from recognized institutions. Conclusion: It is expected that standardizing care practices will promote the uniformity of maternal-fetal care, optimize health resources, and reduce the incidence of preterm birth, thereby contributing to improved neonatal outcomes. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização Wed, 01 Jan 2025 00:00:00 GMT http://hdl.handle.net/11422/29158 2025-01-01T00:00:00Z http://hdl.handle.net/11422/29153 Title: Hidropsia fetal: um relato de caso e revisão de literatura Author(s)/Inventor(s): Carneiro, Beatriz Ramiro Garcia Advisor: Braga, Jair Roberto da Silva Abstract: Fetal hydrops is a clinical condition characterized by the abnormal accumulation of fluid in at least two fetal compartments, such as ascites, pleural effusion, pericardial effusion, or skin edema. It can be classified as immune or non-immune, the latter accounting for more than 90% of current cases. This is an ultrasonographic finding of high severity, frequently associated with significant perinatal morbidity and mortality, requiring thorough evaluation and a multidisciplinary approach. The wide range of possible etiologies — including congenital infections, chromosomal abnormalities, cardiac malformations, and genetic syndromes — demands targeted investigation and specialized clinical knowledge. Early recognition of the condition may allow clinical, intrauterine, or obstetric interventions that can influence fetal prognosis. Objective: To report a clinical case of fetal hydrops managed at the Maternidade Escola of the Federal University of Rio de Janeiro (ME-UFRJ) and to review the main diagnostic, etiological, and therapeutic aspects of fetal hydrops described in the literature. Methods: This is a descriptive case report with a narrative literature review. Retrospective data were obtained from the patient’s medical records, and a literature search was conducted in PubMed, SciELO, and Lilacs databases. Justification: Fetal hydrops remains a diagnostic challenge in fetal medicine and requires comprehensive investigation and individualized management. The lack of standardized protocols contributes to unfavorable outcomes. Case reports and literature reviews enhance clinical practice and foster academic and scientific discussions on this complex condition. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização Wed, 01 Jan 2025 00:00:00 GMT http://hdl.handle.net/11422/29153 2025-01-01T00:00:00Z http://hdl.handle.net/11422/27819 Title: Protocolo assistencial: interrupção da gestação em fetos com malformações incompatíveis com a vida Author(s)/Inventor(s): Silva, Juliana dos Santos Valentim da Advisor: Costa Junior, Ivo Basílio da Abstract: Introduction: The advent of fetal medicine has enabled the prenatal diagnosis of various congenital anomalies, which represent the second leading cause of neonatal mortality in Brazil. Early identification of these anomalies enhances prenatal care, allows for informed planning regarding pregnancy and delivery, and provides the option to consider pregnancy termination in cases of invariably lethal fetal conditions. Such decisions may prevent maternal-fetal harm when the continuation of pregnancy offers no therapeutic benefit. Objective: To develop a care protocol for managing cases eligible for pregnancy termination due to invariably lethal fetal malformations identified in the prenatal period. Materials and Methods: This study involved a comprehensive review of medical literature, legal frameworks, and ethical resolutions concerning pregnancy termination in cases of invariably lethal fetal malformations. Conclusion: The development of a care protocol is crucial, as the obligation to continue a pregnancy under such circumstances imposes significant psychological distress on the pregnant individual and subjects them to unnecessary risks. The proposed protocol emphasizes the importance of structured care pathways, timely psychological and medical support, reduction of bureaucratic delays, and standardized procedures for decision-making, prescriptions, and follow-up. This approach aims to ensure dignified and compassionate care, representing a significant advancement in patient well-being Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização Mon, 01 Jan 2024 00:00:00 GMT http://hdl.handle.net/11422/27819 2024-01-01T00:00:00Z http://hdl.handle.net/11422/27817 Title: Gemelaridade: protocolo assistencial da Maternidade Escola da UFRJ Author(s)/Inventor(s): Rezende, Verônica Pintor de Advisor: Pritsivelis, Cristos Abstract: Unavailable. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização Mon, 01 Jan 2024 00:00:00 GMT http://hdl.handle.net/11422/27817 2024-01-01T00:00:00Z