Does severe maternal morbidity affect female sexual activity and function? Evidence from a brazilian cohort study

To assess Female Sexual Function Index (FSFI) scores and delay to resume sexual activity associated with a previous severe maternal morbidity. This was a multidimensional retrospective cohort study. Women who gave birth at a Brazilian tertiary maternity between 2008 and 2012 were included, with data extraction from the hospital information system. Those with potentially life-threatening conditions and maternal near miss episodes (severe maternal morbidity) were considered the exposed group. The control group was a random sample of women who had had uncomplicated pregnancy. Female sexual function was evaluated through FSFI questionnaire, and general and reproductive aspects were addressed through specific questions. Statistical analyses were performed using Mann-Whitney and Pearson's Chi-square for bivariate analyses. Logistic regression was used to identify variables independently associated with lower FSFI scores. 638 women were included (315 at exposed and 323 at not exposed groups). The majority of women were under 30 years-old in the control group and between 30 and 46 years-old in the exposed group (p = 0.003). Women who experienced severe maternal morbidity (SMM) had statistically significant differences regarding cesarean section (82.4% versus 47.1% among deliveries without complications, p< 0.001), and some previous pathological conditions. FSFI mean scores were similar among groups ranging from 24.39 to 24.42. It took longer for exposed women to resume sexual activity after index pregnancy (mean 84 days after SMM and 65 days for control group, p = 0.01). Multiple analyses showed no significant association of FSFI below cut-off value with any predictor. FSFI scores were not different in both groups. However, they were lower than expected. SMM delayed resumption of sexual activity after delivery, beyond postpartum period. However, the proportion of women in both groups having sex at 3 months after delivery was similar. Altered sexual response may be evaluated as one of possible long-term consequences after SMM episodes. Further studies on the growing population of women surviving severe maternal conditions might be worth for improvement of care for women1012CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ471142/2011-

Características agronômicas e químicas das variedades de cana-de-açúcar RB83-5486 e RB86-7515 sob irrigação e sequeiro

Objetivou-se, neste trabalho, avaliar as características agronômicas e a composição química de variedades de cana-de-açúcar sob irrigação e sequeiro colhidas em final de safra. O delineamento experimental foi bloco ao acaso, com seis repetições, duas variedades (RB83-5486 e RB86-7515), em dois ambientes: irrigado e sequeiro. As produções de colmo e matéria seca foram favorecidas pela irrigação, com destaque para a RB86-7515. Maiores teores de proteína bruta, fibra em detergente ácido, celulose e menores teores de matéria seca, Brix, carboidratos não fibrosos (CNF) e digestibilidade in vitro da matéria seca (DIVMS) foram registrados nas variedades sob irrigação. A fibra em detergente neutro (FDN) e a relação FDN por Brix foram mais elevadas em condições irrigadas e a RB86-7515 apresentou maiores valores. A lignina foi maior na RB86-7515 irrigada. A RB83-5486 apresentou Brix e CNF mais elevados e melhor DIVMS que a RB86-7515. Maior potencial produtivo foi expresso em condições irrigadas, destacando-se a RB86-7515 enquanto a irrigação alterou a composição química, afetando negativamente o valor nutritivo das variedades; já a RB83-5486 apresentou melhor perfil nutricional