Navegando por Palavras-chave "Obstetrical nursing"

Agora exibindo 1 - 19 de 19
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Análise da hemorragia no parto vaginal pelos índices de eritrócitos e hematócrito
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2014-04-01) Gabrielloni, Maria Cristina [UNIFESP]; Armellini, Cláudia Junqueira [UNIFESP]; Barbieri, Márcia; Schirmer, Janine [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio Grande do Sul Escola de Enfermagem
    Objective: To analyze hemorrhage at vaginal delivery using hemoglobin and hematocrit indices.Methods: This was a cross-sectional study of 328 vaginal deliveries divided into spontaneous delivery with or without episiotomy and forceps delivery. The sample was randomly stratified by type of vaginal delivery. Data were collected at admission for delivery, hospital discharge and postpartum return visit.Results: There were 122 (37.2%) deliveries without episiotomy, 147 (44.8%) with episiotomy, and 59 (18.0%) with forceps delivery and episiotomy. Hemoglobin values between admission for delivery and discharge ranged from -5.9 g/dl to 0.7 g/dl. Hemoglobin reduction was significantly higher in women having forceps delivery than in those with spontaneous deliveries, with and without episiotomy (p=0.0133 and p<0.0001, respectively). Hemorrhage was greater in the forceps delivery group than in the other groups.Conclusion: The analysis of hemorrhage at vaginal delivery by using hemoglobin and hematocrit indices showed variation among the three types of vaginal delivery studied. There was greater hemorrhage with forceps delivery and less hemorrhage with spontaneous delivery. In women with forceps delivery, postpartum indices were lower than those at hospital admission.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Barbieri, Márcia [UNIFESP]; Henrique, Angelita José [UNIFESP]; Chors, Frederico Molina [UNIFESP]; Maia, Nathália De Lira; Gabrielloni, Maria Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Maternidade Pro Matre Paulista
    OBJECTIVE: To evaluate, in an isolated and combined manner, the use of warm aspersion bath and perineal exercises performed with Swiss ball during labor, facing pain perception. METHODS: This is a clinical or intervention study. We recruited 15 pregnant women at low obstetric risk who accepted the use of non-pharmacological interventions for pain relief and who also accepted being questioned about their perception of pain using a visual analogue scale. RESULTS: When the interventions studied were associated, pain reduction was significant. There was no significant difference in pain scores, when interventions were isolated. CONCLUSION: The results indicate that the associated use of non-pharmacological methods for pain relief, warm aspersion bath and perineal exercises with the Swiss ball during the dilation phase is related to the reduction of pain and promotion of the parturient's comfort when associated.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Construção de um instrumento de coleta de dados de enfermagem em ginecologia
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2005-06-01) Soares, Lenir Honório [UNIFESP]; Pinelli, Francisca Das Graças Salazar [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    this is a descriptive exploratory survey. The purpose was to construct an instrument to collect data aiming implantation to systematize nursing assistance in a gynecologic clinic. The instrument was elaborated based on the Bifocal Clinical Practice Model developed by Carpenito constructed according to the Functional Health Patterns described by Gordon. When elaborating the instrument, a method to organize and register a greater number of information on general and special conditions of the patient's health. It was applied in 100 women hospitalized in a gynecologic clinic of a Public Teaching Hospital in the city of São Paulo, from May to September 2002. The results showed that the constructed instrument was adequate because it made possible to identify 48 nursing diagnosis. Eight diagnoses were identified in a frequency of 70% to 100%, being Risk of Infection, Altered Comfort, Deficit of knowledge and Fear occurred in 100% and Anxiety, Behavior to increase Health Status, Disorder in the sleep pattern and Impaired Skin Integrity was observed in a frequency of 96.0% to 70.0%. The others variables occurred in a frequency of 31.0% to 64.0%
  • Nenhuma Miniatura disponível
    Item
    Acesso aberto (Open Access)
    O contato pele a pele e amamentação na primeira hora de vida e sua influência na prática da amamentação
    (Universidade Federal de São Paulo (UNIFESP), 2015-08-31) Saco, Marcia Carneiro [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Coca, Kelly Pereira [UNIFESP]; Abuchaim, Erika de Sá Vieira [UNIFESP]; http://lattes.cnpq.br/8167230363189115; http://lattes.cnpq.br/9049493842666015; http://lattes.cnpq.br/9986621531942283; http://lattes.cnpq.br/1847440355984493; Universidade Federal de São Paulo (UNIFESP)
    O contato pele a pele e/ou amamentação na primeira hora de vida (CPP/APH) aumenta os índices de aleitamento materno. Objetivos: Os objetivos do estudo em relação a esta prática foram: identificar a sua prevalência e o tipo de aleitamento materno praticado no primeiro mês de vida da criança; verificar sua associação com as características sociodemográficas, obstétricas e neonatais; e analisar sua relação com o tempo de aleitamento materno exclusivo. Método: Estudo descritivo do tipo coorte retrospectivo realizado no Ambulatório de aleitamento materno da UNIFESP ? Centro de Incentivo e Apoio à Amamentação / Banco de Leite Humano CIAAM/BLH - HSP. A população foi composta por 2.060 prontuários clínicos, sendo 1.030 de mulheres e 1.030 de crianças que compareceram à consulta de enfermagem para revisão pós-parto e aleitamento materno entre janeiro de 2004 a dezembro de 2010 no CIAAM. Foram critérios de exclusão: prontuários de mães de crianças gemelares, provenientes de adoção, devido à ausência de dados sobre o parto e aleitamento materno na primeira hora e de prontuários com ausência de informações em relação à maioria das variáveis. Utilizou-se o protocolo de consulta de aleitamento adotado nos atendimentos do CIAAM. A coleta de dados iniciou-se em dezembro de 2014, após a aprovação do Comitê de Ética em Pesquisa da UNIFESP ? CEP: 907.103 e a autorização da Coordenação do CIAAM/BLH e foi concluída em Janeiro de 2015. Para a análise multivariada, foram consideradas significantes as variáveis com valor de p<0,05. Todas as análises foram realizadas por meio da utilização do software estatístico Minitab, versão 16.1. Resultados: A prevalência do contato pele a pele e/ou a amamentação na primeira hora foi de 37,2%. O aleitamento materno exclusivo no primeiro mês de vida esteve presente em 82,1% no grupo que realizou o CPP/APH e 73,9% no grupo que não executou estas práticas e a diferença entre os grupos foi significante. A análise multivariada mostrou que a idade jovem e o parto cesáreo e fórceps foram fatores de risco para a não realização do CPP/APH. Conclusão: O apoio ao aleitamento materno deve ser iniciado no pré-natal, esclarecendo às mulheres sobre seus direitos desde o momento do nascimento até a alta hospitalar e seu seguimento no pós-parto. Uma rede de apoio ambulatorial, como o CIAAM, favorece as práticas relacionadas à continuidade do aleitamento materno após a alta, oferecendo auxílio à díade e promovendo benefícios à saúde da criança.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Disfunção sexual e fatores associados relatados no período pós-parto
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2014-12-01) Holanda, Juliana Bento de Lima [UNIFESP]; Abuchaim, Erika de Sá Vieira [UNIFESP]; Coca, Kelly Pereira [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de Alagoas; Universidade Federal de São Paulo (UNIFESP)
    Objective To estimate the prevalence and factors associated with sexual dysfunction in the postpartum period.Methods Cross-sectional study of 200 postpartum women in their resumption to sexual activity. Data were collected in a private place, through interviews and recorded in forms, containing information regarding sexual life of postpartum women.Results Among the women studied, it was found that 33.5%, 76.0% and 43.5% had sexual dysfunction before pregnancy, during and after delivery, respectively. The types of dysfunction most frequently identified were dyspareunia, vaginismus, dysfunction of desire, orgasmic and arousal. The significantly associated factors were Catholic or protestant religions, vaginal delivery with suture, dyspareunia during pregnancy, vaginismus before pregnancy and working hours over 8 hours/daily.Conclusion The prevalence of sexual dysfunction was high and associated factors were religion, working hours, previous history of dysfunction and type of delivery.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Elaboração de um instrumento de coleta de dados para identificação dos diagnósticos de enfermagem em parturiente
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2005-12-01) Sumita, Satie Lúcia Nishimaru [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Marin, Heimar de Fatima [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: The purpose of this descriptive study was to develop an instrument to collect dates for pregnant women. METHODS: the variables was the demographic and clinical data to facilitate the determination of nursing diagnoses. RESULTS: The structure and organization of the instrument was based on the NANDA-Taxonomy II CONCLUSIONS: to facilitate the best way to collect and manage important information that lead to adequate clinical judgment and formulation of nursing diagnoses.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Estado nutricional e qualidade da dieta de nutrizes em amamentação exclusiva
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Tavares, Miriam Paulichenco; Devincenzi, Macarena Urrestarazu [UNIFESP]; Sachs, Anita [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Maternidade Pro Matre Paulista; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: Identifying the nutritional status, dietary intake and diet quality of nursing mothers on exclusive breastfeeding. METHODS: Cross-sectional study carried out with nursing mothers on exclusive breastfeeding from day 28 postpartum. Standardized instruments were used, and body mass index, food consumption and diet quality were evaluated. RESULTS: The nursing mothers were overweight, presented energy consumption below the recommended and adequate percentage of macronutrients, except for protein, which was elevated. The diet was classified as needs improvement according to the Healthy Eating Index (HEI). CONCLUSION: The results show that the overweight associated with a diet of poor quality indicated possible deficiencies of micronutrients.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Fatores associados às disfunções sexuais em mulheres no período pós-parto
    (Universidade Federal de São Paulo (UNIFESP), 2010-09-29) Holanda, Juliana Bento de Lima [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introdução: a disfunção sexual feminina apresenta uma alta incidência, sendo considerada um problema de saúde pública que merece atenção dos profissionais de saúde que assistem mulheres no período pós-parto. Este estudo teve como objetivos: Estimar a prevalência de mulheres com disfunção sexual antes e durante a gestação e, no período após o parto, identificar os fatores associados a elas; identificar os tipos de disfunções sexuais e suas frequências. Método: Trata-se de um estudo transversal com mulheres que estavam no período de 3 a 6 meses de pós-parto e que levaram suas crianças para serem atendidas no ambulatório de pediatria de uma maternidade pública da cidade de Maceió-AL. A amostra estudada constituiu-se de 200 mulheres. Os dados foram coletados em um único momento, sem que houvesse seguimento dos indivíduos. Para avaliação das variáveis qualitativas, os testes utilizados foram o Qui-Quadrado ou Exato de Fisher (F); para as variáveis quantitativas, o t-Student. Foi realizada uma análise de Regressão Logística, pelo método de Stepwise foward. Resultados: a idade média das mulheres entrevistadas foi de 24 anos, 101 (50,5%) eram da religião católica, tinham em média 7,85 anos de estudo, a renda familiar era de um ou mais salários mínimos, 172 (86%) trabalhavam apenas no lar, tendo 8,54 em média de horas de trabalho por dia e 184 (92%) residiam com seus respectivos parceiros. Os dados ginecológicos e obstétricos mostraram que 44,5% eram primíparas e a maioria (55,5) havia sido submetida a parto normal, retornando às relações sexuais em média com 6,6 semanas de pós-parto. Quanto à prevalência de mulheres com disfunção sexual, antes e durante a gestação e no período após o parto, foi de 67 (33,5%), 152 (76%) e 87 (43,5%), respectivamente. Outros fatores associados às disfunções sexuais foram identificados. Mulheres de religião católica e evangélica apresentaram um risco quase três vezes maior para disfunção sexual do que aquelas sem religião, assim como as com carga horária média de trabalho que excedia a 8 horas diárias. A cada 1 hora excedente, a chance de apresentar a disfunção sexual aumentava em 12%. Também a presença de dispareunia na gravidez representou um risco três vezes maior para a mulher apresentar disfunção sexual no pós-parto. O parto vaginal com sutura representou um risco três vezes maior para disfunção sexual do que mulheres submetidas à cesariana (Tabela 5). Os tipos de disfunções sexuais identificados nas mulheres no período pós-parto, bem como a frequência com que estas disfunções foram de: disfunção do desejo 25 (12,5%), disfunção na fase de excitação 16(8,0%), dispareunia 57(28,5%), disfunção orgásmica 21(10,5%) e 32 (16%) dificuldade na penetração. Conclusão: As disfunções sexuais femininas são comuns, sobretudo nos períodos da gestação e no pós-parto. Em virtude disso, os profissionais de saúde que atendem mulheres nesses períodos de suas vidas, necessitam ficar atentos para não passarem despercebidas, visando à integralidade do cuidado prestado.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Injuries Resulted From Breastfeeding: A New Approach To A Known Problem
    (Universidade de São Paulo, Escola de Enfermagem, 2014-04-01) Cervellini, Marina Possato; Gamba, Mônica Antar [UNIFESP]; Coca, Kelly Pereira [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This study aimed at analyzing nipple trauma resulted from breastfeeding based on dermatological approach. Two integrative reviews of literature were conducted, the first related to definitions, classification and evaluation methods of nipple trauma and another about validation studies related to this theme. In the first part were included 20 studies and only one third defined nipple trauma, more than half did not defined the nipple’s injuries reported, and each author showed a particular way to assess the injuries, without consensus. In the second integrative review, no validation study or algorithm related to nipple trauma resulted from breastfeeding was found. This fact demonstrated that the nipple’s injuries mentioned in the first review did not go through validation studies, justifying the lack of consensus identified as far as definition, classification and assessment methods of nipple trauma.

  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Intervenções de enfermagem para os diagnósticos de enfermagem mais freqüentes em dois serviços públicos de assistência à saúde da mulher
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2005-09-01) Gerk, Maria Auxiliadora de Souza; Barros, Sonia Maria Oliveira de [UNIFESP]; Universidade Federal de Mato Grosso do Sul Departamento de Enfermagem; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: This study constitutes a descriptive, analytical, and retrospective research on the nursing interventions formulated for the most frequent nursing diagnoses in gynecology identified for 165 women seen at outpatient nursing appointments held at two regional health centers in Campo Grande, MS, Brazil. The interventions were developed from axes A (action type), B (target), C (means), and H (beneficiary) of the ICNP® Nursing Actions Classification (Beta 2 version). OBJECTIVES: Establish nursing interventions and nursing outcomes. METHOD: The data on the population were obtained from the protocols of 165 outpatient consultation sessions. RESULTS: Sixty nursing diagnoses were identified, whose simple frequency ranged from 1 to 137, and the five most frequent ones were selected for establishing the nursing interventions. The actions most frequently established were guiding , referring , explaining , and providing . CONCLUSIONS: While formulating the interventions, an urgent need for multidisciplinary work was perceived, considering that the action referring , in the scope of this research, equated the referral to diverse health care services. Another finding was the evidence that nurses play a pivotal role as education agents.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Maternal complications and neonatal events associated with multiple pregnancies resulting from assisted reproduction techniques
    (Univ Sao Paolo, 2009-03-01) Graner, Viviane Rodrigues; Oliveira de Barros, Sonia Maria [UNIFESP]; Santa Joana Hosp & Matern; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Israelite Albert Einstein Hosp
    Multiple pregnancy is the most frequent and serious iatrogenic complication of the assisted reproduction techniques. The purpose of this study was to know the maternal complications and neonatal events associated to multiple pregnancies, resulting from assisted reproduction in a reference center in the field of assisted reproduction. This was an observational, cross-section, descriptive and retrospective study performed at Hospital e Maternidade Santa Joana, a reference center in the area of human reproduction in the city of Sao Paulo, Brazil. The studied population consisted of 131 medical records of pregnant women admitted with clinical pathologies and in labor, resulting from multiple pregnancies resulting from assisted reproduction techniques. The predominant maternal complications were: premature labor (65.5%) and premature amniorrhexis (42%), The most frequent neonatal occurrences were respiratory diseases (65.1%), jaundice (38.4%), metabolic disorders (13%) and neurological diseases (9%).
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Obstetrical nurse development at Universidade de Pernambuco, Brazil: a 35-year history
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2008-01-01) Costa, Arabela Antônia Nery de Melo [UNIFESP]; César, Kátia Rejane Vergueiro; Schirmer, Janine [UNIFESP]; Tavares, Márcia Maia Ferreira; Universidade de Pernambuco; Universidade Federal de São Paulo (UNIFESP)
    Aiming at presenting the social, professional, legal and educational contexts which have founded the curriculum reforms in the Obstetrical Nursing major and specialization, the 35-year teaching history, experienced in the Nossa Senhora das Graças Nursing School of the Universidade de Pernambuco, in the city of Recife, Brazil, built based on documental analysis. The syllabuses of four reformulations performed in the Obstetrical Nursing major and two syllabuses of specialization courses in the same area, with explanation of the guiding framework of the reformulations concerned with humanized attention towards labor and birth. The historical evolution of this experience demonstrates how the university can build the social awareness role in the faculty, which can improve life quality of puerperae and their children, awarding them the right to perform their citizenship.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Perineal outcomes on the left lateral versus vertical semi-sitting birth positions: a randomized study
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2011-01-01) Schirmer, Janine [UNIFESP]; Fustinoni, Suzete Maria [UNIFESP]; Basile, Anatália Lopes De Oliveira; Universidade Federal de São Paulo (UNIFESP); Adventist University Center Obstetric Nursing Specialization Course
    OBJECTIVE: To evaluate the perineal outcomes in unconventional birth positions. METHOD: A randomized clinical study. Conducted in a birth centre in the city of Itapecerica da Serra, Brazil. A sample of 158 nulliparas, divided randomly into the left lateral position (81 experimental) and upright half-sitting (77 - control). RESULTS: Experimental group showed less vulvar edema, 13.6% vs. 29.9%, OR 2.71 (95% IC 1.22 -6.02), episiotomy, 16.0% vs. 35.1 OR 2,46 (95% IC 1, 27 - 4.74), and more labial lacerations 37,0% vs. 19,5% OR 2,43 (95% IC 1,18 5,51). The women who adopted the upright half-sitting position had a lower risk of first-degree laceration (37,7% versus 56,8%). However, they had a higher risk of second-degree laceration and frequency of episiotomy OR 2,11 (95% IC 1,02 4,35). The presence of vulvar edema increased the risk of spontaneous trauma and episiotomy OR 3,99 (95% IC 1,80 8,85). CONCLUSIONS: Our data confirmed the hypothesis that the left lateral position offers less risk of serious perineal traumas.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    A posição de amamentar determina o aparecimento do trauma mamilar?
    (Universidade de São Paulo, Escola de Enfermagem, 2009-06-01) Coca, Kelly Pereira [UNIFESP]; Gamba, Mônica Antar [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The aim of the study was to identify the breast feeding position and holding variables related to nipple trauma. This case-control study assessed the onset of nipple trauma among women hospitalized at a University Hospital in the city of São Paulo, in 2004 and 2005. Subjects were puerperae diagnosed with unilateral or bilateral nipple trauma. Data analysis was performed using chi-square, Student's t, and odds ratio tests (CI= 95%) and correspondence analysis. Participants were 146 puerperal women and their newborns, being 73 cases and 73 controls. Statistically significant position and holding variables for causing lesions were the following: newborns with their necks bent/contorted, chin away from the breast and lip-related defect (turned inward). Trauma prevention at the beginning of breast feeding is crucial for continuing this practice. Following adequate positioning is decisive for establishing effective and prolonged breast feeding.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Práticas obstétricas e resultados maternos e neonatais: análise fatorial de correspondência múltipla em dois centros de parto normal
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2010-06-01) Cruz, Andrea Porto da; Barros, Sonia Maria Oliveira de [UNIFESP]; Instituto Educacional São Paulo; Faculdade São Luís Curso de Pós Graduação em Formação Pedagógica; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To describe the obstetric practices and maternal and neonatal outcomes of two normal birth centers in the Municipality of São Paulo, comparing the intra and extra hospital units. METHODS: Observational, cross-sectional and retrospective study, with secondary data obtained from 192 records of the institutions involved. The study variables were the practices selected for normal birth: the use of oxytocin, the type of breaking the amniotic membranes, the performance of episiotomy or perineotomy and, the time of maternal and neonatal stay. It was developed a computerized tool for data collection, based on the study's variables. The data were processed by multivariate statistical analysis. RESULTS: In the intra-hospital birth center, the most frequently used interventions were related to: the use of oxytocin, artificial rupture of amniotic membranes and maternal and neonatal length of staying larger than 48 hours, postpartum. In the extra-hospital birth center had a higher frequency of parturients with: no tearing of perineum after delivery, membrane rupture spontaneously and maternal and neonatal length of staying less than 48 hours, postpartum. The maternal and neonatal outcomes showed no complications related to utilized practices. CONCLUSION: The birth practices differ little, when comparing the two types of Normal Birth Centers; both followed the recommendations of the World Health Organization and implemented the interventions only in specific cases.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Prevalência de violência por parceiro íntimo relatada por puérperas
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Marcacine, Karla Oliveira; Abuchaim, Erika de Sá Vieira [UNIFESP]; Abrahão, Anelise Riedel [UNIFESP]; Michelone, Cecília de Souza Lima; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Sociedade Beneficente Israelita Brasileira Hospital Albert; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de Campinas
    OBJECTIVES: Estimating the prevalence of intimate partner violence reported by puerperal women, classifying the type of violence, the period of pregnancy and childbirth in the occurrence and characterizing the profile of partners. METHODS: Cross-sectional study of 207 postpartum women. The survey instrument used was based on the model proposed by Schraiberet. RESULTS: The prevalence of intimate partner violence before, during and/or after pregnancy was 51.2%. The profile of partners was characterized as a young group, with good education, worker and non-user of licit or illicit drugs. CONCLUSION: The prevalence of occurrence of intimate partner violence reported by puerperal women was 51.2%.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    O significado dado pelo profissional de saúde para trabalho de parto e parto humanizado
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2008-01-01) Mabuchi, Alessandra dos Santos [UNIFESP]; Fustinoni, Suzete Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To understand the meaning the healthcare professional in charge of the woman in childbirth gives to labor and humanizing delivery. METHODS: This is a qualitative research with a phenomenological perspective. Seven physicians and four nurses working at the obstetric center of a public hospital in the city of São Paulo were interviewed. RESULTS: After data analysis, two subthemes emerged: Understanding labor and humanizing delivery as a group of differentiated healthcare and behavioral measures, and Identifying failures in the search for healthcare humanization. CONCLUSION: The study showed that there are still disagreements regarding what is understood as humanizing delivery and what is done in practice. Humanization remains a government policy that is far from efficient, not only because of infrastructural deficits or financial shortages, but because of a lack of contact with the theme, resulting in healthcare that is not individualized or human.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Transmissão vertical do HIV em população atendida no serviço de referência em Maceió - Alagoas
    (Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Rodrigues, Sueli Teresinha Cruz [UNIFESP]; Barros, Sonia Maria Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the evolution of the Acquired Immunodeficiency Syndrome epidemic in Brazil brought a challenge to control the Human Immunodeficiency Virus (HIV) vertical transmission. The vertical or mother-child transmission of HIV is a route exposure which has multiple causes and the influence of factors associated with transmission of the virus varies according to the studied populations. Objectives: to identify the HIV vertical transmission rate in a reference service unit in the municipality of Maceió - Alagoas in a four-year period, to evaluate the maternal and fetal factors involved in the HIV vertical transmission and to identify pre-natal care, at delivery and birth follow-up actions related to the reduction of vertical transmission. Method: observational descriptive transversal retrospective study, evaluating 102 medical records of HIV positive women and their exposed children assisted by a specialized service unit in a four-year-time period. Results: Approximately 6.6% of children were infected, their mothers were aged 20 to 39 years and 66.6% had low formal education level, 40% did not attend any kind of pre-natal care service, 16.7% of their partners were unaware of their serologic condition; 5.9% of these women had sexual intercourse with multiple partners. Mothers of 75% of the infected children did not undergo prophylaxis with antiretroviral (ARV) and viral load test during pre-natal care. There was a higher percentage of children who did not initiate the prophylaxis with antiretroviral in the infected groups and a tendency for a higher percentage (50.0%) that was breastfed in the same group (p- 0.058). There was a higher percentage of women (84.10%) who used ARV during childbirth and children (91.5%) who started prophylaxis with ARV within the first 24 hours in the non-infected group. Conlusion: it was observed that the incidence of HIV vertical transmission in the reference service unit in the municipality of Maceió - Alagoas in a four-year-time period selected for the study (January 2002 to December 2006) was 6.6%. Those infected children did not have the opportunity for prophylaxis of HIV vertical transmission, which ratifies the urgency of an increase in the anti-HIV tests availability for pregnant women and supervision of the actions. Concerning the vertical HIV transmission, actions that address education, mainly of the young people and the use of condom during sexual intercourse are still fundamental. By means of such actions as well as prophylaxis of the vertical transmission, even if it is not possible to eliminate HIV infection in the pediatric population, we will, at least, transform such conditions in a matter of lesser extent, potentially controlled by the Public Health Department.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Vivenciando a experiência da parturição em um modelo assistencial humanizado
    (Associação Brasileira de Enfermagem, 2011-02-01) Silva, Larissa Mandarano da [UNIFESP]; Barbieri, Márcia [UNIFESP]; Fustinoni, Suzete Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    That was a qualitative study with phenomenological approach that aimed at understanding women's post-partum experiences in a humanized assistance. Data were collected in a hospital from São Paulo, SP, Brazil. Eight women in post-partum period were interviewed. From data analysis two themes were extracted: Bearing the labor and Having the opportunity rescuing autonomy, being disclosed the phenomenon: Living the ambiguity on the birth process in a humanized assistance model. The reports show feelings like pain, fear and anxiety, however, it allowed a participation and rescuing autonomy. Although the study have been realized in a humanized assistance, the women's experiences reveals that they are far from an effective humanization, according to its principles. This study can be used to guide educative actions target to humanization and to generate managerial changes