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- ItemAcesso aberto (Open Access)A atuação de fisioterapeutas em grupos de gestantes na atenção primária à saúde: Uma revisão integrativa da literatura(Universidade Federal de São Paulo, 2023-11-30) Antonio, Beatriz Ferraz Simão [UNIFESP]; Aveiro, Mariana Chaves [UNIFESP]; http://lattes.cnpq.br/8912160623559438; http://lattes.cnpq.br/4907115642656385; Universidade Federal de São Paulo (UNIFESP)Introdução: No decorrer da gestação, é necessário que a mulher seja acompanhada por profissionais de saúde. No Sistema Único de Saúde brasileiro a assistência ofertada durante o período do pré-natal ocorre na Atenção Primária à Saúde, sendo ela a porta de entrada dos usuários, pois está localizada mais próxima do usuário. O dispositivo de grupos é uma das formas de assistência oferecidas para a mulher grávida nesse período, e um dos profissionais que pode oferecer este dispositivo é o fisioterapeuta. Objetivos: O objetivo do presente estudo foi sintetizar a literatura disponível a respeito de grupos de gestantes realizados na Atenção Primária à Saúde com a participação de fisioterapeutas. Métodos: Foi realizada uma revisão integrativa da literatura disponível a partir das publicações nas bases de dados Biblioteca Virtual em Saúde (BVS) e PubMed, e pesquisa manual. Resultados: Foram encontrados 146 artigos, nos quais 140 não atendiam os critérios de inclusão, sendo selecionados apenas 6 artigos. Os estudos demonstraram que os grupos de gestantes conduzidos por fisioterapeutas, ou que contam com participação destes profissionais, usam a educação em saúde para compartilhar informações com as gestantes, exercícios de forma geral, dinâmicas para abordar diversos temas relacionados com ciclo gravídico-puerperal. Resultando no empoderamento das gestantes, tornando as mulheres protagonistas deste momento tão significativo. Conclusão: Por meio da revisão foi possível identificar que o fisioterapeuta pode atuar de diferentes formas em grupos de gestantes e que diversos benefícios são advindos da atuação deste profissional nos grupos.
- ItemSomente MetadadadosDealing with Female Sexuality: Training, Attitude, and Practice of Obstetrics and Gynecology Residents from a Developing Country(Wiley-Blackwell, 2015-05-01) Vieira, Teresa Cristina Souza Barroso [UNIFESP]; Souza, Eduardo de [UNIFESP]; Silva, Ivaldo da [UNIFESP]; Torloni, Maria Regina [UNIFESP]; Ribeiro, Meireluci Costa [UNIFESP]; Nakamura, Mary Uchiyama [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)IntroductionThere is little research on how obstetrics and gynecology (Ob/Gyn) residents deal with female sexuality, especially during pregnancy.AimThe aim of this study was to assess the training, attitude, and practice of Ob/Gyn residents about sexuality.MethodsA cross-sectional survey of Brazilian Ob/Gyn residents enrolling in an online sexology course was conducted. A questionnaire assessed their training in sexuality during medical school and residency and their attitude and practice on sexual issues during pregnancy.Main Outcome MeasuresTraining, attitude, and practice of Ob/Gyn residents regarding sexuality were the main outcome measures.ResultsA total of 197 residents, from 21 different programs, answered the online questionnaire. Mean age was 27.92.2, most were female (87%), single (79%), and had graduated in the last 5 years (91%). Almost two-thirds (63%) stated that they did not receive any training at all and 28% reported having only up to 6 hours of training about sexuality in medical school. Approximately half of the respondents (49%) stated that they had received no formal training about sexuality during their residency up to that moment and 29% had received 6 hours of training. Over half (56%) never or rarely took a sexual history, 51% stated that they did not feel competent or confident to answer their pregnant patients' questions about sexuality, and 84% attributed their difficulties in dealing with sexual complaints to their lack of specific knowledge on the topic.ConclusionThe vast majority of Brazilian Ob/Gyn residents enrolling in a sexuality course had little previous formal training on this topic in medical school and during their residency programs. Most residents do not take sexual histories of pregnant patients, do not feel confident in answering questions about sexuality in pregnancy, and attribute these difficulties to lack of knowledge. These findings point to a clear need for additional training in sexuality among Brazilian Ob/Gyn residents. Vieira TCSB, de Souza E, da Silva I, Torloni MR, Ribeiro MC, and Nakamura MU. Dealing with female sexuality: Training, attitude, and practice of obstetrics and gynecology residents from a developing country. J Sex Med 2015;12:1154-1157.
- ItemAcesso 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.
- ItemSomente MetadadadosFemale Sexual Function and Gestational Diabetes(Wiley-Blackwell, 2012-03-01) Ribeiro, Meireluci Costa [UNIFESP]; Nakamura, Mary Uchiyama [UNIFESP]; Scanavino, Marco de Tubino; Torloni, Maria Regina [UNIFESP]; Mattar, Rosiane [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)Introduction. the number of women with gestational diabetes mellitus (GDM) is growing worldwide in parallel with the obesity epidemic. the diagnosis of GDM leads to substantial modifications in the daily routine of these women, and these adjustments could potentially affect their sexual function. There are no previous studies on the sexual function of patients with GDM.Aim. the aim of this study was to investigate the sexual function of patients with GDM in comparison with healthy pregnant women at the same gestational age.Methods. Brazilian women in the third trimester of pregnancy with and without GDM were invited to participate in this cross-sectional study while waiting for their antenatal care visits at a single public tertiary teaching institution between March and December 2010. the Brazilian version of the Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function.Main Outcome Measures. Desire, arousal, lubrication, orgasm, sexual satisfaction, and pain during and after coitus in the last 4 weeks, measured according to a standardized and validated questionnaire.Results. A total of 87 participants were enrolled (43 healthy women and 44 with GDM). There were no significant differences in the sociodemographic characteristics of both groups. the total FSFI scores of GDM patients was 21.0 +/- 9.59 compared with 22.3 +/- 9.17 for healthy women (P = 0.523). Difficulty in desire was the most common sexual dysfunction symptom in both groups, being reported by 42% and 50% of GDM and healthy women, respectively (P = 0.585).Conclusion. the sexual function of Brazilian patients with GDM does not differ significantly from that of healthy pregnant women at the same gestational age. Ribeiro MC, Nakamura MU, Scanavino Mde T, Torloni MR, and Mattar R. Female sexual function and gestational diabetes. J Sex Med 2012; 9: 786-792.
- ItemAcesso aberto (Open Access)Screening for group B Streptococcus in pregnant women: a systematic review and meta-analysis(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2011-12-01) Taminato, Mônica [UNIFESP]; Fram, Dayana; Torloni, Maria Regina [UNIFESP]; Belasco, Angélica Gonçalves Silva [UNIFESP]; Saconato, Humberto; Barbosa, Dulce Aparecida [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Infection with Group B Streptococcus (GBS) is considered an important public health problem. It is associated with: Neonatal sepsis, meningitis, pneumonia, neonatal death, septic abortion, chorioamnionitis, endometritis and other perinatal infections. The aim of this study was to determine the best screening strategy for GBS in pregnant women. For this a systematic review and meta-analysis were carried out in the Nursing Department of the Federal University of São Paulo, Cochrane Center, Brazil. Sources used were, EMBASE, LILACS, Medline, list of references, personal communication and the Cochrane library. The criterion for the selection of the studies was; studies which analyze some type of screening for GBS in pregnant women. Independent of the comparator, all analyses were in favor of a universal screening program for reducing the incidence of neonatal sepsis. The evidence obtained in this study suggests that the strategy of universal screening of pregnant women associated with the use of prophylactic antibiotics is safe and effective.
- ItemAcesso aberto (Open Access)Violência sexual e associação com a percepção individual de saúde entre mulheres gestantes(Faculdade de Saúde Pública da Universidade de São Paulo, 2009-12-01) Aquino, Nicole Moraes Rêgo de [UNIFESP]; Sun, Sue Yazaki [UNIFESP]; Oliveira, Eleonora Menicucci de [UNIFESP]; Martins, Marilia da Gloria; Silva, Juliana de Fátima da [UNIFESP]; Mattar, Rosiane [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Maranhão Hospital Materno InfantilOBJECTIVE: To estimate the prevalence of sexual violence history among pregnant women and its association with the self-perception of health status. METHODS: Cross-sectional study including a total of 179 pregnant women older than 14 years old at gestation week 14 to 28 attending public health services in the city of São Paulo, Southeastern Brazil, between 2006 and 2007. Data collection instruments included: questionnaire on sexual violence; questionnaire on sociodemographic data; and an assessment of health-related quality of life using the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12®). Age, skin color, education, occupational and marital status, and self-perception of physical and mental health were compared between women with and without a lifetime history of sexual violence. Sexual violence was categorized as penetrative and non-penetrative sex. RESULTS: Among all women interviewed, the prevalence of sexual violence was 39.1%, of which 20% were of penetrative type by known perpetrators. In 57% of cases, the first episode of violence was before the age of 14. There were no sociodemographic differences between women with and without history of sexual violence. Mean scores of self-perception of physical health among women with history of sexual violence were lower (42.2; SD= 8.3) compared to those without history of sexual violence (51.0; SD= 7.5) (p<0.001). Mean scores of self-perception of mental health were 37.4 (SD= 11.2) and 48.1 (SD= 10.2) (p<0.001), respectively. CONCLUSIONS: There was found high prevalence of sexual violence among pregnant women studied. Women with history of sexual violence showed poorer self-perception of health status compared to those without history of sexual violence.