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Copyright of Interação em Psicologia is the property of Universidade Federal do Parana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to build, validate, and evaluate an educational health website on home care for newborns for use by pregnant women, postpartum women, and family members. Method: methodological study developed according to the Analyze, Design, Develop, Implement, and Evaluate model. After construction, the website was validated by 20 experts and evaluated by 20 individuals from the target audience, and the data wasanalyzed according to the Concordance Index with a cut-off point equal to or greater than 0.7 (70%). Results: in the validation, the Concordance Index for all the items was higher than 0.7 (70%), with a variation between 0.75 (75%) and 1 (100%), reaching an overall average value of 0.91 (91%). In the evaluation, all the items got top marks, with anoverall average value of 1 (100%). Conclusion: the educational website was built, validated, and evaluated in a satisfactory manner. It can be considered an appropriate tool for its purpose, with benefits in the teaching-learning process for families regarding postnatal home care fornewborns through its use. It can also be used to educate students and health professionals. The website is available for free access via laptops, computers, smartphones, or tablets.

Abstract Objective: To assess the rate of missed postpartum appointments at a referral center for high-risk pregnancy and compare puerperal women who did and did not attend these appointments to identify related factors. Methods: This was a retrospective cross-sectional study with all women scheduled for postpartum consultations at a high-risk obstetrics service in 2018. The variables selected to compare women were personal, obstetric, and perinatal. The variables of interest were obtained from the hospital's electronic medical records. Statistical analyses were performed using the Chi-square, Fisher's exact, or Mann–Whitney tests. For the variable of the interbirth interval, a receiver operating characteristic curve (ROC) was used to best discriminate whether or not patients attended the postpartum consultation. The significance level for the statistical tests was 5%. Results: A total of 1,629 women scheduled for postpartum consultations in 2018 were included. The rate of missing the postpartum consultation was 34.8%. A shorter interbirth interval (p = 0.039), previous use of psychoactive substances (p = 0.027), current or former smoking (p = 0.003), and multiparity (p < 0.001) were associated with non-attendance. Conclusion: This study showed a high rate of postpartum appointment non-attendance. This is particularly relevant because it was demonstrated in a high-risk obstetric service linked to clinical severity or social vulnerability cases. This highlights the need for new approaches to puerperal women before hospital discharge and new tools to increase adherence to postpartum consultations, especially for multiparous women.

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to investigate, through social network, what are the challenges of women facing the puerperium. Methods: qualitative approach of the ethnography type, with 36 women. Carried out in two Facebook groups: 1) Public page with 305,531 followers; 2) Private group with 11,541 members. The groups aimed at exchanging experiences, information and support among postpartum mothers. Data collection through observation of groups and electronic instrument in the Google Forms model. Used content analysis. Results: in the analysis, three categories emerged: care and health problems in the puerperium; learn to live after being a mother; and care for the newborn. Conclusion: among the challenges of motherhood, the following stand out: breastfeeding, bathing the baby, exhaustion and sleep deprivation. It is up to nursing to reflect on how to assist women who are in the puerperium, considering information technology, social media and the individual needs of each one, aiming at promoting a positive experience in this period. [ABSTRACT FROM AUTHOR]

To describe the risk factors for the development of mental disorders in low-income postpartum women. This is descriptive research with a quantitative approach carried out after approval by the ethics committee. The target population of this study were women who were experiencing the puerperium. The collection took place through a contact to sign the Free Informed Consent Term, explain the purpose of the study and provide clarifications about the research. The participants of this study are women in a vulnerable situation, aged between 18 and 39 years old, who declare themselves to be black/brown, as well as have a low level of education, have low income, depending mostly on financial aid from the government. Therefore, it was possible to describe the risk factors in the puerperium that can make women susceptible to the development of mental disorders, which interfere in the quality of life of the puerperal woman, her baby and family members. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To characterize the cesarean delivery route, its indications and compilations correlating with nursing care. Descriptive and explanatory research, bibliographic reviews of scientific articles, guidelines from the Ministry of Health (MS) and the Unified Health System (SUS). The choice of the mode of delivery has criteria and medical indication, avoiding maternal-infant morbidity and mortality. There are high rates of cesarean delivery without proper indication. To minimize complications and the fall of this procedure, it is ideal that nurses and the multidisciplinary team have theoretical and practical knowledge, enabling better nursing care in the postpartum period. It is concluded the importance of nurses in the face of guidance on the advantages and disadvantages of delivery routes, implementation of care assistance in a holistic and comprehensive way and the development of the Nursing Care Systematization (SAE), enabling the puerperal woman to experience her gestation and postpartum satisfactory. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The goal of this study is to understand the use and material and symbolic appropriation of medicinal plants by women in the South-Central region of Paraná and Campos Gerais for postpartum care. To this end, 213 mothers who gave birth during 2006 to 2021 revealed that most of them experienced specific postpartum care provided by a relative, regardless of education, correlated to certain herbs and recipes from the regional biocultural heritage. The knowledge about postpartum care remains active, territorialized in the mind and body as a social strategy of resistance to the domination of knowledge. The historical and geographical approach to this cultural practice highlights the phenomenon of the re-signification of traditional knowledge about the care of the body and of life by women of the region in contexts of multiple modernities. [ABSTRACT FROM AUTHOR]

Objective: To analyze scientific production on satisfaction of pregnant women attended in Primary Health Care. Methods: Integrative review, carried out in September 2020, at the Virtual Health Library, Online Medical Literature Analysis and Retrieval System, Cumulative Index to Nursing and Allied Health Literature and Excerpta Medica Database, crossing descriptors with Boolean operators. Primary studies were included, studies performed in hospitals, non-pregnant women, congress abstracts, theses and duplicate articles were excluded. There was no temporal or language delimitation. The search generated 355 articles. After reading the titles and abstracts, excluding duplicates and completely reading, 20 articles were included. Data were discussed with updated bibliographies. As this is a review, there was no need for an opinion from the Ethics Committee. Results: Most articles were published in 2012 and carried out outside Brazil. The results indicate the satisfaction of pregnant women with the assistance received in Primary Health Care, considering some gaps: continuity of care after childbirth, reception and aspects of the physical structure of the units. Conclusion: The respondents were satisfied with the care, attesting to the quality of care. [ABSTRACT FROM AUTHOR]

Background: Body Stalk Syndrome (BSS) is a rare condition with a reported frequency of one case in every 31,000 pregnancies, and is characterized by severe congenital malformations, mainly thoracoschisis, abdominoschisis, limb defects and exencephaly. Its exact etiology is unknown and no teratogenic factor has been described so far. Furthermore, reports of familial recurrence suggest the possibility of a genetic origin for the condition. Aim: To report a case of SBS seen in our Service. Case report: This was a 23-year-old patient, with no comorbidities and a primigravida, who was referred to high-risk prenatal care due to a 2.5 mm nuchal translucency, observed by a morphological ultrasound (USG) performed with a gestational age (GA) of 11 weeks and 4 days. Two subsequent USGs showed signs suggestive of increasing SBS. The patient spontaneously went into labor with a GA of 33 weeks and 6 days. The fetus didn't have any cardiac activity since it's cefalicus disattachtment. After birth, multiple malformations were found confirming SBS. The mother received puerperal care and was discharged the following day. Conclusion: SBS is a rare and lethal malformation, justifying case reports that contribute to continuing medical education in Gynecology and Obstetrics. As seen in the case reported here, USG is important in the hypothesis of early diagnosis of SBS, allowing the pregnant woman to choose whether or not to terminate her pregnancy. There is also evidence that fetal magnetic resonance imaging could provide bases for a prenatal diagnosis of the syndrome during the beginning of the second gestational semester, as well as the diagnostic capacity of USGs for fetuses with GA at 11 and 12 weeks. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Enfermagem Contemporânea is the property of Revista Enfermagem Contemporanea and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The following article presents statements by pregnant or breastfeeding women to have been through custody hearings and criminal proceedings while released on bail, illustrating institutional responses to prenatal, childbirth, and post-natal care outside the prison environment. The aim was to document the possibilities for and difficulties of applying release measures, according to the women's own narratives of violence. The qualitative research is based on an analysis of content and is organized according to thematic modules with an exploration of the material collected in interviews and field data. Several obstacles faced in the empirical study have been highlighted, as have the experiences of the women inside and outside the prisons, in terms of the exercise of motherhood, life with the child, the lack of state assistance, and the consequences of the imprisonment. The report from mothers to have been released on bail or placed under house arrest due to pregnancy demonstrates adequate pre-natal care and the children's healthy development, although difficulties were still experienced during childbirth. The adoption of measures to release the women allowed for better access to healthcare, in line with the human right to safe motherhood. The satisfaction of being able to care for their children and live alongside family stood out as a positive factor. Situations of institutional violence still persist, given the insufficiency or absence of state protection. [ABSTRACT FROM AUTHOR]

Objective: To validate the "PuerpérioSEGURO" application as a technology for postpartum bedside care. Methods: This is a methodological study of technological innovation and applied validation, based on the principles of Software Engineering, whose data collection was carried out in May 2020. A sample of 16 specialists was adopted, forming two commissions of judges, eight with expertise in the field of midwifery nursing to validate the interfaces, and eight with expertise in the computer area to validate the system. The data were submitted to descriptive statistics and expressed through the Content Validity Index (CVI), considering items ≥ 0.8 of agreement to be adequate. Results: In the case of the set of interfaces, four parameters subdivided into 10 sub-items were evaluated by the nursing judges, obtaining a general agreement of 1.0. The computer judges evaluated the system set in six parameters subdivided into 16 sub-items, reaching a general agreement of 0.92. Conclusion: The mobile application achieved excellent validity of interfaces and systems among the judges, requiring further studies of practical interaction with an institutional web service. [ABSTRACT FROM AUTHOR]

Objective: to analyze the knowledge and experiences of pregnant women about puerperal self-care and newborn care through educational practices. Method: qualitative study with 16 pregnant women who attended prenatal care in a public maternity hospital in Salvador, Bahia. A semi-structured interview guide and health educational practices were applied in data collection. Content analysis was used in the thematic modality. Results: three categories emerged: self-care in the postpartum period: relevant and indispensable; newborn and breastfeeding: learning the best care; and educational practices during pregnancy: the expected result. The need and relevance of educational practices since pregnancy were evidenced; however, the newborn care was valued in relation to the woman's self-care, and may influence the (self-)care of those involved. Final Considerations: the educational practices performed during prenatal care offered subsidies for women's empowerment and autonomy when returning home; however, when performed, they distanced themselves from female self-care, as they tended to value only the newborn care. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective: to analyze the postnatal care practices of newborns in the family context from the scientific literature. Methods: the searches of the integrative literature review were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SciELO), and U.S. National Library of Medicine (PubMed) databases. Results: sixteen studies composed the final sample and, from these, two analytical categories emerged: Practices and doubts of families in postnatal care of newborns; and Best practices in postnatal care of newborns. Final considerations: several cultural practices of families differ from scientific recommendations, which can generate risks to the health of newborns. Therefore, it is essential to consolidate educational programs with family members, to improve the quality of care offered and to reduce preventable neonatal deaths in different socio-family contexts.

ABSTRACT Purpose: to describe pre and postnatal characteristics of children and adolescents with intellectual disability. Methods: study performed with all individuals who received healthcare between August 2016 and February 2018 at a reference Rehabilitation Center which serves 27 towns and cities in the South of Santa Catarina State, Brazil. A questionnaire focusing on demographic, socioeconomic, pre and postnatal variables was administered to parents or guardians of children and adolescents by trained interviewers. Descriptive analyses were performed using absolute and relative frequencies of categorical variables and central tendency and dispersion measures of numerical variables. Results: 42 individuals in the mean age of 11 years (± 3.0) were studied. Most mothers reported having unintended pregnancy and more than a half reported having had a cesarean section. In addition, about one-fifth of the subjects had low birth weight and most of them received exclusive breastfeeding up to six months of age. Conclusion: these findings are crucial for the organization and improvement of health care services, since they provide evidence for health professionals to improve and/or focus their health care initiatives on these individuals.

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: To understand the context in which the kangaroo method is implemented based on the actions of Continuing Healthcare Education. Materials and Methods: A qualitative exploratory study was conducted with twelve professionals of the healthcare team. The data was collected through a semi-structured interview and later analyzed to validate its content. Results: Three categories of analysis were created: kangaroo method: conceptions and understandings; continuing education: teaching-learning strategies; and kangaroo method and teamwork: limitations and possibilities. Discussion: Educational actions were provided to neonatal ICU professionals before implementing the kangaroo method. However, the following issues were identified in the day-to-day implementation: low adherence of the multidisciplinary team in the execution of the kangaroo method; work overload; difficulty remembering instructions to place the newborn in the kangaroo position; lack of guidance given to relatives; and resistance of mothers to put it into practice. Conclusions: It was observed that the institution was concerned to provide educational actions to the neonatal ICU professionals before implementing the kangaroo method. However, it is necessary to constantly generate discussions on the subject to improve the work carried out by the healthcare team. [ABSTRACT FROM AUTHOR]

Introduction: Breastfeeding is essential for the proper growth and development of children due to its energy and nutritional composition, immunological factors, and safety from a hygienic and health perspective. Objective: In light of this, this study aimed to assess the maternal sociodemographic factors associated with exclusive breastfeeding. Materials and Methods: A cross-sectional study was conducted with 143 pairs of mother-child less 24 months of age that were assisted in four Primary Healthcare Centers in São Luís (MA). The first form was used to collect socioeconomic and demographic data from mother-child pairs. The second form was answered by 75 mothers with early cessation of exclusive breastfeeding. The duration of exclusive breastfeeding, antenatal and postpartum care for women, social support in breastfeeding and the influence of the use of pacifiers and bottles on the cessation of exclusive breastfeeding were assessed. Fisher's Exact Test was used to check the association between the variables. Results: It was observed that 33.3% of children had exclusive breastfeeding for the first six months and that breastfeeding time was longer (93.3%) among those children who benefited from social programs. Discussion and Conclusions: The low frequency of exclusive breastfeeding time in children revealed the need to develop strategies to encourage breastfeeding in primary healthcare so that it can contribute to the qualification of nutritional and prenatal care. [ABSTRACT FROM AUTHOR]

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Amidst the experience of mothers at units where Kangaroo Care Method has been adopted, the nursing team is constantly present and can have a significant role in the reduction of tension and negative feelings generated when newborns are hospitalized. Objective: To understand the feelings of mothers that are perceived by the nursing professionals of a Kangaroo Intermediate Care Unit and to know the strategies used by these professionals to support mothers. Materials and Methods: A qualitative research was conducted in a Neonatal Kangaroo Intermediate Care Unit. Data collection was carried out from April to July 2016 through interviews. The data was analyzed through content analysis. Results: It was possible to find two categories: "Mother feelings that are perceived by the nursing professionals of a unit of kangaroo care method" and "Strategies used by nursing professionals to support mothers". Discussion: Feelings of anxiety, uncertainty, and nostalgia expressed by mothers are a source of concern for nursing professionals and should, therefore, be addressed through support strategies. Conclusions: The participants perceived that mothers might have feelings of anxiety, uncertainty about the care they should give their baby, and nostalgia for their other responsibilities outside the hospital. Among the strategies used by these professionals as support measures for mothers, reception, guidance, teamwork, and empathy were mentioned. [ABSTRACT FROM AUTHOR]

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In order to characterize "what nurse intervention on parents training postpartum for the baby's health promotion?" was performed a systematic review of Research Literature (SRL) in Ebsco databases (CINAHL Complete; MedLine Complete; MedicLatina e Nursing & Allied Health Collection: Comprehensive), pubmed and proquest. The keywords used were: Nurs*; Postnatal Care; Health Promotion and Parenting. For inclusioncriteria2articleswereselected: parents with babies of postpartum 3 to 6 months; the nurse intervention on parents training postpartum; baby's health promotion and studies of interpretative paradigm. SRL items were excluded. The results point to a nursing intervention that promotes the transition to parenthood through monitoring, support, training and care to the woman/couple/family/community contributing to the well-being of the mother and baby's health promotion. [ABSTRACT FROM AUTHOR]

Lean Healthcare is a focused management methodology on patient and cooperation among its participants that seeks continuous improvement to eliminate waste thus adding more value to hospital processes. Considering the variety of this philosophy application opportunities, taking into account that the Lean Healthcare has been implemented recently, this research seeks to analyze the discharge process in a maternity ward of a large hospital in order to increase the availability of bed admission, as this sector frequently presents a crowded table. Through field observations and diagnosis of the current situation, the main losses encountered in the discharge process were analyzed. Wastes found were classified according to the seven losses of Lean production and the impact they have on the value of the patient. Then, countermeasure actions were proposed. These actions focus on the fact that medical discharges occur in batches, and so an accumulation of tasks in the following activities take place, which increases the reoccupation time of the released beds. [ABSTRACT FROM AUTHOR]

Aim: to comprehend the parental perception about the father's support during the hospitalization of his wife and son in the rooming-in-care. Method: descriptive and exploratory qualitative approach, in the maternity of a private hospital in Porto Alegre. Semi-structured interviews were conducted with ten accompanying fathers, from September to October 2012. Results: from the analysis, two central categories that composed the discussion on the corpus emerged: “Understanding the meaning of being a father" and “The father as caregiver agent". In the investigated context, the perceptions of the parents about paternity showed that they sometimes do not identify themselves as potential care agents, although they feel prepared for it. Final thoughts: the study evidenced the need to implement humanization policies in the postpartum period, especially regarding the inclusion of fathers in the rooming-in, which would allow improvements in the parental bond and development of comprehensive health actions to the mother-father-child triad. [ABSTRACT FROM AUTHOR]

PURPOSE: It was to determine the prevalence of depressive symptoms in a sample of puerperal women from Brasília, Brazil, distinguishing cases with onset after delivery from those already present during pregnancy. METHODS: A prospective cohort study with convenience sampling of patients submitted to elective cesarean section at two private hospitals. As an instrument for assessing depressive symptoms, the Edinburgh Postnatal Depression Scale with cutoff >13 was applied shortly before delivery and four to eight weeks after childbirth. RESULTS: Among the 107 women who completed the study, 11 (10.3%) had significant depressive symptoms during pregnancy and 12 (11.2%) during the postpartum period. Among the 12 patients with postpartum symptoms, 6 had symptoms during pregnancy, so that 5.6% of the sample had postpartum onset of depression. The higher overall frequency of depression was significantly among single women than among married women (p=0.04), a fact mainly due to a higher frequency of single women experiencing persistent depressive symptoms both before and after delivery (p=0.002). The risk of depression was not influenced by age, parity or educational level. CONCLUSION: Women with depression identified during the postpartum period comprise a heterogeneous group, in which symptoms may have started before pregnancy, during pregnancy or after childbirth. In this sample, half of the postpartum depression cases already presented symptoms during late pregnancy. Since depression can arise before and after childbirth, it may have different etiologies and, therefore, a different response to treatment, a possibility that should be considered by clinicians and researchers.OBJETIVO: Foi determinar a prevalência de sintomas depressivos em uma amostra de puérperas da cidade de Brasília, Brasil, discriminando os casos com surgimento após o parto daqueles já presentes durante a gestação. MÉTODOS: Estudo de corte prospectivo. Amostragem por conveniência de pacientes que seriam submetidas à cesariana eletiva em dois hospitais privados. Como instrumento para avaliar os sintomas depressivos, foi utilizada a Escala de Depressão Pós-natal de Edimburgo, com ponto de corte >13, aplicada momentos antes do parto e quatro a oito semanas após o nascimento da criança. RESULTADOS: Das 107 mulheres que completaram o estudo, 11 (10,3%) apresentaram sintomas depressivos significativos na gestação e 12 (11,2%) no período pós-parto. Das 12 pacientes com sintomas no pós-parto, 6 já tinham os sintomas durante a gestação, de modo que 5,6% da amostra teve depressão com início após o parto. A frequência global de depressão foi significativamente maior entre as mulheres solteiras em comparação com mulheres casadas (p=0,04) por causa principalmente da maior frequência de mulheres solteiras apresentando sintomas depressivos persistentes, antes e depois do parto (p=0,002). O risco de depressão não foi influenciado pela idade, paridade e escolaridade. CONCLUSÃO: As mulheres com depressão reconhecida no período pós-parto compõem um grupo heterogêneo, no qual o quadro pode ter tido início antes da gestação, durante a gestação ou após o parto. Na amostra estudada, metade dos casos de depressão reconhecida após o parto já apresentava os sintomas no final da gestação. Uma vez que a depressão que surge antes e após o parto pode ter etiologia diferente e, portanto, apresentar resposta ao tratamento diferente, os clínicos e pesquisadores devem estar atentos a essa possibilidade.

Objetivo. Avaliar a utilidade de orientação dos exercícios físicos no período pós-parto pelo enfermeiro obstetra. Metodologia. Pesquisa bibliográfica de publicações nacionais e internacionais e busca de informação na Biblioteca Virtual em Saúde da rede BIREME de Brasil e na biblioteca da Faculdade de Medicina de São José do Rio Preto - FAMERP. Resultados. Na análise da literatura sobre o tema, mostrou que os enfermeiros obstetras dão orientações com respeito aos exercícios físicos recomendados para as puerperais, contribuindo à assistência integral das mães em puerpério; e também oferecem educação no auto-cuidado, prevenção e detecção precoce de complicações. Todo o anterior, redunda na melhoria da qualidade de vida e da imagem corporal das puerperais. Conclusão. A prática de exercícios físicos no puerpério pode ser orientada pelo enfermeiro obstetra e se deve incluir entre as intervenções para assistência integral às mulheres durante o ciclo gravídico-puerpério.Objetivo. Evaluar la utilidad de la orientación de los ejercicios físicos en el periodo postparto por el enfermero obstetra. Metodología. Investigación bibliográfica de publicaciones nacionales e internacionales y búsqueda de información en la Biblioteca Virtual en Salud de la red BIREME de Brasil y en la biblioteca de la Facultad de Medicina de Sao José do Rio Preto - FAMERP. Resultados. El análisis de la literatura sobre el tema mostró que los enfermeros obstetras dan orientaciones respecto a los ejercicios físicos recomendados para las puérperas contribuyendo a la asistencia integral de las madres en puerperio; y que también ofrecen educación en el autocuidado, prevención y detección precoz de complicaciones. Todo lo anterior redunda en la mejoría de la calidad de vida y de la imagen corporal de las puérperas. Conclusión. La práctica de ejercicios físicos en el puerperio puede ser orientada por el enfermero obstetra y se debe incluir entre las intervenciones para asistencia integral a las mujeres durante el ciclo gravídico-puerperal.Objective. To evaluate oriented physical exercises utility in the postpartum period by the obstetrician nurse. Methodology. Bibliographic research of national and international publications and information research in the Health Virtual Library BIREME of Brazil, and the Sao José do Rio Preto Faculty of Medicine- FAMERP library. Results. Literature analysis showed that obstetrician nurses guide pregnant women about physical exercises recommended for them, contributing to puerperal mothers’ integral care. They also provide education in self care, prevention and early detection of complications. It helps to improve their quality of life and body image. Conclusion. Physical exercises practice during the puerperium can be guided by the obstetrician nurse and it should be included among the integral care interventions to women during the gravidic-puerperal cycle.

Study objectives: (1) describe the existing supportive hospital breastfeeding practices in a major urban region and (2) determine if supportive hospital breastfeeding practices are influenced by hospital characteristics. Methods: A cross-sectional telephone survey of all hospitals with maternity services (N = 21) in Maricopa County, Arizona (USA), was conducted between July 2009 and March 2010. This major urban county, which includes Phoenix, is the fourth largest city in the USA. Supportive breastfeeding practices were 12 maternity care practices consistent with WHO Baby Friendly Hospital Initiative Ten Steps. Hospital characteristics measured were professional breastfeeding services available, institutional ownership, number of births per year, births paid for by public funds, and the level of care provided. Descriptive and inferential statistics were conducted. Results: The total number of supportive practices ranged from 5 to 10 (M = 7.52; SD = 1.53). Two practices were uniformly implemented; the remainder varied from low (> 25%) to moderate (50-75%) levels of implementation. 86% of hospitals had widespread use of supplements and provided gift bags containing formula. The number of Board Certified Lactation Consultants (IBCLCs) employed by a hospital was the only variable predicting higher levels of supportive practices. Facility ownership status was significantly correlated with the number of IBCLCs. Discussion: The differences in supportive hospital practices among hospitals suggest the effectiveness of IBCLCs in changing practice; however, additional research is needed to further explore this thesis. Findings of this study, while unique to the community studied, were consistent with a number of findings reported by researchers around the globe.Objetivos del estudio: (1) describir las prácticas de lactancia hospitalaria de apoyo en una gran región urbana y (2) determinar si las prácticas de lactancia hospitalaria de apoyo están bajo la influencia de características hospitalarias. Métodos: entre los meses de julio de 2009 y marzo de 2010 se realizó una encuesta telefónica transversal en todos los hospitales con servicios de maternidad (N = 21) en el Condado de Maricopa, Arizona (USA). Este gran condado urbano, que incluye Phoenix, es la cuarta ciudad más grande de Estados Unidos. Las prácticas de lactancia de apoyo se refirieron a 12 prácticas de cuidados de maternidad acordes con los Diez Pasos e Iniciativas Hospitalarias Amigables para el Bebé de la OMS. Las características hospitalarias medidas fueron: servicios de lactancia disponibles, propiedad institucional, número de nacimiento al año, nacimientos pagados por fondos públicos, y el nivel de atención suministrado. Se realizaron estadísticas descriptivas e inferenciales. Resultados: El número total de las prácticas de apoyo variaba de 5 a 10 (M = 7.52; SD = 1.53). Se aplicaron de forma uniforme dos prácticas; el resto variaba entre niveles de implementación bajo (> 25%) y moderado (50-75%). Ochenta y seis por ciento de los hospitales utilizan ampliamente suplementos y dan bolsas de regalo con leche de fórmula. El número de de Consultores de Lactancia Certificados (IBCLC por sus siglas en inglés) empleados por un hospital fue la única variable que predecía mayores niveles de prácticas de apoyo. El estatus de propiedad de la instalación estaba ampliamente relacionado con el número de IBCLC. Discusión: Las diferencias en las prácticas hospitalarias de apoyo entre hospitales sugieren la efectividad del IBCLC en cuanto al cambio de prácticas; sin embargo, se necesita investigación adicional para explorar aún más esta tesis. Los hallazgos de este estudio, únicos para la comunidad estudiada, eran consistentes con varios de los hallazgos reportados por investigadores en todo el mundo.Objetivos do estudo: (1) descrever as práticas de lactância hospitalar de apoio em uma importante região urbana e (2) determinar se as práticas de lactância hospitalar de apoio são influenciadas pelas características hospitalares. Métodos: entre os meses de julho de 2009 e março de 2010 foi realizado um questionário telefônico transversal em todos os hospitais com serviços de maternidade (N = 21) no Condado de Maricopa, Arizona (USA). Este importante condado, que inclui Phoenix, é a quarta maior cidade dos Estados Unidos. As práticas de lactância de apoio eram 12 práticas de cuidados de maternidade congruentes com os Dez Passos e Iniciativas Hospitalares Amigáveis para o Bebê da OMS. As características hospitalares medidas foram as seguintes: serviços de lactância disponíveis, propriedade institucional, número de nascimentos por ano, nascimentos pagos por fundos públicos, e o nível de atenção fornecido. Realizaram-se estatísticas descritivas e inferenciais. Resultados: O número total das práticas de apoio variava de 5 a 10 (M = 7.52; SD = 1.53). Aplicaram-se de forma uniforme duas práticas; o resto variava entre níveis de implementação baixo (> 25%) e moderado (50-75%). Oitenta e seis por cento dos hospitais utilizam amplamente suplementos e dão sacolas de presente que contêm leite formulado. O número de Consultores de Lactância Certificados (IBCLC pelas siglas em inglês) empregados por um hospital foi a única variável que predizia maiores níveis de práticas de apoio. O estado de propriedade da instalação estava amplamente relacionado com o número de IBCLC. Discussão: As diferenças nas práticas hospitalares de apoio entre hospitais sugerem a efetividades do IBCLC quanto à mudança de práticas; contudo, é preciso fazer outras pesquisar para explorar ainda mais esta tese. Os achados deste estudo, únicos para a comunidade estudada, eram congruentes com vários dos achados mostrados por pesquisadores no mundo inteiro.

IThe "teaching-leaning" is part of the Brazilian Kangaroo Mother Method with the objective of increasing skills of mother's breastfeeding infants with special health needs. Nevertheless, we do not know if this knowledge was embodied in the family inner circle, so we aimed at identifying and analyzing how this medical knowledge was incorporated in the context of infants' homes. Participatory research was developed at home with eleven groups of mother, family members and neighbors. Local knowledge of neighbors' and family members' replaced the medical knowledge and changed infant feeding practices. Health education should be implemented beyond hospital and include family members.La "enseñanza-aprendizaje" integra el Método Mamá Canguro brasileño para promover las habilidades maternas en la acción de amamantar a bebés prematuros o con bajo peso. Por desconocer si lo que fue enseñado integró al círculo interno de la familia, nuestro objetivo fue el de analizar como ese conocimiento sobre lactancia exclusiva fue incorporado en el contexto de los domicilios. La investigación sucidió en el domicilio de 11 grupos de madres, familiares y vecinos. El saber local de los vecinos y familiares substituyó el conocimiento enseñado a la madre en el Método y cambió la alimentación de esos bebés. La educación en salud debe extenderse más allá del hospital e incluir a los familiares y personas significativas.O "ensino-aprendizagem" integra o Método Mãe Canguru (MMC) brasileiro para promover as habilidades maternas na amamentação de bebês prematuros ou baixo peso. Por desconhecermos se o que foi ensinado integrou o círculo interno da família, nosso objetivo foi analisar como esse conhecimento sobre amamentação exclusiva foi incorporado no contexto dos domicílios. A pesquisa participante aconteceu no domicilio de 11 grupos de mães, familiares e vizinhos. O saber local dos vizinhos e familiares substituiu o conhecimento ensinado à mãe no MMC e mudou a alimentação desses bebês. A educação em saúde deve estender-se para além do hospital e incluir os familiares e pessoas significativas.

Pesquisa exploratória-descritiva, qualitativa, desenvolvida com 15 pais, de janeiro a abril de 2006, em Natal/RN. Teve por objetivo analisar as ações desenvolvidas pelo homem durante o puerpério de sua companheira. A coleta efetuou-se por entrevista semiestruturada, sendo os dados tratados por meio da técnica de análise de conteúdo e analisados à luz dos princípios do Interacionismo Simbólico. Os resultados apresentam uma temática central - ações de cuidado em ambiente doméstico - e duas categorias: cuidando da companheira e da criança; e provendo o sustento da família. Conclui-se que os depoentes interagem e participam do puerpério oferecendo conselhos que remetem à prevenção, como o estímulo à deambulação; desenvolvem atitudes de dedicação e preocupação com a saúde do filho; consideram que a licença-paternidade não atende às suas necessidades; reconhecem que a companheira e o recém-nascido requerem mais dedicação e que desempenham papel de provedor no intuito de garantir o sustento familiar.Investigación exploratoria y descriptiva, cualitativa, desarrollada con 15 padres de familia, en Natal/RN. La pesquisa analizó las acciones desarrolladas por el papá durante el puerperio de su compañera. Los datos fueron recolectados por medio de la entrevista semiestructurada, organizados por la técnica de análisis de contenido y analizados bajo los principios del Interaccionismo Simbólico. Los resultados mostraron que existe un tema central las acciones de atención yl cuidado en el ambiente doméstico - y dos categorías cuidar de la pareja y del niño, sin dejar de lado el sustento de la familia. Se concluyó que estos padres conviven durante el puerperio ofreciendo consejos que remiten a la prevención, como estimular a la mujer a hacer caminadas; desarrollan actitudes de dedicación y preocupación con la salud del hijo; consideran que el permiso de trabajo por paternidad no contempla sus necesidades; reconocen que su familia requiere de mayor dedicación y que ejercen el papel de proveedores al garantir la protección financeira de la familia.This qualitative, exploratory-descriptive research was conducted with 15 fathers, in Natal, RN. The aim was to analyze the actions conducted by the father during the puerperal period of his spouse. Data were collected by semistructured interviews, treated by analysis of content and analyzed according to the principles of symbolic interactionism. The results indicate one central theme - care actions in the home environment - and two categories caring for the spouse and the baby, providing financial support to the family. It is concluded that the men interact and participate in the puerperal period, while offering preventive advice, such as stimulating demabulation; demonstrate attitudes of dedication and worries with the child's health; consider that the paternal off work legal license does not attend their needs; and recognize that their spouse and the newborn requires more dedication and that they play a provider role while assuring the family´s financial support.

Objective: to develop and validate educational technology in relation to care in the postpartum period. Method: exploratory methodological study conducted in five phases: exploration of reality; literature review; construction technology; validation and review. There was the participation of 80 women and 13 expert-judges, carrier out in health institutions of Belem. The data was collected between 2013 and 2015. The forms were submitted to statistical analysis. The technology developed was the flip-chart with the title "Postpartum care", consisting of 10 topics: the meaning of postpartum; care that should be taken during this period; changes occurring in the body and in sex life; feeding; physical exercises; postpartum depression; hygiene and family planning. Results: the evaluation by the judges revealed an 81.23% content validity index. Conclusion: educational technology "postpartum care" proved to be valid as to the content, according to the specialized judges. [ABSTRACT FROM AUTHOR]

OBJETIVOS: avaliar percepções e sentimentos de puérperas adultas e adolescentes, relacionados ao filho e a assistência materno-infantil, em hospital universitário de nível terciário. MÉTODOS: estudo transversal, envolvendo 180 puérperas, no Alojamento Conjunto (AC) e no Berçário Interno (BI) do Hospital das Clínicas da Faculdade de Medicina de Botucatu , entrevistadas no segundo e terceiro dia pós-parto e distribuídas em três grupos: adultas primíparas, adultas multíparas e adolescentes. Para comparação entre grupos e locais de internação utilizou-se o chi2 ou teste de Fisher. RESULTADOS: ultrasom obstétrico e cardiotocografia tiveram impacto positivo na emoção materna. Houve pouca diferença entre os grupos quanto aos sentimentos antes e após o parto, sendo felicidade, amor, responsabilidade, ansiedade e medo os mais freqüentes. A culpa predominou nas adolescentes do BI. As percepções relacionadas ao filho, a avaliação da assistência e equipe, não diferiram entre adultas e adolescentes. Nas duas enfermarias o relacionamento entre mães e cuidadores foi bom, as mães mostraram-se satisfeitas com a equipe e a assistência, mas o aleitamento materno foi pouco valorizado e poucas mães conheciam o médico. CONCLUSÕES: está ocorrendo um processo de humanização na assistência materno-infantil deste hospital universitário, mas alguns aspectos precisam ser melhorados, especialmente a valorização do aleitamento materno e a individualização no contato médico-paciente.OBJETIVOS: to evaluate mother's (adults and adolescents) feelings and perceptions about their infants and the obstetric-neonatal care in a terciary level teaching hospital. METHODS: cross-sectional survey. 180 mothers were interviewed two and three days postpartum, in the maternity wards and nurseries of the Hospital das Clínicas- Faculdade de Medicina de Botucatu and distributed in three groups: adult multiparous, adult primiparous and adolescents. chi2 test or Fisher test were used to compare groups and wards, alpha = 5%. RESULTS: obstetric ultrasound and cardiotocography had positive impacts on maternal emotion. Small differences were determined between the three groups related to their feelings before and following delivery. Prevalent feelings were: love, happiness, responsibility, anxiety and fear. Guilt was frequent among adolescents in the maternity wards. Mothers' perception of babies, their evaluation of postnatal care and caregivers were the same for adult and adolescent mothers. In both maternity wards mothers and caregivers related well, mothers were happy with the neonatal care they were receiving and with their caregivers; however breast feeding was not valued enough and few mothers knew who their doctors were. CONCLUSIONS: a more humane approach for mothers and newborns is taking place at the university hospital but some aspects could be improved on specially pertaining to focus on breastfeeding and a more personal contact between doctors and patients.

OBJETIVO: Describir la modalidad de alimentación de los recién nacidos en instituciones públicas y privadas; y estudiar su relación con prácticas sanitarias de atención del parto y el puerperio y con caraterísticas sociodemográficas. MÉTODOS: Se estudiaron 347 binomios madre - hijo representativos de los nacimientos en maternidades públicas y privadas de la ciudad de Córdoba, Argentina. Las madres fueron entrevistadas entre las 24 y 48h posteriores al parto. Mediante análisis de regresión logística se estudió la asociación de las prácticas sanitarias con la modalidad de alimentación en la institución, controlando el efecto de factores sociodemográficos y perinatales, en instituciones públicas y privadas. Se realizó análisis de regresión logistica expressada en "odds ratio", con intervalo de confianza de un 95%. RESULTADOS: Recibieron lactancia materna exclusiva el 60,4% de los nacidos en instituciones públicas y el 2,9% de los nacidos en instituciones privadas. El riesgo de no tener lactancia materna completa en las instituciones públicas durante el postparto inmediato fue significativamente mayor cuando los niños recibieron un primer alimento diferente de leche materna [odds ratio (OR):149; Intervalo de confianza (IC) 95%: 16,7-1332)], el primer contacto se retrasó más de 45 minutos (OR:4,43; IC 95%: 1,02-19,20) y la intención de la madre fue amamantar menos de 6 meses (OR:5,80; IC95%: 1,32-25,52); y, en las privadas, cuando los niños recibieron un primer alimento diferente de leche materna (OR:9,88; IC 95%: 1,07-91,15). CONCLUSIONES: La atención del parto y el puerperio no es acorde a las recomendaciones actuales e influye en la modalidad de alimentación del recién nacido independientemente de otros factores estudiados.OBJECTIVE: To describe the type of newborn feeding in public and private institutions and to investigate its relationship with health practices during delivery and in the puerperium and sociodemographic characteristics. METHODS: Three hundred and forty-seven representative binomials mother - child of births that occurred in public and private maternity wards in the city of Cordoba, Argentina, were studied. Mothers were interviewed between 24 to 48 hours after delivery. By means of logistic regression analysis the association between health care practices and the type of newborn feeding in public and private institutions was studied, controlling for the effect of sociodemographic and perinatal factors. Statistical analysis was performed using logistic regression, odds ratio, and 95%CI. RESULTS: Of the total, 60.4% newborns in public institutions and 2.9% in private institutions were exclusively breastfed. In the public institutions, the risk of partial breastfeeding in the immediate postpartum was significantly higher in children who were not initially fed with mother's milk [odds ratio (OR)=149; confidence interval (CI): 95%: 16.7-1332], the first mother-child contact was delayed for more than 45 minutes (OR:4.43; IC 95%: 1.02-19.20) and mother's intention was to breastfeed her child for less than 6 months (OR: 5.80; IC: 95% 1.32-25.52); and in private institutions when children were not initially fed with mother's milk (OR: 9.88; IC 95%: 1.07-91.15). CONCLUSIONS: Labor and postpartum care does not comply with the current recommendations and it affects the type of feeding regardless of other factors studied.

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Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)