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Syphilis is considered a Sexually Transmitted Infection (STI), of global epidemiological importance due to its magnitude and repercussions on the health of the population. Among pregnant women, the occurrence of syphilis causes harm, including to the fetus. The increased incidence of syphilis in pregnant women remains a worrying situation throughout Brazil. In this sense, the study aimed to describe confirmed cases and find out the incidence rate of syphilis in pregnant women in Brazil, from 2017 to 2022, based on data available in SINAN and SINASC (DATASUS). Of the total confirmed cases reported, the highest percentages were found in pregnant women with incomplete primary education (31%), aged between 20 and 39 years (74%) and of mixed race (55.1%). The latent form was the most prevalent clinical form (49.3%). The incidence rate increased progressively, from 18.1/1000 LB (2017) to 30.8/1000 LB (2022). Syphilis in pregnant women still ranks as one of the main public health problems in Brazil, affecting the health of thousands of pregnant women annually, with a progressive increase in the incidence rate in recent years. It is necessary to reorient health planning actions to intensify strategies for tackling the problem in question. [ABSTRACT FROM AUTHOR]

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The implementation of prenatal dental care is crucial to promoting the health of both the mother and her baby. The objective of this work was to carry out a literature review on the importance of dental prenatal care. To this end, scientific articles were gathered from digital platforms, such as Google Scholar, SciElo and Pubmed, published between 2018 and 2023, related to topics such as the importance of dental prenatal care, oral care during pregnancy and dentistry and pregnancy. It was observed that inadequate oral health during pregnancy is associated with a series of complications, including premature births and low birth weight babies. Furthermore, hormonal changes during pregnancy can increase the risk of oral problems, such as periodontitis and tooth decay. By highlighting the relationship between pregnancy and dentistry, it was concluded that this dental follow-up allows the prevention and treatment of oral problems that can have repercussions on the general health of the pregnant woman and the development of the fetus. [ABSTRACT FROM AUTHOR]

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Introducción. La adolescencia es un periodo de desarrollo biopsicosocial que va desde los 10 a 19 años, el embarazo entre estas edades supone una preocupación para la salud pública por todo lo que conlleva. Objetivo. Conocer la frecuencia y características clínico-epidemiológicas de gestantes adolescentes atendidas en el servicio de maternidad del Hospital Regional de Pedro Juan Caballero entre diciembre del 2021 a noviembre del 2022 Materiales y Método. Estudio descriptivo, retrospectivo de corte transversal, muestreo por conveniencia de adolescentes atendidas en el servicio de ginecología del Hospital Regional de Pedro Juan Caballero en el periodo diciembre 2021 a noviembre del 2022. Resultados. De 1615 puérperas, el 20% (n=317) fueron adolescentes, 26% de ellas tenían 19 años, 78,5% en unión libre, 38,2% tenía por lo menos 5 controles prenatales. En los antecedentes gineco obstétricos el 81% eran nulíparas. El peso de los 317 niños fue 2501 a 4000 gramos en un 83% y en puntaje APGAR 98,7% presentó un puntaje de 7-10; 82% nació entre 37-42 semanas y 50,3% fueron varones. La vía de parto más común fue la vaginal con 73% y de presentación cefálica en un 97%. Conclusión. La frecuencia de gestantes adolescentes representa una quinta parte del total de gestantes atendidas, más de dos tercios nacieron con peso adecuado, en su mayoría un APGAR de 7-10 a los 5 minutos y la vía por la cual nacieron en su mayoría fue la vaginal, en presentación cefálica.

Copyright of Revista Nutrición Clínica y Dietética Hospitalaria is the property of Sociedad Espanola de Dietetica y Ciencias de la Alimentacion 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 Health & Society is the property of Instituto de Ensino e Pesquisa Periodicojs 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.)

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The incidence of HIV infection in women has increased in Brazil in the last two decades, leading to a greater attention to mother-to-child transmission (MTCT) and Aids in children < 5 years old data. Analyze the associa-tion of HIV/Aids incidence in women and pregnant women in Brazil, between 2000-2020, with MTCT rate. Ret-rospective study, based on HIV infection data collected from DATASUS, SICLOM, SISCEL, SIM and SINAN systems. HIV infection was more prevalent in fertile women, aged 20 to 39 years old. Even though a reduction of Aids cases in children < 5years old was observed, an increase of HIV infection in pregnant women was identified at the same time (p<0,001). These findings are probably associated with an improvement in prenatal care, with early treatment of pregnant women and virologic control, leading to a decrease in MTCT and Aids in children < 5years old. [ABSTRACT FROM AUTHOR]

Copyright of Diversitas Journal is the property of Diversitas Journal 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.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura 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.)

Pregnancy is a natural physiological process, through which necessary changes occur, which can cause edema in the lower limbs, feelings of tiredness in the legs, pain and psychological changes. Among the techniques used to treat these changes is Manual Lymphatic Drainage. The aim of this study is to discuss the effects of manual lymphatic drainage on pregnant women. To this end, it used an integrative literature review as its methodology. The results showed that pregnant women who underwent the procedure reported a reduction in lower limb edema, improved pain and tiredness, and improved quality of life and well-being. It is concluded that the technique contributes to improving some of the symptoms that occur during pregnancy, and is not limited to reducing edema. [ABSTRACT FROM AUTHOR]

Trata-se de um relato de pesquisa, com referencial na teoria psicanalítica, que teve como objetivo investigar a relevância da escuta às mulheres gestantes em uma instituição de saúde pública. Com base nos relatos destas mulheres, feitos por meio de entrevistas individuais, discorremos sobre o lugar da maternidade e as consequentes transformações em suas vidas. Os significantes emergidos nesses encontros foram articulados com os conceitos de inibição, repetição e angústia, além da transmissibilidade na maternidade e suas aproximações com a noção de trauma. A partir disso, percebemos a importância de serem realizadas discussões no campo psicanalítico a respeito de temas como aborto, luto perinatal e violência obstétrica. Concluímos que o espaço de acolhimento à gestante possibilita a elaboração das angústias vividas com a maternidade, ao tempo que nos aponta a necessidade premente de um espaço de escuta às gestantes que trazem temáticas relativas à atenção à saúde da mulher.

Objetivou-se identificar as condições de nascimento de filhos de mulheres vivendo com HIV no período compreendido entre 2009 e 2019, no Hospital Regional Materno Infantil de Imperatriz (MA). Estudo transversal, quantitativo, documental, com análise descritiva dos dados e realizado em maternidade de referência entre os meses de agosto de 2020 e julho de 2021. Incluíram-se informações dos prontuários das gestantes soropositivas para HIV e de seus filhos recém-nascidos. Os resultados levantaram 314 prontuários, destes, 195 eram elegíveis. Sobre as condições de nascimento dos recém-nascidos, em 56,41% o teste rápido foi negativo; 72,82% usaram profilaxia pós-nascimento; 75,38% não receberam leite materno; 68,2% receberam vacinas logo ao nascer; 40,51% não faziam uso de nenhuma medicação; 20,51% das mães tinham entre 36 a 40 anos; 59,48% não residiam no município pesquisado; 23,6% eram donas de casa; 65,64 eram multigestas; 46,15% receberam o diagnóstico de HIV na gestação; 67,17% não tinham coinfecções; 82,05% realizaram o pré-natal; 60,51% fizeram uso da profilaxia intraparto; e 77,43% fizeram cesariana. O acompanhamento no pré-natal e parto da maioria dessas mulheres vivendo com HIV refletiu positivamente nas condições de nascimento de seus filhos, sendo uma importante estratégia, visando a não transmissão vertical e prevenção da doença nas crianças.

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 Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura 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.)

Objetivo: compreender as Representações Sociais do planejamento e do desejo de exercer a maternidade em gestantes usuárias de drogas que vivencia/vivenciou a gravidez na adolescência. Método: estudo qualitativo, descritivo, fundamentado na Teoria das Representações Sociais. Foram entrevistadas 10 adolescentes que vivenciaram a gestação e o uso de drogas. A análise dos dados foi realizada a partir da Análise Textual Discursiva. Resultados: os resultados apontaram falta de conhecimento sobre aspectos da vida sexual e uso de anticoncepcionais. A droga ocupou o espaço vazio de solidão e medo, sendo uma forma encontrada pelas adolescentes de lidar com os problemas da vida. Apesar de muitas não terem planejado a gestação, esse processo motivou a diminuição do uso da substância. Conclusão: o estudo revelou a necessidade de diálogo sobre o processo gestacional na adolescência e uso de drogas, bem como, a importância de pesquisas e ações governamentais que abordem este problema de saúde pública.

Copyright of Neutrosophic Computing & Machine Learning is the property of Multimedia Larga 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.)

Enquandramento: A pandemia de COVID-19 agravou as práticas de cuidar das mulheres no momento do parto. Objetivo: Compreender a perceção das grávidas com COVID-19 acerca da aplicabilidade das boas práticas de assistência ao parto e nascimento. Metodologia: Estudo exploratório e descritivo, com abordagem mista, realizado com 23 gestantes com COVID-19, num hospital público brasileiro. Resultados: O corpus geral consistia em 23 textos, com aproveitamento de 249 Segmentos de Texto (ST). O conteúdo analisado foi categorizado em cinco classes: COVID-19 no contexto da saúde do RN, com 56 STs (22,49%); Parto humanizado e COVID-19, com 51 STs (20,48%); A incerteza dos riscos maternos e fetais, com 39 STs (15,66%); Experiência do parto na pandemia por COVID-19, com 67 STs (26,91%); e Conhecimento sobre sintomas e prevenção contra a COVID-19, com 36 STs (14,46%). Conclusão: Foram encontradas gestantes com pouco conhecimento sobre a política e o seu direito à autonomia no trabalho de parto e pós-parto, evidenciando diversas práticas inadequadas durante a pandemia.

Durante a adaptação para a chegada do bebê, a família pode buscar suporte de grupos para gestantes e a familiares. Levando isso em consideração, realizou-se um Estudo de Campo com seis (6) grupos que estão distantes de até 85 km da cidade de Assis Chateaubriand − PR. Devido à volatilidade das redes sociais de cada grupo, objetivou-se mapear, identificar e caracterizar os grupos para facilitar a busca deles pelas famílias. Dessa forma, um site foi desenvolvido, para que as "famílias gestantes" possam acessar facilmente as informações de contato, de localização e os assuntos discutidos em cada grupo. Além disso, o site permite que as próprias dirigentes dos grupos − embora sem conhecimento técnico − o atualizem. O projeto atende à demanda social de ambos os públicos, instrumentalizando os voluntários que mantêm os grupos. Nesse sentido, fornece às "famílias gestantes" um acesso unificado e categorizado aos conteúdos de interesse.

The gestational period is marked by several changes and adjustments, mediated by hormonal and mechanical leading to increased ligament laxity and changes in the balance, postural instability predisposes the pregnant woman falls or injuries. Objective: To analyze the major postural changes and symptomatology resulting from pregnancy. Methods: qualitative and quantitative descriptive study in the form of systematic review databases - lilacs, medline and scielo; having as descriptors; pregnant woman, posture and evaluation. the time frame covered the period from 1996 to may 2016 and took into consideration methods of visual and computerized postural assessment. [ABSTRACT FROM AUTHOR]

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Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online 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 Psicologia, Diversidade e Saúde is the property of Revista Psicologia, Diversidade e Saude 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.)

Introduction: The adolescence covers between the 10 and 19 years, period in which the pregnancy has higher risk of complications in the mother and the newborn. The COVID-19 increases the possibility of emergence of psychological complications that impact negatively in pregnancy and childbirth if they are not assisted. In this study the patients were treated by means of hypnotherapy. Objective: To evaluate the effectiveness of the hipnotherapeutic pattern for the achievement of appropriate indicators of childbirth in pregnant adolescents with psychological symptoms derived from the COVID-19. Methods: A study of hipnoterapeutic intervention was carried out in 9 pregnant adolescents with psychological symptoms derived from the COVID - 19, admitted to the Eastern Maternal Nutritional Hospital in Santiago de Cuba, from April to June, 2020. The patients had follow up until after the childbirth. Results: It was found that 7 pregnant women (77.8 %) had eutocic childbirth and perceived the pain as medium; in 66.7 % there was not necessity to use analgesic and 8 of them (88.9 %) didn't present complications. Also, all the newborns had a normal apgar. Conclusions: The hipnotherapeutic pattern for the treatment of pregnant adolescents with psychological symptoms derived from the COVID-19 was able to improve indicators of childbirth and other parameters associated with it.

Introdução: A inadequação do estado nutricional materno pode favorecer o desenvolvimento de intercorrências gestacionais que podem influenciar diretamente as condições de saúde do concepto e da mãe. Objetivo: Verificar a prevalência do excesso de peso e fatores associados ao estado nutricional das gestantes atendidas em uma maternidade filantrópica de São Luís-MA. Material e métodos: Tratou-se de um estudo transversal e analítico, realizado no ambulatório de ginecologia. Participaram 170 gestantes com faixa etária de 20 a 39 anos. Foi aplicado um questionário com variáveis socioeconômicas e demográficas, estilo de vida, reprodutivas e antropométricas. Foi realizada a análise multivariada pelo método de regressão de Poisson. Resultados: Das 170 gestantes avaliadas, 88,2% apresentaram excesso de peso. O excesso de peso foi associado as mulheres que viviam com o companheiro (OR: 4,13; IC 95% 1,15 – 14,8) e aquelas que se encontravam no segundo trimestre gestacional (OR: 4,03; IC 95% 1,02-15,83). Discussão: A literatura aponta que o excesso de peso pré-gestacional, o ganho excessivo de peso na gravidez e a multiparidade são fatores de risco para o desenvolvimento do excesso de peso. Conclusão: Identificar os fatores que têm associação com o excesso de peso durante a gestação é de grande relevância, visto que permite uma maior atenção a qualquer outro agravante que possa ser somado a estes e assim se realize intervenções precoces na tentativa de minimizar os riscos.

Objetivo: relatar a experiência no desenvolvimento de um portifólio manual de saúde da gestante para o uso profissional. Materiais e Métodos: trata-se de um relato de experiência, realizado por discentes do curso de graduação em Enfermagem em uma ESF da cidade de Montes Claros no mês de setembro de 2021. Visando à facilitação do trabalho dos profissionais, foi criado, incialmente, no um portifólio manual, baseado na versão computadorizada do Previne Brasil. Algumas informações importantes foram incluídas para serem preenchidas durante a consulta, como número do prontuário, nome da gestante, exames realizados, data provável do parto e da última menstruação. Ao final de cada mês, o profissional irá anotar o número de gestantes atendidas de acordo com a idade gestacional. Resultados: após a confecção do instrumento, foi realizada uma capacitação com os agentes comunitários de saúde com o intuito de sensibilizá-los e orientá-los em relação à captação da população feminina em idade fértil, ressaltando a importância da participação dessas gestantes no pré-natal para a redução de complicações e, consequentemente, dos índices de morte materna e neonatal, visando iniciar o pré-natal durante a gestação precocemente. Conclusão: o recurso desenvolvido, associado às dinâmicas, contribuiu para o aprendizado dos discentes e para a sensibilização dos colaboradores da unidade sobre a importância da captação de gestantes para a realização do pré-natal, para zelar pelo seu bem-estar e o de seu filho.

Introduction: The adolescence covers between the 10 and 19 years, period in which the pregnancy has higher risk of complications in the mother and the newborn. The COVID-19 increases the possibility of emergence of psychological complications that impact negatively in pregnancy and childbirth if they are not assisted. In this study the patients were treated by means of hypnotherapy. Objective: To evaluate the effectiveness of the hipnotherapeutic pattern for the achievement of appropriate indicators of childbirth in pregnant adolescents with psychological symptoms derived from the COVID-19. Methods: A study of hipnoterapeutic intervention was carried out in 9 pregnant adolescents with psychological symptoms derived from the COVID - 19, admitted to the Eastern Maternal Nutritional Hospital in Santiago de Cuba, from April to June, 2020. The patients had follow up until after the childbirth. Results: It was found that 7 pregnant women (77.8 %) had eutocic childbirth and perceived the pain as medium; in 66.7 % there was not necessity to use analgesic and 8 of them (88.9 %) didn't present complications. Also, all the newborns had a normal apgar. Conclusions: The hipnotherapeutic pattern for the treatment of pregnant adolescents with psychological symptoms derived from the COVID-19 was able to improve indicators of childbirth and other parameters associated with it. [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.)

Objetivo: analisar os fatores associados ao perfil psicossocial de mulheres durante o pré-natal no Hospital Universitário – Unidade Materno Infantil da Universidade Federal do Maranhão – HUUFMA. Métodos: estudo transversal realizado com 160 gestantes sem limite de faixa etária, atendidas no Ambulatório de Obstetrícia do HUUFMA no período de março a outubro de 2017. A avaliação do perfil psicossocial foi mensurada por meio do Prenatal Psychosocial Profile (PPP-VP). Resultados: a maioria das gestantes, cerca de 41,25% (66), possui somente o Ensino Médio completo, faixa etária de 15 a 35 anos , cerca de 65,66% (105), no último trimestre gestacional 46,25% (74), a maior parte primigesta, 60% (96), com menos de seis consultas pré-natais realizadas, 67,52% (108). Quanto ao trimestre gestacional, não houve significância estatística com os constructos do PPP-VP, relativo à paridade, as multíparas foram as que mais evidenciaram estresse e o teste de Tukey demonstrou que as multíparas tiveram mais estresse quando comparada com as nulíparas. Conclusão: é pertinente inferir que, em relação ao trimestre gestacional, não houve influência relativa aos constructos do perfil psicossocial, porém ao se relacionar paridade, a situação contrária foi observada, principalmente em multíparas, onde o maior número de partos refletia diretamente no nível desajustado do estresse, sendo assim é necessária uma maior atenção a essas questões para uma assistência pré-natal adequada.

Copyright of Scire Salutis is the property of CBPC - Companhia Brasileira de Producao Cientifica 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 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]

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The incidence of traumas during the gestational period has been increasing in recent years, due to the increasing participation of women in society, even during pregnancy, making it more subject to situations of urban violence. That during the care of a pregnant victim of trauma, in addition to the presence of the fetus, it should also be attentive to the physiological adaptations of gestation. Objective: analyze knowledge of the nursing team about the care provided to pregnant women victims of trauma a school hospital located in the Southern coast of the state of Rio de Janeiro. Method: a descriptive study, qualitative, performed in a school hospital located in the Southern coast of the state of Rio de Janeiro, with thirty-six professionals of the nursing team. For data collection, a questionnaire was drawn up containing eight open questions. The analysis was performed through the technique of content analysis, supported by the theoretical reference of Bardin. Results: were built four categories, allowed to conclude that the professionals of the nursing team have a deficiency of knowledge of the nursing professionals about the care of pregnant women victims of trauma, although they know that there are differences between this type of victim and a non-pregnant victim. Conclusion: The analyzes proved the need for training on both themes in order to improve the quality of care provided to this public. [ABSTRACT FROM AUTHOR]

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Se presenta el caso clínico de una paciente de 27 años de edad con 17,2 semanas de embarazo, quien se encontraba en seguimiento por consulta de Ginecología del Hospital Provincial Ginecoobstétrico Mariana Grajales Coello de Santiago de Cuba por presentar un mioma uterino sintomático con cuadro doloroso abdominal agudo debido a una necrobiosis, lo cual obligó a la resolución quirúrgica urgente. La gestante evolucionó satisfactoriamente y a las 39 semanas se le realizó cesárea, sin complicaciones materno-fetales.

Objetivo: Determinar los factores que se asocian a la adherencia a suplementos de hierro en gestantes peruanas. Material y métodos: Estudio prospectivo, transversal en 30 gestantes atendidas en el Puesto de Salud Malvinas, establecimiento de primer nivel de la provincia de Cañete, Perú entre julio y agosto de 2017. Se aplicaron instrumentos que midieron datos generales, nivel de adherencia (≥75% de consumo de suplementos de hierro) y sus factores asociados: recibir sesiones demostrativas, esperar la próxima consulta o ir a la farmacia para obtener suplementos, no haber recibido consejos desagradables sobre el suplemento, personal de salud se encuentra recargado de trabajo. Se aplicó Chi-cuadrado, Odds Ratio (OR) con IC95%. Resultados: El 73,3% de las gestantes se encontraban entre 18 a 34 años. 11 de 19 gestantes fueron adherentes (57,9%). Se encontró asociación con la adherencia al suplemento de hierro en gestantes el recibir sesiones demostrativas (OR:10,3; IC95%:1,0-108,8), esperar la próxima consulta o ir a la farmacia para obtener suplementos (OR:9,0; IC95%:1,0-84,9), no haber recibido consejos desagradables sobre el suplemento (OR:3,4; IC95%:1,9-6,0). Cuando el personal de salud se encuentra recargado de trabajo reduce la probabilidad de adherencia (OR:0,2; IC95%:0,03-0,8). Conclusión: Existen factores relacionados a la prestación de servicios de salud que incrementan la adherencia al tratamiento hierro.

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.)

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.)

O novo coronavírus (SARS-COV2), ganhou espaço em âmbito mundial de forma rápida e letal, sendo que os grupos com comorbidades são mais vulneráveis às formas críticas do vírus, pelo fato do risco elevado de morbimortalidade. Para prevenir maiores agravamentos, o Ministério da Saúde classificou as gestantes e puérperas, nas duas semanas após o parto, em grupo de risco da COVID-19. Este trabalho teve como objetivo avaliar a qualidade de vida de gestantes durante a pandemia do Coronavírus (Covid-19). Trata-se de um estudo transversal, realizado com a participação de gestantes durante o período de pandemia do COVID-19. A coleta de dados foi realizada através da aplicação de um questionário on-line na plataforma Google Forms, composto por questões para caracterização das gestantes (idade, idade gestacional, gestação única ou múltipla, alteração da alimentação durante o período gestacional, prática de atividade física e uso de suplementos alimentares) e qualidade de vida (WHOQOL-bref). Foram avaliadas 30 gestantes com idade média de 28 anos (±5,72) e idade gestacional média de 27 semanas. Em relação à alimentação, 73,3% (n=22) das mulheres relataram terem melhorado sua dieta durante o período gestacional e 50% disseram fazer atividades físicas. Verificou-se que a maior parte das gestantes (93,3%) apresentou uma qualidade de vida muito satisfatória. No entanto, sugere-se que novos estudos com amostras maiores, sejam realizados para garantir uma gestação saudável a todas as mulheres durante a pandemia do COVID-19.

Fundamento: La obesidad abdominal en gestantes es un marcador de riesgo cardiometabólico independientemente de la adiposidad general, siendo la ultrasonografía de gran utilidad para distinguir los compartimientos adiposos del abdomen y diagnosticar tal peligro al inicio de la gestación. Objetivo: Determinar asociaciones entre variables ecográficas de adiposidad abdominal y variables analíticas y antropométricas en gestantes normopeso al inicio del embarazo según fenotipos metabólicos empleando análisis de correlación canónica. Metodología: Estudio transversal en 526 embarazadas normopeso, entre 12 y 14 semanas de edad gestacional, atendidas en consulta de ultrasonido del Policlínico Docente Chiqui Gómez, municipio Santa Clara. Se midieron las grasas abdominales subcutánea, preperitoneal y visceral, así como variables antropométricas y analíticas. Se conformaron 3 fenotipos metabólicos, y se aplicó la correlación canónica para determinar el nexo entre las mismas y su comportamiento en los diferentes fenotipos. Resultados: Se identificaron 2 conjuntos de variables con correlaciones canónicas que se incrementaron del fenotipo saludable al metabólicamente obeso con valores de 0.6930 a 0.8955 y 0.9298 respectivamente y alta significancia estadística (p=0.000). Conclusiones: Se demuestra el nexo entre las variables ecográficas de adiposidad abdominal grasa subcutánea y grasa visceral y las variables analíticas resistencia a Ia insulina, producto de acumulación lipídico, índice aterogénico y glucemia, evidenciado por los altos valores de correlaciones canónicas obtenidos según cambia el fenotipo de normopeso saludable al metabólicamente obeso; orientando un nuevo enfoque en la determinación de fenotipos de riesgo metabólico en la gestación temprana en mujeres normopeso.

This study aimed to evaluate the association between the eating patterns and the pre gestational obesity in pregnant women from Fortaleza, Ceará. The method used was a cross-sectional study with 401 pregnant women between 19 and 45 years old, treated in a hospital that is a reference in the care of risk pregnancy and in eight health units in Fortaleza, Ceará. Food consumption was investigated using a validated food frequency questionnaire, and the eating patterns were identified using factor analysis for main components, followed by Varimax orthogonal rotation. Obesity was measured according to the body mass index (BMI). Poisson Regression with robust estimation of variance was used to estimate the prevalence ratio of eating patterns in relation to pre gestational obesity, adjusted by sociodemographic variables. Four main eating patterns were identified: "healthy cearense", "rich in protein", "snacks" and "popular". A higher adherence to the "healthy cearense" pattern was associated to a higher prevalence of pre gestational obesity (PR: 1,33; CI 95% 1,01-1,77), the greater adherence to the "popular" pattern was related to the lower prevalence of pre-pregnancy obesity (PR: 0.69; 95% CI 0.51-0.92). It was concluded that there are four main food consumption patterns in the pregnant women from Fortaleza that were studied and the associations between the "healthy cearense" and "popular" patterns and pre gestational obesity were shown. [ABSTRACT FROM AUTHOR]