Navegando por Assunto "Gestante"
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Item Análise do perfil epidemiológico auto-referido em amostra de brasileiras grávidas durante a pandemia de COVID-19: um estudo transversal (2020-2021)(Centro Universitário do Estado do Pará, 2021) Pinto, Hana Paula Campos; Pereira, Isabela Rosita da Silva; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931Introduction: In early 2020, the world began to experience impacts of different magnitudes at different levels and activities of human society, due to the occurrence of the pandemic of a new coronavirus (SARS-CoV-2), which causes a systemic disease, now recognized as COVID-19. In this context, the acquisition and interpretation of epidemiological data, many of a nature never worked on before, became essential for making preventive decisions and for containing the spread of the disease, as well as for clarifying the real impacts of the pandemic. Objective: To carry out an exploratory survey of the impact suffered by Brazilian pregnant women during the COVID-19 pandemic. Methodology: This study is characterized as observational, cross- sectional, exploratory. Data were obtained from a questionnaire distributed by social networks to all Brazilian states from April 2020 to July 2021. Among more than 60,000 respondents, 500 pregnant women reported on the main aspects of impact on their lives during the pandemic: with how many co-inhabitants share their homes, if they already have children, if they managed to isolate and distance themselves adequately, if they had to work to support themselves, if they were tested and/or vaccinated, among several other aspects. All data were organized, cleaned and worked using the statistical computer program R. Results: The results show that most pregnant respondents are between 30-39 years old, live in the southeast (SP), in a home with a single family (3 people), formed by only young people and adults (or with few elderly and more children), they think they do not need to be tested, they did not have any symptoms, they suffered from anxiety, they work in places where prevention measures are implemented, they avoid crowding, they think the governmental measures taken are insufficient, they are in favor of lockdown, but in favor of the opening of sporting events, they did not have a significant economic impact, they think that having to take care of children makes isolation difficult, and they do not have other risk factors for COVID-19 serious. Conclusion: We conclude that, in general, Brazilian pregnant women in our sample were impacted differently by the pandemic, showing a very evident preventive behavior. This raises the question of whether such behavior does not explain the low number of pregnant women among the cases and deaths recorded during the pandemic.Item A eficácia da hidroterapia no controle da dor durante o parto normal: uma revisão de literatura(Centro Universitário do Estado do Pará, 2021) Pinto, Natasha Pereira Campozana; Queiroz, Diane Elen Damasceno; Ribeiro, Vinicius de França Silva; Oliveira, Wellington Pinheiro de; Carvalho, Valéria Conceição Passos de; http://lattes.cnpq.br/8248684725556796; http://lattes.cnpq.br/4902455106917702In the search to minimize pain in labor, non-pharmacological methods arise. The hot bath is a technique of great acceptance and applicability, being used in two ways, spraying or immersion. To describe the effectiveness of hydrotherapy through hot baths to reduce pain in women in labor. Literature review on the effectiveness of hydrotherapy in pain control during childbirth. A survey was used in the Medline, Pubmed, Lilacs and Scielo databases, with publications between 2010 and 2020 in English or Portuguese. After consideration, 12 relevant studies were selected on the subject, which pointed out that the hot bath showed a significant difference in pain control, promotes neurohormonal change, stimulates dilation, reducing the duration of delivery, reduces stress and anxiety, thus like, it is the technique of greatest preference and satisfaction. The hot bath proved to be an effective, applicable and widely accepted technique for pain relief during vaginal delivery.Item Os impactos da reforma trabalhista em relação ao meio ambiente laboral da mulher gestante e/ou lactante(Centro Universitário do Estado do Pará, 2019-06-19) Alarcão, Marcella Nobre; Mendes, Felipe Prata; http://lattes.cnpq.br/9587483262174943; Koury, Suzy Elizabeth Cavalcante; http://lattes.cnpq.br/5382551862867769The present study aims to analyze the impacts resulting from the approval of Law nº 13.467/2017 - Labor Reform, regarding the protection of the work of pregnant and lactating women. Facing the problem proposed, we will analyze the changes in labor legislation, in order to compare the legal provisions present in the Consolidation of Labor Laws - CLT before and after Labor Reform, such as Law nº 13.287/2016 and Provisional Measure nº 808/2017. In addition, current understandings regarding this subject will be demonstrated, in particular, the decision pronounced by the STF plenary on May 29, 2019, which determined the unconstitutionality of the expression that required the presentation of the health certificate by a trusted physician of the woman, for the removal of the pregnant or nursing woman. In this sense, the conclusions highlight the need to reform the aforementioned legal provision, which leads to evident health impacts of the pregnant and nursing woman, in order to comply with constitutionally guaranteed principles, in particular, the principle of social retrogression.Item Perfil das gestantes atendidas em uma Estratégia Saúde da Família em Belém-PA(Centro Universitário do Estado do Pará, 2019) Silva, Aldebaram Mariana Abreu da; Tavares, Carlene Leandro; Rocha, Paula Sousa da Silva; http://lattes.cnpq.br/3929566584203932; Lima, Mariana Souza de; http://lattes.cnpq.br/8926250391706936; Cruz, Maria de Nazaré da Silva; http://lattes.cnpq.br/5419032892855863One of the most important phases in the life of a woman is a gestation that corresponds to the period before the birth, that is, the development of the embryo. The gestational period is a time that shows the presence of physiological and emotional changes. Aiming at this, the Ministry of Health (MS) instituted the Prenatal and Birth Humanization Program (PHPN), through ordinance / GM No. 569 of 2000, which is a pregnant woman on the subject and the right to have a relationship prenatal. (NP) dignified and qualified throughout the period of childbirth, birth and puerperium (BRAZIL, 2011). To trace the profile of pregnant women attended by a Family Health team, in the Guamá neighborhood of Belém do Pará. An exploratory, retrospective, documentary, quantitative research is conducted in the form of a quantitative analysis , quantitative, quantitative, statistical and quantitative analysis in two parts: the first performed an identification of the pregnant woman and the second, the health history of the pregnant woman. The research was done by the Ethics and Research Committee with Human Beings of the University Center of the State of Pará (CEP / CESUPA). Under opinion No.: 3,189,267 CAAE: 08052318.6.0000.5169, on March 11, 2019. Based on the charts of the main ways of managing How was the prenatal care; Schooling according to age; Use of Contraceptive Methods and Age and; Number of pregnancies according to age. A thematic of the study deserves important attention, since the pregnant women compose the main uses of the health services. Therefore, it is imperative that the health services are knowledgeable about the profile of pregnant women attended by education programs aimed at non-prenatal promotion and prevention. It is therefore essential for the follow-up and guidance of pregnant women.Item Perfil epidemiológico dos nascimentos no Brasil a partir das declarações de nascidos-vivos entre 2006 e 2015(Centro Universitário do Estado do Pará, 2019) Paula, Fillipe Augusto Moura de; Damasceno, Ana Cláudia Alves; http://lattes.cnpq.br/6202464010989232Introduction: Birth and birth are transformative events in the lives of women and babies, and most often, they are not at risk. Brazil went from a high-fertility regime to a low-fertility and long-term internal and external regime to improve the quality of care for the newborn and to reduce maternal and infant mortality. Objective: To analyze the socio-epidemiological profile of births in Brazil from the birth-to-child report by Sinasc in DATASUS, corresponding to the period from January 2006 to December 2015. Results: About 29.2 million live births were born between 2006 and 2015. The year of 2015 registered the highest rate and year of 2010 the lowest. As for seasonality, the March-April-May quarter had the highest rates, with 26.8% of total births and the lowest October-November-December quarter (23.6%). There was an increase in the proportion of births of mothers aged 30 years or older, from 24.53% to 32.79%, and a reduction in the proportion of those aged less than 20 years, from 24.48% to 18.14%. There was an increase in the birth rate where mothers performed prenatal care with 7 or more consultations, from 54.54% to 66.49%. About 2% of the births were of multiple gestation, with maintenance of this percentage in the period. The incidence of low birth weight in the period was 2.45 million births. Cesarean section was the type of delivery in 52.07% of births, with an increase of 10.46 percentage points of this way of delivery in the period. 2.6 million premature infants (8.95% of the total live births) were born, with a rate increase from 6.61% to 10.83% in the period evaluated. Apgar score higher than 7 (good vitality) occurred in 82.27% of the total live births, and 93.39% presented the same score in the 5th minute of life. The incidence of births with an Apgar score lower than 8 in the first minute was higher in preterm (32.82%) compared to the term and post term (15.8% and 19.9%, respectively). Conclusion: The Live Birth Information System (Sinasc) is a good and timely source of information about births in Brazil. It is possible to trace the profile of births, having as a basic document the Declaration of Live Birth (DNV). The results obtained are very important for the knowledge of many variables that may help in the future the construction of strategies aimed at improving the Brazilian Health system.Item Sintomas da síndrome da apneia obstrutiva do sono em mulheres gestantes do Centro de Especialidades Médicas do CESUPA(Centro Universitário do Estado do Pará, 2019-11-18) Guedes, Danielle Veloso Marinho; Nascimento, Raíssa Andrade do; Nunes, Leonardo Mendes Acatauassú; Luz, Marília Gabriela Queiroz da; http://lattes.cnpq.br/7318301499873546; http://lattes.cnpq.br/3512764081076675; Força, Mariana Tótola; http://lattes.cnpq.br/4000323182108455; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350Context: Obstructive Sleep Apnea Syndrome (OSAS), main sleep-disordered breathing, is currently considered a public health problem, due to its cardiovascular and metabolic complications. Pregnancy is associated with anatomical, mechanical and hormonal changes that modify sleep quality and patterns, which may exacerbate or increase the chances for pregnant women to develop obstructive sleep apnea syndrome. Purpose: Assess the prevalence of symptoms of obstructive sleep apnea syndrome in pregnant women attended at Prenatal Care Ambulatory of Medical Specialties Center of Cesupa between October 2018 and March 2019. Method: Cross-sectional observational study was conducted by analyzing the filling of questionnaire and scales by 50 patients attended at Prenatal Care Ambulatory of Medical Specialties Center of Cesupa between October 2018 and March 2019, and in a second phase, by data collection from respective medical records. Results: The most denounced symptom (78%) by the participants was tiredness during the day. 48.9% of the patients reported excessive daytime sleepiness and 40%, snoring. No significant correlation was found between excessive daytime sleepiness and snoring. The most prevalent age group was 21 to 25 years, while 50% of pregnant women were nulliparous and 40% were in the third trimester. There was no relationship between symptoms presented and alteration of body mass index or systemic blood pressure. Conclusion: There was a significant presence of symptoms of obstructive sleep apnea syndrome in the pregnant women evaluated, however, not of the most specific ones. It is possible that by factors such as modest sample size and cross-sectionality of study the results may not have reflected the importance of an improved analysis of this syndrome in pregnancy, given its underdiagnosis and harmful consequences, both for the mother and for the fetus.