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Objective: to reveal the adaptive problems of the woman abandoned by the child’s parent after Congenital Zika Syndrome, in the light of Roy’s Adaptation Model. Method: a qualitative, descriptive study, based on Roy’s Adaptation Model, developed with six women abandoned by their child’s parent after Zika Congenital Syndrome diagnosis, through interview and Content Analysis technique. Results: adaptive problems appeared in nutrition, activity, rest, and protection patterns, due to limitations in self-care; self-concept, related to dissatisfaction with body image and personal being; in the role of transition role, through difficulties in taking over new roles and in interdependence, related to changes in affective needs. Final considerations: the overload of care for children with Congenital Zika Syndrome, added to the challenges of the abandoned woman by her child’s parent, led to adaptive problems, showing their main difficulties of coping.

Objective: The study aims to evaluate the use of a teaching method proposed by Paulo Freire, Culture Circles, in the education of teenagers multipliers on leprosy awareness. Methods: It is an action-research study with a qualitative approach developed in a public school in Pernambuco, Brazil. Five Culture Circles were conducted involving the participation of 26 teenagers. The followings were used as data collection tools: observation, field notes, photography and filming. Results: The educational intervention on health addressed the following topics: 1) Definition and transmission of leprosy; 2) Characteristics and diagnosis of leprosy; 3) Treatment of leprosy; 4) Aesthetics, prejudice and mental health related to leprosy; and 5) Planning of educational activities for teenagers as health multipliers on leprosy awareness. The educational action on health provided this age group to perceive themselves, act as political subjects in the development of Culture Circles, and act as protagonists in the dissemination of knowledge on leprosy.Conclusions: This study highlights that the application of active methodologies, such as Culture Circles, is able to encourage the engagement of young people in community empowerment and bring together health professionals and the school community in an intersectoral work in order to develop action strategies involving the promotion of health in the context of neglected diseases such as leprosy.

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Objective: To validate the content of the diagnosis Risk for disturbed maternal-fetal dyad in high-risk pregnant women. Method: Nursing diagnosis content analysis study in which 48 nurses evaluated agreement regarding title, definition, class, and domain of the studied nursing diagnosis, as well as the relevance of its antecedents. The items were considered relevant when the Confidence Interval of the Content Validity Index was 0.8 or higher. When lower, the item was modified or excluded according to the experts’ suggestions. Results: Out of 21 antecedents, 14 were considered relevant. The labels of five elements considered irrelevant were changed, and one item was excluded. The experts did not choose the title and definition proposed by NANDA-I, preferring instead the ones suggested in this study. The experts agreed with the class and domain proposed by the taxonomy. Conclusion: Ten risk factors, four populations at risk, and six associated conditions for this nursing diagnosis were maintained; these may provide a basis for nursing practice. The phase of clinical validation is suggested to be conducted to corroborate this study’s results.

Objective: to analyze national and international publications regarding pregnant women’s compliance with vaccination in the context of pandemics. Method: this is an integrative literature review, carried out in August 2021 in the LILACS, MEDLINE, Web of Science and Scopus databases, without language and publication time restriction. The descriptors indexed in DeCS and MeSH, Immunization, Vaccination, Pregnancy and Pandemics, combined using the Boolean operator, were used. The results obtained were exported to the EndNote reference manager software and, later, to the Rayyan - Intelligent Systematic Review application. The sample consisted of 27 studies. Analysis considered frequency and similarities between the studies. Results: the factors that interfere with compliance with vaccination by pregnant women in pandemic times were highlighted: distrust of vaccines; concerns about vaccination safety in pregnancy or for the fetus’ health; lack of information and lack of knowledge about the benefits of vaccine. Moreover, the reasons for compliance were desire to protect the baby, knowledge about the pandemic, concern about the risk of infection, and recommendation and guidance on vaccination during prenatal care. Conclusion: the factors that may interfere with compliance with vaccination were verified, mainly in relation to new vaccines in the context of pandemics. It is considered that investments in strategies related to immunization during pregnancy can provide health benefits, preventing preventable diseases in pregnant women and their babies.

Descriptive exploratory study, from quantitative approach, aiming at investigating factors that affecting on the behavior of adolescents during childbirth. It was conducted at maternity reference in gestation high risk at Recife - Pernambuco (PE), Brazil, whose sample from 41 adolescents in labor answered a questionnaire, implemented from January to March 2007. The data were grouped into tables and pictures, analyzed and discussed according to literature. Among the main results, it was revealed that 48,8% of adolescents in childbirth were in the age group from 16 to 17 years; 56,1% were from Recife; 56,1% were with the fundamental teaching incomplete; 53,0% had partners/husbands; 65,9% without the family support; 58,5% had family income from one to two minimum salaries; 88,0% were the first pregnancy, 58,5% with presence of obstetric events, 93,0% no cases of abortions and 58,5% with unwanted pregnancy; 97,6% participated in the pre-natal, however, 61,0% were not informed about the labor. Given these results, the following conclusions were made: that the socio-demographic data and the first pregnancy may have implication with the timing of the childbirth; the gestation desire, the partner participation and family support contributed in a positive or negative way during the gestation cycle and childbirth, the problems prevalent was the preeclampsis; is in the prenatal that pregnant should be prepared for pregnancy and labor, childbirth, know where the major changes occurring in their bodies and the strategies used in development of childbirth, also. But mostly, the teenagers were not informed by health professionals, as one of the main contributing factors that affecting during childbirth. Descriptors: adolescent; childbirth; factors; knowledge.RESUMOTrata-se de um estudo descritivo exploratório, de natureza quantitativa, que objetivou avaliar os fatores que influenciam no comportamento das adolescentes durante a parturição. Realizou-se em uma maternidade de referência em gestação de alto risco em Recife - Pernambuco (PE), Brasil, com 41 parturientes adolescentes, que responderam um questionário auto-aplicável, entre maio e julho de 2007. Os dados foram agrupados em tabelas e figuras, analisados e discutidos de acordo com a literatura. Dentre os principais resultados, evidenciou-se que 48,8% das parturientes adolescentes estavam na faixa etária entre os 16 aos 17 anos; 56,1% eram provenientes do Recife; 56,1% estavam com o ensino fundamental incompleto; 53,0% tinham parceiros/maridos; 65,9% sem o apoio familiar; 58,5% tinham a renda familiar de um a dois salários mínimos; 88,0% eram primigestas, 58,5% com presença de intercorrências obstétricas, 93,0% sem casos de abortamentos e 58,5% com gestação indesejada; 97,6% participaram do pré-natal, entretanto, 61,0% não foram informadas sobre o trabalho de parto. Diante desses resultados, considerou-se que os dados sócio-demográficos e a primigestação podem ter relação direta com o momento do trabalho de parto; o desejo da gestação, a participação do parceiro e o apoio familiar contribuíram de maneira positiva ou negativa durante o ciclo gestatório e o trabalho de parto; a intercorrência prevalente foi a pré-eclâmpsia; é no pré-natal que a gestante deve ser preparada para a gestação e o trabalho de parto, onde conhecem as principais modificações que ocorrem em seu corpo e as estratégias utilizadas na evolução do trabalho de parto, inclusive. No entanto, em sua maioria, as adolescentes não foram informadas pelos profissionais da saúde, contribuindo como um dos principais fatores que influenciam durante a parturição. Descritores: adolescente; parturição; fatores; conhecimento.RESUMENEstudio descriptivo exploratório, de enfoque cuantitativo, con el fin de evaluar los factores que influyen sobre el comportamiento de las adolescentes durante el parto. El mismo se realizó en una maternidad de referencia en la gestación de alto riesgo en Recife - Pernambuco (PE), el Brasil, cuya muestra de 41 adolescentes parturientas, respondieron a un cuestionario autoplicado, entre enero y marzo de 2007. Los datos se agruparon en cuadros y figuras, analizados y discutidos de acuerdo a la literatura. Entre los principales resultados, se revelaron que el 48,8% de las adolescentes estaban en el grupo de edad de 16 a 17 años; el 56,1% tenían enseñanza fundamental (primaria) incompleta; 56,1% eran de Recife; 53,0% tenía pareja/marido; 65,9% no tenía el apoyo de la família; 58,5% tenía ingresos econômicos en la familia de uno a dos salarios mínimos; 88% eran primigesta; el 58,5% con la presencia de eventos obstétricos; 93,0% sin abortos y el 58,5% eran embarazos no deseados; 97,6% participó en la atención prenatal, sin embargo, 61,0% no fueron informadas sobre el parto. De acuerdo a estos resultados, se se considera que los datos sociodemográficos y el primer embarazo pueden tener relación directa con elmomento del trabajo de parto; el deseo de gestación, la participación de la pareja y el apoyo de la familia contribuirían de manera positiva o negativa en el ciclo de gestación y el parto; el problema prevalente fue de preeclampsia; en el prenatal es que la embarazada debe ser preparada para el embarazo y el parto, donde conocem lãs principales modificaciones que se producen en su cuerpo, inclusive las estrategias utilizadas en el desarrollo del parto. Por lo tanto, las adolescentes no fueron informadas por los profesionales de la salud, contribuyendo con uno de los principales factores que influyen durante el parto. Descriptores: adolescente; parto; factores; conocimiento.

To identify the pregnant teenagers' knowledge about labor premature birth and the risks for the fetus health, at a maternity of Recife, Pernambuco (PE) - Brazil, was conducted this descriptive exploratory study, from quantitative nature. The data were collected through a questionnaire with 18 pregnant, analyzed and discussed according to the literature, showing that 78% were in the age group of 16 to 19 years old, 72% carried the metropolitan Recife area, 78% lived in consensual union; 72% looked to the fundamental teaching incomplete; 55% had family income from one to two minimum wages; 88% done prenatal, 61% were primiparous, 61% of the pregnancies were not planned; 27% said be aware that the pain in the lower belly, 20% the contractions, 14% to back pain and 14% losses vaginal symptoms were of labor premature birth, 32% indicated as a result of the labor premature birth to the fetus, the prematurity fetal; 28% to infection and neonatal mortality, 44% said the doctor as the professional who informed about his health condition, 6% were for nurses, and 44% do not have any information. Finally, must offer better quality service and the guidance for pregnant adolescents, which in most cases, are not ready for a risk gestation, both for lack of knowledge for themselves as to the fetus on the diseases that affect them. Descriptors: knowledge; pregnant teenager; labor premature birth.RESUMOCom o objetivo de identificar o conhecimento das gestantes adolescentes sobre o trabalho de parto prematuro e os riscos à saúde do feto, em uma maternidade de Recife, Pernambuco (PE) - Brasil, foi realizado este estudo descritivo exploratório, de natureza quantitativa. Os dados foram coletados por meio de um questionário com 18 gestantes, analisados e discutidos de acordo com a literatura, evidenciando que 78% estavam na faixa etária de 16 a 19 anos de idade; 72% procederam da região metropolitana de Recife; 78% viviam em união consensual; 72% estudaram até o ensino fundamental incompleto; 55% tinham renda familiar de um a dois salários mínimos; 88% realizaram pré-natal; 61% eram primíparas; 61% das gestações não foram planejadas; 27% referiram ter conhecimento de que a dor em baixo ventre, 20% as contrações,14% a dor lombar e 14% as perdas vaginais, eram sintomas do trabalho de parto prematuro; 32% apontaram como conseqüência do trabalho de parto prematuro para o feto, a prematuridade fetal; 28% a infecção e a mortalidade neonatal; 44% apontaram o médico como o profissional que informou sobre sua patologia, 6% foram por enfermeiras e 44% não obtiveram nenhuma informação. Por fim, urge oferecer melhor qualidade no atendimento e na orientação para gestantes adolescentes, que nas mais das vezes, estão despreparadas para uma gestação de risco, tanto por falta de conhecimento para si quanto para o feto sobre as patologias que lhes acometem. Descritores: conhecimento; gestante adolescente; trabalho de parto prematuro.RESUMENCon el objetivo de identificar el conocimiento de las adolescentes embarazadas sobre el trabajo de parto prematuro y de los riesgos para la salud del feto, en una maternidad de Recife, Pernambuco (PE) - Brasil, se llevó a cabo este estudio descriptivo exploratorio, de naturaleza cuantitativa. Los datos fueron recolectados a través de un cuestionario con 18 embarazadas, analizado y discutido de acuerdo con la literatura. Los resultados muestran que el78% estaban en el grupo de edad de 16 a 19 años de edad; el 72% procedían de la zona metropolitana de Recife; el 78% vivía en unión consensual; 72% tenía enseñanza fundamental incompleta; 55% tenía de uno a dos salarios mínimos; 88% realizaron control prenatal; 61% fueron primíparas; 61% de los embarazos no son planificados; 27% dicen tener conocimiento del dolor bajo vientre; el 20% de las contracciones, 14% de dolor de espalda y para el 14% las pérdidas vaginales son síntomas del trabajo de parto prematuro; 32% indicó como resultado del trabajo de parto prematuro para al feto, la prematurez fetal; 28% a la infección neonatal y la mortalidad; el 44% dijo que el médico fue el profesional que informa sobre su condición de salud, 6% fueron las enfermeras, y 44% no tiene ninguna información. Por último, urge ofrecer una mejor calidad de servicio y orientación para las adolescentes embarazadas, que en la mayoría de los casos, no están preparadas para una gestación de riesgo, tanto por falta de conocimiento de sí mismas como para el feto en las enfermedades que les afectan. Descriptores: conocimiento; adolescente embarazada; trabajo de parto prematuro.