RESUMO Objetivo: correlacionar a satisfação de primíparas quanto ao apoio e à utilidade do companheiro durante o processo de parto com a sua presença e capacitação no pré-natal. Métodos: estudo correlacional realizado com 155 primíparas no alojamento conjunto de uma maternidade terciária. Utilizou-se a subescala 6, referente ao apoio do companheiro, do Questionário de Experiência e Satisfação com o Parto. Para testar a associação entre as variáveis foi utilizado o teste do qui-quadrado, considerando-se o nível de significância de 5%. Resultados: a variável presença do companheiro no pré-natal esteve estatisticamente associada à satisfação da puérpera com o apoio (p=0,0004) e com a utilidade do apoio (p=0,007) durante o trabalho de parto, enquanto a variável capacitação do companheiro no pré-natal esteve estatisticamente associada à satisfação com o apoio (p=<0,00001) e à utilidade do apoio (p=<0,001; p=<0,00001 e p=0,006) prestado pelo companheiro durante todas as fases avaliadas (trabalho de parto, parto e pós-parto imediato). Conclusão: as associações significativas encontradas demonstram a importância de estimular a participação do parceiro no processo parturitivo e a sua capacitação.

BackgroundGestation is a period that can positively or negatively influence the life of a woman in the pregnancy-puerperal cycle. Thus, evaluating the quality of life of this population can redirect the implementation of innovative practices, with the goal of making them more effective and practical or the promotion of humanized care. The present study aimed to evaluate the predictors that influence the health-related quality of life of low-risk pregnant women, as well as to describe the main areas affected in the quality of life of pregnant women.MethodsA correlational, quantitative and cross-sectional study was carried out in two public units that provide prenatal care services and a private unit in the city of Fortaleza, a municipality in the Northeast of Brazil. The sample consisted of 261 pregnant women who were interviewed from September to November 2014. The collection instruments were a questionnaire covering sociodemographic, obstetric and quality of life variables, in addition to the Brazilian version of the Mother-Generated Index (MGI). The data were compiled and analyzed through the Statistical Package for the Social Sciences (SPSS) software, version 20.0. A descriptive analysis was performed through the application of Pearson’s chi-square test, Fisher’s exact test and one-way ANOVA. Maternal predictors for the quality of life of pregnant woman were identified through a multivariate analysis/multiple regression.ResultsThe response rate was 100%, corresponding to 261 respondents. Occupation, parity, partner support, marital status and persons with whom the women live were the predictors that positively interfered in the quality of life of pregnant women. In contrast, gestational age, type of housing, occupation, use of illicit drugs, non-receipt of partner support and maternal age were the predictors that negatively influenced quality of life.ConclusionOur results indicate that happiness to become a mother and body image were areas with the greatest positive and negative influence on health-related quality of life, which suggests being relevant aspects in the planning and implementation of actions aimed at its improvement.

Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman's life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the postpartum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30-40 years of age, who were married or living with a partner, and without physical complaints; in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.

RESUMOApresentam-se reflexões acerca da prática da promoção da saúde em instituições hospitalares, abordando os aspectos que permeiam o ambiente hospitalar e dificultam a implementação de estratégias para a promoção da saúde nesses serviços. Discute-se o hospital como lugar estratégico para novas práticas, ressaltando-se ações realizadas nesse espaço, que podem contribuir para efetivação da promoção da saúde dos clientes. Acredita-se que a promoção da saúde tanto seja possível quanto necessária em ambientes hospitalares; e que as ações desenvolvidas nesse sentido podem conduzir o indivíduo e sua família na busca de uma melhor qualidade de vida. descritores: Enfermagem; Promoção da saúde; Instituições de saúde; Assistência hospitalar. ABSTRACTReflections on the practice of health promotion in hospitals are presented, addressing the aspects that permeate the hospital environment and hinder the implementation of strategies for health promotion in these services. The hospital is discussed as a strategic place for new practices, highlighting actions taken in this space, which can contribute to effective the health promotion of the clients. It is believed that health promotion is both, possible and necessary, in hospital settings, and that the actions in this direction may lead the individual and his family in search of a better quality of life. Key words: health promotion; health facilities; hospital care, nursing. RESUMEN Se presentan reflexiones sobre la práctica de la promoción de la salud en los hospitales, abordando los aspectos que permean el ambiente del hospital e impiden la aplicación de estrategias para la promoción de la salud en estos servicios Se discute el hospital como un lugar estratégico para las nuevas prácticas, destacando las acciones realizadas en este espacio, que pueden contribuir a la efectiva promoción de la salud de los clientes. Se cree que la promoción de la salud es, a la vez, posible y necesaria en el ámbito hospitalario, y que las acciones en este sentido pueden llevar al individuo y su familia en busca de una mejor calidad de vida. Palabras clave: promoción de la salud; instituciones de salud; atención hospitalaria, enfermería. Promoção da saúde em ambientes hospitalares Health promotion in hospital settingsPromoción de la salud en ambientes hospitalarios

Este artigo aborda a prevenção de DST/AIDS e objetiva relatar o uso de jogos educativos como estratégia de educação em saúde para adolescentes. Estudo exploratório descritivo desenvolvido em uma escola pública de Fortaleza-CE, em junho de 2009, com 85 adolescentes. Utilizou-se para a aplicação do jogo educativo, a observação participante, o protocolo observacional, o pré e o pós-teste. O resultado do pré-teste demonstrou o desconhecimento da maioria dos adolescentes sobre os cuidados que se deve ter com o preservativo. Após a realização do jogo e do pós-teste, constatou-se a eficácia da atividade educativa participativa, porquanto os dados demonstram que a maioria dos alunos assimilou as questões debatidas pelo grupo durante o jogo. O uso do jogo educativo foi uma experiência exitosa por ter favorecido a execução do processo educativo mediante a união entre informação, discussão, reflexão, interação e participação grupal, em que os adolescentes puderam esclarecer suas dúvidas, preencher lacunas do conhecimento em relação a questões como sexualidade e prevenção de DST e AIDS e interagir consigo próprios de maneira descontraída, facilitando a participação de todos na aprendizagem. Descritores: Doenças Sexualmente Transmissíveis; Síndrome da Imunodeficiência Adquirida; Adolescente; Tecnologia Educacional; Enfermagem.

Objective: to reflect on the medicalization process of childbirth and birth and its consequences based on a Brazilian audiovisual media artifact. Method: reflective and interpretive analysis of the documentary O Renascimento do Parto (The Rebirth of Childbirth) based on Critical Discourse Analysis. Results: c-section emerges as an alternative to adverse conditions of pregnancy. However, it has become a routine and abusive practice of a medicalized obstetric care, thus becoming a social problem. In order to the incidence of c-sections decrease, women's protagonism must be restored, in addition to considering psychological, affective, emotional, spiritual, cultural, and contextual aspects in childbirth. Conclusion: childbirth is established as a material element and a mental phenomenon of social practices. We must interrupt the predominant model, allowing the body to express itself through the release of oxytocin, and decrease the segregation that c-section causes, thus enabling affective bonds.

Objective: The objectives were to characterize the scientific production on Health-Related Quality of Life of pregnant women, identify the areas that are most affected during pregnancy and puerperal period and identify the instruments used to assess quality of life related to health in pregnant women. Methods: For the integrative review, 11 articles published from 2006 to 2013 in the PUBMED, MEDLINE, CINAHL, SCOPUS and SCIELO were selected. Result: Data showed scarce publication from nursing professionals, prevalence of non-experimental studies conducted mainly in Brazil. The most commonly instruments used were the WHOQOL-BREF and SF-12. The presence of pain, nausea and vomiting, depression, low education, younger age and absence of partner negatively affect the quality of life of pregnant women. Practicing physical activity and being socially supported during pregnancy favour a better quality of life. In the domain of social relations, sexuality was the only affected facet. Conclusion: Gaps in the level of evidence considered weak were identified. We suggest bigger role of nurses in research on the subject so that there will be the development of effective interventions to support nursing practice and ensure quality care and consequently improve the quality of life of women in pregnancy and childbirth.

Estudo reflexivo acerca das políticas públicas de saúde da mulher, notadamente relativas às prostitutas. No início do século XX, a saúde da mulher foi incorporada às políticas nacionais, mas era limitada ao cuidado materno-infantil. Com a criação do PAISM, o foco direcionou-se à saúde da mulher. O Programa Nacional de DST/Aids foi criado para enfrentar a disseminação do HIV.A política de distribuição de preservativos promoveu maior autonomia feminina. O PNAISM surgiu para implementar os direitos humanos das mulheres. As questões de gênero, vulnerabilidade individual e educação aos pares proporcionaram maior visibilidade e poder de voz às categorias marginalizadas.Descritores: Políticas públicas; Prostituição; Formulação de políticas.Public politics of health directed to the attention to the prostitute: brief historical rescueReflective study about the public politics for women’s health, especially concerning the prostitutes. At the beginning of the XXth century, women’s health was incorporated into the major national politics, but yet limited to the maternal and child care.After the creation of the PAISM, the focus was directed to the women’s health. The National Program of STD/Aids was them created in order to face the dissemination of the HIV. The politics of condoms distribution promoted a greater female autonomy.The PNAISM came to implement the human rights of women. Issues such as gender, individual vulnerability and couples' educationprovided a greater visibility and power of speech to the marginalized categories.Descriptors: Public policies; Prostitution; Policy making.Políticas públicas de la salud dirigidas a la atención a la prostituta: breve rescate históricoEstudio reflexivo referente al público de la salud de la mujer, política relativa del notadamente a las prostitutes. Al principio del siglo XX, la salud de la mujer fue incorporada a las políticas nacionales, limitándose a la atención maternal-infantil. Con la creación del PAISM, el foco fue dirigido a la salud de la mujer. El programa nacional de DST/Sida fue creado debido a la difusión del VIH. La política de condones promovió una mayor autonomía femenina. El PNAISM surgió para poner los derechos humanos de las mujeres en ejecución.Las cuestiones del género, vulnerabilidad individual, educación a los pares proporcionaron una mayor visibilidad y energía de la voz a las categorías marginadas.Descriptores: Políticas públicas; Prostitución; Formulación de políticas.