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Resumo Introdução O ambiente do trabalho em saúde compreende espaço físico, tecnologias, equipamentos, materiais, condições de trabalho, seres humanos e relacionamentos interpessoais. Objetivo Conhecer a percepção de profissionais da saúde sobre o ambiente de trabalho da sala de parto e sua interface com a humanização da assistência. Métodos Pesquisa exploratório-descritiva, qualitativa, realizada em uma maternidade pública de Fortaleza, no Ceará, em novembro e dezembro de 2012. Os dados foram coletados por meio de entrevista semiestruturada e analisados segundo a técnica de análise de conteúdo de Bardin. Resultados A categoria “Condições de trabalho na sala de parto” revelou as condições favoráveis (integração da equipe, competência dos profissionais e filosofia da instituição) e inadequadas de trabalho (estrutura física deficiente, falta de materiais e manutenção de equipamentos). Conclusão Necessita-se de reorganização do serviço para melhorar as condições de trabalho, a qualidade da assistência à parturiente e o bem-estar dos trabalhadores.

Aim:To understand the perceptions of users about the care provided to them and their newborns immediately after childbirth. Method: This is a descriptive study in which a qualitative approach was used, involving 20 postpartum women admitted to a secondary level Public Hospital of Fortaleza. Semi-structured interviews were carried out and were analyzed by means of Bardin's content analysis technique. Results: Three categories were highlighted: Care provided to newborns; care (or lack of care) provided to postpartum women; and structural failures of the maternity hospital. Discussion: Postpartum care was primarily focused on guidance on breastfeeding, without considering other demands of women, such as: the need for greater attention by the health team; more humane behavior of some health professionals; and guidance on self-care. Conclusion:Postpartum care is still limited and it requires greater attention and commitment from health professionals, as well as adjustments in the structural and organizational conditions of the maternity hospital so that it may provide decent and humane care.Descriptors: Postpartum Period; Rooming-in Care; Delivery of Health care. 228Rodrigues DP, Dodou HD, Lago PN, Mesquita NS, Melo LPT, Souza AAS. Care for both mother and child immediately after childbirth: a descriptive study. Online braz j nurs [internet] 2014 Jun [cited month day year]; 13 (2): 227-38. Available from:

Objective: To understand the social representations of puerperal women regarding the contents of the educational practices carried out by nursing in the puerperium. Method: Descriptive and qualitative study, carried out from June to September 2014, in Fortaleza, Ceará State, Brazil. Nineteen puerperal women were administered a semi-structured interview. The Theory of Social Representations was used as a theoretical reference. Lexical analysis was performed with ALCESTE (version 2012) software. Results: The contents of the representations on educational practice were associated to the nursing team's orientations, with emphasis on breastfeeding and nursing. A lack of educational action regarding self-care of the puerperal woman was also revealed. Final considerations: It is necessary to redirect educational practices in the puerperium, in order to cover the biopsychosocial needs of women in this period of life. The educational actions should be based on the problematizing model, with a stimulus for the autonomy of puerperal mothers and valorization of their social knowledge. Descriptors: Health Education; Postpartum Period; Nursing; Breastfeeding; Women's Health. RESUMO Objetivo: Apreender as representações sociais de puérperas sobre os conteúdos da prática educativa realizada pela enfermagem no puerpério. Método: Estudo descritivo e qualitativo, realizado de junho a setembro de 2014, em Fortaleza/CE, com 19 puérperas, por meio de entrevista semiestruturada. Utilizou-se a Teoria das Representações Sociais como referencial teórico; e o método de análise lexical usado foi o software ALCESTE -versão 2012. Resultados: Os conteúdos das representações acerca da prática educativa denotam que ela está associada às orientações da equipe de enfermagem, com ênfase principalmente na amamentação e alimentação da nutriz. Evidenciou-se também a carência de ações educativas acerca do autocuidado da puérpera. Considerações finais: É necessário reorientar as práticas educativas no puerpério, para que possam contemplar as necessidades biopsicossociais da mulher nesse período da vida. As ações educativas devem ser pautadas no modelo problematizador, com estímulo à autonomia da puérpera e valorização do seu saber social. Descritores: Educação em Saúde; Período Pós-Parto; Enfermagem; Aleitamento Materno; Saúde da Mulher. RESUMENObjetivo: Asimilar las representaciones sociales de puérperas sobre los contenidos de la práctica educativa realizada por la enfermería en el puerperio. Método: Estudio descriptivo y cualitativo, realizado de junio a septiembre de 2014, en Fortaleza/ CE, con 19 puérperas, por medio de entrevista semi estructurada. Se utilizó la Teoría de las Representaciones Sociales como referencial teórico; y el método de análisis lexical usado fue osoftware ALCESTE -versión 2012. Resultados: Los contenidos de las representaciones acerca de la práctica educativa denotan que ella está asociada a las orientaciones del equipo de enfermería, con énfasis principalmente al amamantamiento y alimentación de la nutriz. Se evid...

O cuidado à mulher no contexto da maternidade: caminhos e desafios para a humanizaçãoThe care of women in the context of maternity: challenges and ways to humanize El cuidado de las mujeres en el contexto de la maternidad: caminos y desafíos de humanizar ABSTRACTObjective: To know the perception of mothers about the care received during hospitalization in a public hospital. Methods: Descriptive study, performed at a secondary public hospital in Fortaleza/Ceará. Data were collected through semi-structured interview with 20 mothers and analyzed using the technique of content analysis. Results: The most part of women realized the attention received as quality, accessible and humane, and emphasized the reception and good relationship with the health care team. However, difficulties were also observed, as the lack of monitoring of the health team during labor, lack of information and insensitive and rude behavior of some professionals. Conclusion: The study encourages reflection and debate among professionals and managers, points out weaknesses and potentialities and indicates paths to follow in order to improve health care for women in maternity wards.Descriptors: Midwifery; Postpartum period; Humanization of assistance; Maternal-child nursing. en su mayoría, se dieron cuenta de la atención recibida como la calidad, accesible y humana, y haciendo hincapié en la recepción y la buena relación con el equipo de atención médica. Sin embargo, también se observaron dificultades, como la falta de monitoreo del equipo de salud durante el parto, la falta de información y el comportamiento insensible y grosero de algunos profesionales. Conclusión: El estudio promueve la reflexión y el debate entre profesionales y directivos, señala debilidades y potenciales, indican caminos a seguir con el fin de mejorar la atención de salud para las mujeres en las salas de maternidad. Descriptores: Tocología; Período de Postparto; Humanización de la atención; Enfermería maternoinfantil.

The evidence demonstrates that the telephone is a viable technology for promoting breastfeeding, representing an alternative for the health units and health professionals that can contribute to mother-baby care.

Objective: To analyze the effects of an educational intervention via telephone on maternal breastfeeding self-efficacy. Method: Randomized controlled clinical trial including 240 puerperae from a secondary care hospital randomized into two groups: control and intervention. The educational intervention took place at seven, 30, 90, and 150 days postpartum and centered on self-efficacy and motivational interviewing principles. Self-efficacy was measured by the Breastfeeding Self-Efficacy Scale – Short Form. The data followed the abnormal distribution, so non-parametric tests were used. Results: The intervention group obtained higher median breastfeeding self-efficacy scores across the three outcome measures when compared to the control group (p < 0,001). Furthermore, the intervention group showed increased self-efficacy scores at all monitoring moments, which shows that the educational intervention was able to raise and maintain women’s confidence in breastfeeding their child over time. Conclusion: The use of a telephone-based intervention focused on self-efficacy principles and delivered by trained nurses effectively promoted maternal confidence in breastfeeding. Brazilian Clinical Trial Registry: RBR-7m7vc8.

Objectives: Check the reliability and validity of Breastfeeding SelfEfficacy Scale -Short Form (BSES-SF) in Brazilian adolecent puerperal mothers who have recently given birth; and evaluate the association of scores of the BSES-SF with the socioeconomic and obstetric variables of the studied population.Methods: Methodological and quantitative study developed in a public maternity in Fortaleza involving 79 adolescent puerperal mothers. The BSES-SF and a form with socioeconomic and obstetric variables were used. Data were analyzed using the SPSS program, considering the Cronbach's Alpha (α) as a measure of reliability, and Pearson's correlation, with significance of 5%. Results:The BSES-SF is a reliable and valid measure (α = 0.807). The teenagers proved to be confident about the practice of breastfeeding (56.15 points). Only education level showed significant association with maternal self-efficacy of adolescents in breastfeeding (p = 0.032). Conclusion:The BSES-SF is a safe and effective tool in the detection of self-efficacy of adolescent mothers in breastfeeding, favoring their assistance in the process of breastfeeding and, hence, the reduction of early weaning.