RESUMOObjetivo Explorar as vivências maternas no cuidar de um recém-nascido prematuro em casa e analisar as dificuldades na assistência materno-infantil, após a alta hospitalar dos prematuros. Métodos Estudo descritivo de natureza qualitativa com utilização do grupo focal com 24 mulheres que tiveram partos pré-termos em uma Maternidade escola, referência estadual para gestação de alto risco no nordeste brasileiro, no período junho a outubro de 2005. As mulheres retornaram ao serviço no período mínimo de 30 dias após a alta do neonato para relatar suas experiências de como cuidavam do recém-nascido prematuro em casa. Resultados Os conteúdos das entrevistas foram divididos em quatro núcleos temáticos: A alta hospitalar; o preparo da família para a alta; cuidando de um bebê prematuro no domicílio materno e, mudanças na vida impostas pelo nascimento prematuro. As maiores dificuldades apresentados pelas mães no cuidado com o filho prematuro em casa dizem respeito à alimentação e resultaram das falhas da equipe de saúde no preparo dessas famílias para os cuidados domiciliares com o prematuro. Surgiram ainda sentimentos de insegurança e medo, revelando a necessidade de uma rede de apoio com seguimento ambulatorial e de pronto atendimento para oferecer suporte às famílias de bebês prematuros após a alta. Conclusões No cuidado materno com o filho prematuro no domicílio predominaram sentimentos negativos que impuseram mudanças no cotidiano familiar, no trabalho e na própria vida social, revelando a necessidade de apoio aos pais na transição da vida hospitalar para domiciliar em situação de prematuridade.Palavras-chaves: Nascimento prematuro, comportamento materno, relações mãe-filho (fonte: DeCS, BIREME). ABSTRACTObjective Exploring maternal experience with premature newborn children in a domestic environment. 356

RESUMO RESUMO RESUMO RESUMO RESUMO Estudo qualitativo que objetivou conhecer as representações de mães sobre a hospitalização do filho prematuro na Unidade de Terapia Intensiva Neonatal (UTIN). Inclui dezoito mães de prematuros internados na UTIN de um hospital escola em Natal (RN). Utilizou-se a entrevista semi-estruturada e na análise dos dados evidenciou-se que a hospitalização do filho é representada pelas mães por significados, sentimentos, dificuldades e incertezas. Considera-se que a prematuridade representa um desafio materno desde o momento da constatação do parto pré-termo, prosseguindo com os percalços inerentes a hospitalização e requer conhecimento, escuta e diálogo dos profissionais de saúde de forma efetiva para fortalecimento da adequação materna a prematuridade. Descritores Descritores Descritores Descritores Descritores: Comportamento materno; Nascimento prematuro; Enfermagem neonatal; Unidades de terapia intensiva neonatal.ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACT Qualitative study aimed at knowing the representations of mothers about the hospitalization of their premature son in a Neonatal Intensive Care Unit (NICU). The sample was composed of eighteen mothers of premature newborns hospitalized in a school hospital in Natal, Brazil. A semi-structured interview was used and data analysis showed that hospitalization of a child is represented by the mothers as meanings, feelings, difficulties and uncertainties. It is considered that prematurity represents a maternal challenge from the moment of the premature birth, proceeding with disturbances inherent to hospitalization. These require awareness, listening and dialogue on the part of health professionals in an effective manner in order to strengthen maternal adaptation to prematurity. Descriptors Descriptors Descriptors Descriptors Descriptors: Maternal behavior; Premature birth; Neonatal nursing; Intensive care units, neonatal. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN Estudio cualitativo con el objeto de conocer las representaciones maternas sobre la hospitalización del hijo prematuro en una Unidad de Terapia Intensiva Neonatal (UTIN). Muestra de dieciocho madres de prematuros internados en la UTIN de un hospital clínico en Natal (RN). Utiliza entrevista semi-estructurada. Los datos constatan que la hospitalización del hijo supone para las madres significados, sentimientos, dificultades e incertidumbres. El parto prematuro representa un reto para la madre desde el momento de la constatación del parto pre-término, continúa con los percances inherentes la hospitalización y requiere conocimiento, escucha y diálogo por parte de los profesionales de salud con el fin de preparar a la madre para dicho parto prematuro. Descriptores: Descriptores: Descriptores: Descriptores: Descriptores: Conducta materna; Nacimiento prematuro; Enfermería neonatal; Unidades de terapia intensiva neonatal. No entanto, a hospitalização de um filho prematuro na UTIN é uma situação que pode gerar danos emocionais para toda família, principalmente para a mãe, por tratar-se ...

Qualitative study that aimed at understanding the social representation of a parent with a premature child. The data were collected between May and June 2008, in a semi-structured interview with 17 parents whose premature children were hospitalized in the NICU of two public institutions in Natal, Brazil. The reports were analyzed based on the Social Representations Theory (SRT). The results reveal that the hospitalization of their children causes parents to experience emotions of fear, anguish, anxiety, loneliness interspersed with those of faith, joy and hope. For a parent the NICU is a frightening environment, albeit necessary for the specialized care that the conditions of the premature newborn require.

Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980-2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women.

RESUMO:Objetivo: identificar o perfil de mães de bebês prematuros e a termo para o desfecho do nascimento. Método: trata-se de um estudo analítico-descritivo, seccional, com amostra de 244 puérperas, sendo 109 mães de bebês prematuros e 135 mães de bebês a termo, por partos ocorridos no período de abril a setembro de 2015, em uma maternidade pública do nordeste brasileiro. Os dados foram analisados pelo programa Statistica 10 e teste Qui-quadrado. Resultados: alta prevalência de sedentarismo; significância estatística para sobrepeso e obesidade antes e durante a gravidez; elevada prevalência de pressão arterial alta durante a gestação das mães de bebês prematuros. Logo, os bebês nasceram com problemas de saúde em 58,1% (n= 63) dos prematuros e nascimento saudável em 96,3% (n= 130) dos bebês a termo. Conclusão: o perfil de mães com obesidade e sobrepeso é fator de risco ao nascimento do bebê prematuro como evento que demanda cuidado à saúde da criança. DESCRITORES: Prematuro; Cuidado Pré-Natal; Parto; Fatores de Risco; Enfermagem Materno-Infantil. PERFIL DE MÃES E O DESFECHO DO NASCIMENTO PREMATURO OU IMPACT OF MATERNAL PROFILE ON BIRTH OUTCOMESABSTRACT: Objective: to identify the impact of maternal profile on birth outcomes. Method: Descriptive cross-sectional study with a sample of 244 postpartum women, as follows: 109 mothers of preterm infants and 135 mothers of full-term infants. The births occurred in the April-September 2015 period in a public maternity hospital in the Northeastern region of Brazil. Data was analyzed with Statistica 10 software and Chi-square test. Results: high prevalence of sedentary lifestyle; statistical significance for overweight and obesity before and during pregnancy; high prevalence of high blood pressure during the gestational period of mothers of preterm infants. Also, 58.1% (n = 63) of preterm infants were born with health problems and 96.3% (n = 130) of full-term infants were healthy. Conclusion: Maternal obesity and overweight is a risk factor for preterm births, an event that demands child healthcare. DESCRIPTORS: Preterm; Prenatal care; Childbirth; Risk Factors; Maternal-Child Nursing. PERFIL DE MADRES Y EL DESENLACE DEL NACIMIENTO PREMATURO O A TÉRMINO RESUMEN:Objetivo: identificar el perfil de madres de bebés prematuros y a término para el desenlace del nacimiento. Método: es un estudio analítico descriptivo, seccional, con muestra de 244 puérperas, siendo 109 madres de bebés prematuros y 135 madres de bebés a término, por partos ocurridos el periodo de abril a septiembre de 2015, en una maternidad pública de nordeste de Brasil. Se analizaron los datos por medio del programa Statistica 10 y test Chi-cuadrado. Resultados: hubo grande prevalencia de sedentarismo; significancia estadística para sobrepeso y obesidad antes y durante la gravidez; alta prevalencia de presión arterial alta durante la gestación de las madres de bebés prematuros. De ese modo, 58,1% (n= 63) de los bebés prematuros nacieron con problemas de salud y de los bebés a término hubo nacimiento saludable e...

<p>Objetivo: Caracterizar el perfil epidemiológico de las usuarias portadoras de sífilis adquirida.</p><p>Método: Se realizó un estudio exploratorio y descriptivo, con abordaje cuantitativo, a través de datos secundarios recogidos en los formularios de investigación/notificación de la sífilis de las mujeres atendidas en Hospital Universitario materno infantil, en Santa Cruz-RN en 2012. El estudio fue aprobado por el Comité Ético de Investigación con el número 772.884.</p><p>Resultados: 67% de las madres asistieron a la escuela primaria, 33% son solteras, 42% tenía menos de 06 consultas prenatales, 58% de estas realizaron tratamiento previo de la sífilis, pero sólo 25% de los esposos fueron examinados.</p><p>Conclusión: El estudio muestra el progreso en relación con el diagnóstico de la sífilis durante la atención prenatal, señalándose la falta de funcionamiento del tratamiento de las mujeres embarazadas antes del parto, así como de sus esposos. Por lo tanto, se necesitan estrategias innovadoras con el objetivo de un tratamiento precoz y adecuado de las mujeres embarazadas y de sus parejas.</p>

General anaesthesia for obstetric surgery has distinct characteristics that may contribute towards a higher risk of accidental awareness during general anaesthesia. The primary aim of this study was to investigate the incidence, experience and psychological implications of unintended conscious awareness during general anaesthesia in obstetric patients. From May 2017 to August 2018, 3115 consenting patients receiving general anaesthesia for obstetric surgery in 72 hospitals in England were recruited to the study. Patients received three repetitions of standardised questioning over 30 days, with responses indicating memories during general anaesthesia that were verified using interviews and record interrogation. A total of 12 patients had certain/ probable or possible awareness, an incidence of 1 in 256 (95%CI 149-500) for all obstetric surgery. The incidence was 1 in 212 (95%CI 122-417) for caesarean section surgery. Distressing experiences were reported by seven (58.3%) patients, paralysis by five (41.7%) and paralysis with pain by two (16.7%). Accidental awareness occurred during induction and emergence in nine (75%) of the patients who reported awareness. Factors associated with accidental awareness during general anaesthesia were: high BMI (25-30 kg.m -2 ); low BMI (<18.5 kg.m -2 ); out-of-hours surgery; and use of ketamine or thiopental for induction. Standardised psychological impact scores at 30 days were significantly higher in awareness patients (median (IQR [range]) 15 (2.7-52.0 [2-56]) than in patients without awareness 3 (1-9 [0-64]), p = 0.010. Four patients had a provisional diagnosis of post-traumatic stress disorder. We conclude that direct postoperative questioning reveals high rates of accidental awareness during general anaesthesia for obstetric surgery, which has implications for anaesthetic practice, consent and follow-up.

Objective: To reflect about the father’s experience close to the premature son using the kangaroo method under the referential of Merleau-Ponty. Method: Theoretical-reflexive study based on the phenomenology of perception and behavior proposed by Merleau-Ponty and relevant literature. Results: To live the prematurity with the son using the kangaroo method, provides for the father to recognize himself as a being in the world. His intentions regarding the care are demonstrated through the skin to skin contact and the associated care for the newborn child. From the lived experiences, the father can exert the fullness of his paternity. Conclusion and implications for practice: By comprehending the father’s way of being, acting and reacting using the kangaroo method, it will be possible to reflect upon his attitudes as caregiver and get him closer to the newborn child. Therefore, it is possible to strengthen the behaviors between father and son with the purpose of creating an emotional bond, thus allowing the inherent care regarding prematurity. Understanding the paternal behavior in the care of the premature child in the Kangaroo Method and their perceptions about care neonatal, can benefit nursing praxis from the perspective of promoting neonatal health, as well as in the prevention of diseases in relation to morbidity and Infant mortality.