rESuMEN el objetivo de este estudio es analizar los resultados perinatales de las medidas profilácticas adoptadas en la prevención de la transmisión vertical del VIH. Se realizó una investigación de las historias clínicas de 168 mujeres con ViH y sus recién nacidos en una maternidad pública de Fortaleza, estado de Ceará, entre 2005 y 2009. Los datos se obtuvieron entre los meses de marzo y septiembre de 2010 y fueron analizados con el programa SPSS 10.0. Las embarazadas que conocían el diagnóstico en forma previa al embarazo tuvieron una rápida atención que permitió una terapia antirretroviral eficaz y un mayor número de controles (p<0,05). Se administró terapia antirretroviral al 97,6% de las embarazadas, triple esquema al 88,7%; AZT intraparto al 95,2% y AZT oral en jarabe al 100% de los recién nacidos. Predominó la cesárea (92,8%) asociada al AZT intraparto al ser cotejada con el parto vaginal (p<0,001). La cesárea proporcionó mayor administración de AZT intraparto. PAlABrAS clAVESAtención Prenatal; Infecciones por VIH / prevención & control; Serodiagnóstico del SIDA; Parto Obstétrico; Brasil.ABStrAct the objective of this study is to analyze the perinatal results of the prophylactic measures adopted in the prevention of the vertical transmission of HIV. The study was carried out using the medical records of 168 women with HiV and their newborns in a public maternity unit of Fortaleza, in the state of Ceará, from 2005 to 2009. The data was obtained between the months of March and September 2010 and was analyzed using the program SPSS 10.0. The women diagnosed before pregnancy received timely care that permitted them an effective antiretroviral therapy and a greater number of check-ups (p<0,05). Antiretroviral therapy was administered to 97.6% of the pregnant women, and triple therapy in 88.7%. AZT was administered intrapartum in 95.2% of the women and oral AZT in syrup to 100% of the newborns. Birth by cesarean section was predominant (92.8%) and was associated to the intrapartum use of AZT when compared to vaginal birth (p<0.001). Cesarean section favored intrapartum administration of AZT.

Contexto: métodos contraceptivos de longa duração (long-acting reversible contraceptive - LARC), embora efetivos e com duração igual ou superior a três anos, têm pouca familiaridade e uso entre adolescentes. Objetivo: descrever a produção científica sobre conhecimento e uso de contraceptivos de longa duração entre adolescentes. Método: revisão integrativa da literatura nas bases de dados: Science Direct e National Library of Medicine and National Institutes of Health (MEDLINE/PubMed), realizada em outubro e novembro de 2019. Utilizaram-se os descritores Long-acting reversible contraceptive e adolescente para buscar a produção científica do período 2011 a 2019. Resultados: foram encontrados 86 artigos e, após aplicação do fluxograma PRISMA, dez artigos foram inseridos no estudo, sendo oito quantitativos e dois qualitativos. Conclusão: conclui-se que o uso de LARC em adolescente está associado ao conhecimento e que o aconselhamento pode ser uma estratégia de apoio e vínculo, gerando confiança entre usuária e profissional, podendo este último influenciar na decisão quanto ao uso de LARC, assim como de outros métodos anticoncepcionais.

Keywords► induced labor ► misoprostol ► postpartum hemorrhage ► hemoglobin ► vaginal birth AbstractPurpose To evaluate blood loss during misoprostol-induced vaginal births and during cesarean sections after attempted misoprostol induction. Methods We conducted a prospective observational study in 101 pregnant women indicated for labor induction; pre-and postpartum hemoglobin levels were measured to estimate blood loss during delivery. Labor was induced by administering 25 µg vaginal misoprostol every 6 hours (with a maximum of 6 doses). The control group included 30 patients who spontaneously entered labor, and 30 patients who underwent elective cesarean section. Pre-and postpartum hemoglobin levels were evaluated using the analysis of variance for repeated measurements, showing the effects of time (pre-and postpartum) and of the group (with and without misoprostol administration). Results There were significant differences between pre-and postpartum hemoglobin levels (p < 0.0001) with regard to misoprostol-induced vaginal deliveries (1.6 AE 1.4 mg/dL), non-induced vaginal deliveries (1.4 AE 1.0 mg/dL), cesarean sections after attempted misoprostol induction (1.5 AE 1.0 mg/dL), and elective cesarean deliveries (1.8 AE 1.1 mg/dL). However, the differences were proportional between the groups with and without misoprostol administration, for both cesarean (p ¼ 0.6845) and vaginal deliveries (p ¼ 0.2694). Conclusions Labor induction using misoprostol did not affect blood loss during delivery.