RESUmoEstudo etnográfico que teve como objetivo compreender como as gestantes vivenciam os processos fisiológicos do seu corpo durante a gestação e a sua repercussão na sexualidade. A pesquisa envolveu sete mulheres residentes em bairro popular de São Paulo. Na coleta de dados, utilizou-se observação participante e entrevista com questões norteadoras. Os dados foram apresentados na forma de narrativa e posteriormente organizados nas categorias: Percebendo as transformações corporais; Convivendo com as mudanças no corpo; Sentimentos e sensações na vida sexual durante a gestação e imaginando o corpo e a sexualidade após a gestação. As mulheres referiram-se às transformações do corpo como desconfortos e expressaram a preocupação de que fossem definitivas. Expressaram o desejo de que, após o parto, o corpo volte a ser como era e que volte a sentir desejo sexual. O reconhecimento destes fatos constitui-se numa ferramenta primordial na adequação das práticas profissionais. Original article ABStRActThe objective of this ethnographic study was to understand how women experience their body's physiological processes during pregnancy and their effects on sexuality. The study involved seven women living in a poor neighborhood in São Paulo. Data collection was performed through participant observation and interviews using guiding questions. The data were presented in the narrative form and then organized into the following categories: realizing the changes in the body; living with the changes in the body; and feelings and sensations experienced in sexual life during pregnancy and imagining the body after pregnancy. The women referred to the changes in their bodies as discomforts, and expressed their concern that these changes would be permanent. They expressed they hoped that, after childbirth, their body would go back to what it was like before pregnancy and that they would recover their sexual desire. Recognition of these concerns is an essential tool to guarantee appropriate professional practices. dEScRiPtoRSHuman body Pregnancy Sexuality Sexual and reproductive health RESUmEnEstudio etnográfico que objetivó comprender el modo en que las gestantes experimentan los procesos fisiológicos de su cuerpo durante el embarazo y su repercusión en la sexualidad. Involucró siete mujeres residentes en barrio popular de São Paulo. Datos recolectados mediante observación participativa y entrevista con preguntas orientadoras. Los datos se presentaron en forma narrativa, y se organizaron luego en categorías: Percibiendo las transformaciones corporales; Conviviendo con los cambios del cuerpo; Sentimientos y sensaciones de la vida sexual durante la gestación e Imaginando el cuerpo y la sexualidad después de la gestación. Las mujeres se refirieron a las transformaciones del cuerpo como incomodidades y expresaron la preocupación de que fuesen definitivas. Expresaron el deseo de que después del parto el cuerpo volviese a ser como era, y sentir nuevamente deseo sexual. El reconocimiento de estos hechos se constituye en una herramienta primor...

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The aim of this study was to determine how women deal with sexuality and bodily changes during the puerperium. A qualitative methodology was used and a semi-structured interview with a leading question script was chosen as the research tool. Six puerperas from the west area of São Paulo (Brazil) took part in this study. The interviews were accomplished at their homes. In analysis, the responses were grouped into three main categories: "Changes", Cuerpo y sexualidad: experiencias de puérperasEste estudio tuvo como objetivo conocer como las mujeres se relacionan con la sexualidad y los cambios corporales en el período del puerperio. Se trata de una investigación cualitativa; el instrumento de trabajo fue la entrevista semiestructurada. Seis mujeres del oeste del estado de Sao Paulo (Brasil) participaron del estudio. Las entrevistas fueron grabadas en los hogares de las participantes. En el análisis, las conversaciones fueron agrupadas en categorías, las tres principales fueron: "Cambios", "Sexualidad" y "Apoyo Social". Los resultados muestran, que en ese periodo ocurren importantes cambios. La sexualidad se mostró relacionada, muchas veces, con dificultades, miedos y preocupaciones. La relación con el compañero y con la red de apoyo demostró ser importante. Se puede concluir que en el puerperio ocurren muchos cambios, tanto en el ámbito físico como en el psicosocial. De esta manera los profesionales, que trabajan directamente con las mujeres, deben dar valor a este período.

Our objective was to assess extrinsic influences upon childbirth. In a cohort of 1,826 days containing 17,417 childbirths among them 13,252 spontaneous labor admissions, we studied the influence of environment upon the high incidence of labor (defined by 75th percentile or higher), analyzed by logistic regression. The predictors of high labor admission included increases in outdoor temperature (odds ratio: 1.742, P = 0.045, 95%CI: 1.011 to 3.001), and decreases in atmospheric pressure (odds ratio: 1.269, P = 0.029, 95%CI: 1.055 to 1.483). In contrast, increases in tidal range were associated with a lower probability of high admission (odds ratio: 0.762, P = 0.030, 95%CI: 0.515 to 0.999). Lunar phase was not a predictor of high labor admission (P = 0.339). Using multivariate analysis, increases in temperature and decreases in atmospheric pressure predicted high labor admission, and increases of tidal range, as a measurement of the lunar gravitational force, predicted a lower probability of high admission.

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A Deus por tudo que tem me oferecido e por tornar realidade este sonho.Sei que não sou merecedora de tantas coisas boas. À Prof.ª Dr.ª Dulce Maria Rosa Gualda, pela orientação e sabedoria com que conduziu este trabalho, pela paciência e estímulo ao longo desta caminhada e por enxergar novos horizontes para o meu crescimento profissional e acreditar que eu pudesse desenvolvê-los.Às mulheres colaboradoras deste estudo que não abriram somente as portas de suas casas, mas também de suas vidas, para que este estudo fosse possível, que Deus as recompense e que faça vir dias melhores nessa nova etapa da maternidade.Aos meus irmãos, Maria Aparecida (in memorian), José Carlos, Vanda Maria, Jussara e Alex, pelo amor sempre demonstrado, fazendo viva a chama da amizade, ternura e respeito que nem mesmo a distância física é capaz de apagar. Amo vocês.Aos meus cunhados, sobrinhos, tios e primos, pelo carinho, incentivo e por sempre acreditarem na minha capacidade de desenvolver os meus projetos de vida. ABSTRACTThis study aimed to understand the meaning of the body to a group of pregnant women, how they experience the body physiologic processes during pregnancy and how they reflect in sexuality as well as to acknowledge their perception about normal birth and its implication to sexual activity. Concepts of medical anthropology were used as theoretical framework and the methodology adopted was ethnography. The research was carried out in a popular district in east area of São Paulo -SP. For data collection it was used semi-structured interviews with guiding questions, and drawing, in a feminine silhouette of how they perceive their body modification during this period. The data were presented in narrative format. The result were organized in six categories and fourteen subcategories which merged to a central theme" Childbirth as a ritual passage in the construction of family" once all the body experiences of gestation, the physiological body changes and its repercussion in sexual performance were present since they started making projects to go into maternity. The results of this study allowed an understanding of the cultural knowledge in relation to the meaning of the body and sexuality in childbirth which is an essential tool for adjusting professional practice.

Objectives: to describe the perineal outcomes of women who had delivered in water and out of water. Methods: a cross-sectional and quantitative study developed in a public hospital in Setúbal, Portugal. The population was of women who participated in the "Water Birth Project" in the period from 2011 to 2014, which gave birth in water and out of water. 104 women were selected according to established inclusion criteria. The groups were compared according to the following variables: demographics, obstetric information, delivery care and perineal outcomes. The data were analyzed in the Stata(r) software, with descriptive and bivariate statistics (chi-square and Fisher's test). Results: the medical records of 73 women who gave birth in water and 31 women who gave birth out of water were studied. Water deliveries were significantly associated with fewer perineal lacerations, lower rates of episiotomy, and shorter delivery time. Conclusions: the results of the study suggest that childbirth in water has a protective effect against severe third or fourth degree perineal tears, during fetal expulsion in water.

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