Medications, alcohol and smoking can cause fetal damage. A cross-sectional study was conducted with 326 mothers of the Fortaleza General Hospital to evaluate the use of drugs, alcohol and smoking during pregnancy and its relation to teratogenic potential in different population characteristics, between 2006 and 2007. Postpartum women who had their babies in the research site were included and those whose babies were not admitted as hospital inpatients were excluded. Chi-square tests and t-tests were used in the analysis, with a p value <0.05 considered significant. 96.6% of the mothers took medications (2.8 drugs/ pregnancy) and self-medication occurred in 11.3% of the cases. Single women took more drugs with high teratogenic potential (p=0.037). 11 cases of fetal malformation were observed, five of them were exposed to high teratogenic risks. Smoking occurred in 11.3% and alcohol use in 16%. Being single was found to be a risk factor for exposure to high teratogenic potential. Quality of prenatal care and other sociodemographic variables weren't related to exposure to teratogenic risks.
MRSA colonization among HIV-infected youth is more closely related to living in a low-income or slum community than to HIV-related clinical factors. High genetic MRSA isolate diversity in our population suggests frequent transmission.
O objetivo da pesquisa foi avaliar autoeficácia em amamentar entre adolescentes lactantes. Estudo quantitativo, que envolveu 172 adolescentes lactantes, realizado em 14 Unidades Básicas de Saúde de municípios do nordeste do Brasil. Para a coleta utilizou-se um formulário e aplicou-se a Breastfeeding Self-Efficacy Scale-Short Form. Os dados foram analisados em programa estatístico. Os resultados apontaram elevada autoeficácia em amamentar (84%), com maior adesão aos itens: “Eu sempre percebo se o meu bebê está pegando o peito direitinho durante toda a mamada” (91%) e “Eu sempre sei quando o meu bebê terminou a mamada” (93%) e menor referente a alimentar o bebê sem usar leite em pó (18%) e amamentar na frente das pessoas (14%). Constatou-se que as mães adolescentes estudadas apresentaram elevada autoeficácia em amamentar, evidenciando um novo conhecimento em relação a esse público específico, em geral, relacionado a vulnerabilidade diante do aleitamento materno.
O presente estudo buscou avaliar a influência de uma atividade educativa para a promoção do cuidado com o recém-nascido. Trata-se de um estudo exploratório, descritivo e quantitativo, realizado no Alojamento Conjunto de uma maternidade em Mombaça-CE, com 61 puérperas. Para coleta de dados, utilizaram-se da observação informal e de um questionário adaptado, em que foram registrados as informações pessoais e os dados sobre os cuidados com o recém-nascido e aleitamento materno pré e pós-atividade educativa, para avaliar as principais dificuldades das puérperas. Uma parte relevante das mulheres apresentava conhecimentos errôneos sobre os cuidados com o recém-nascido e sobre o aleitamento materno. A realização da atividade educativa proporcionou a orientação adequada das mulheres e o esclarecimento de dúvidas existentes. Assim, torna-se necessária a prática constante de educação em saúde às gestantes e puérperas, tanto na assistência pré-natal como na Unidade de Alojamento Conjunto, associado à distribuição de material educativo de fácil compreensão.
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.
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