Objective: Presenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence. Method: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%. Results: The vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made. Conclusion: The study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.

El coeficiente de Spearman indicó una fuerte correlación positiva entre los dos métodos de evaluación, en los tres momentos (p<0,0001). Se concluye que ambos métodos son válidos para mensurar la FMP durante la gravidez y después del parto.

RESUMO:Objetivou-se avaliar a atividade antimicrobiana do alho (Allium sativum Liliaceae), in natura, e do extrato aquoso, frente à Candida albicans (Ca) e a Estreptococos do grupo B (EGB). O alho in natura e os extratos aquosos 30% e 170%, foram submetidos à avaliação da atividade antimicrobiana usando os métodos de Difusão em Ágar pela técnica do disco e do poço. Os resultados mostraram que o alho, in natura, apresentou halo de inibição de 55,3 ± 2,6 milímetros (mm) frente a Ca e de 27,1 ± 2,6 mm frente à EGB, enquanto o halo de inibição do miconazol foi de 24 ± 0,5 mm e o da Penicilina G de 29,8 ± 0,3 mm. O extrato aquoso de alho a 30% não apresentou atividade antimicrobiana frente à Ca e à EGB. Já o extrato aquoso de alho a 170% apresentou halo de inibição frente a Ca, de 11,3 ± 0,7 mm na técnica do disco e de 14,5 ± 0,9 mm na técnica do poço, porém não inibiu o crescimento da EGB. Conclui-se que o alho in natura apresentou melhor efeito inibitório frente às cepas de Ca e de EGB. Palavras-chave:Allium sativum, atividade antimicrobiana, extrato aquoso. ABSTRACT: Evaluation of the antimicrobial activity of garlic (Liliaceae Allium sativum)and its aqueous extract. This study aimed to evaluate the antimicrobial activity of fresh garlic (Liliaceae Allium sativum) and its aqueous extracts against Candida albicans (Ca) and group B Streptococcus (GBS). Fresh garlic and its aqueous extract in concentrations of 30% and 170% were evaluated for their antimicrobial activity using the agar diffusion technique. The results showed that fresh garlic showed a halo of inhibition of 55.3 ± 2.6 millimeters (mm) towards Ca and 27.1 ± 2.6 mm towards GBS while the inhibition halo of miconazole was 24 ± 0.5 mm and the inhibition halo of Penicillin G was 29.8 ± 0.3 mm. The aqueous extract of garlic in the concentration of 30% showed no antimicrobial activity towards Ca and GBS. The aqueous extract of garlic at 170%, showed a halo of inhibition towards Ca, of 11.3 ± 0.7 mm in the disk technique and 14.5 ± 0.9 mm in the well technique, but did not inhibit the growth of GBS. We conclude that the fresh garlic showed a better inhibitory effect against the strains of Ca and GBS.Key words: Allium sativum L., antimicrobial activity, aqueous extract.10.1590/1983-084X/12_150 7 INTRODUÇÃODevido ao aumento da resistência aos antimicrobianos em uso, as plantas medicinais têm sido intensamente estudadas como agentes alternativos para a prevenção de doenças e tratamento de infecções em seres humanos e, com o passar dos anos, inúmeras pesquisas foram realizadas mostrando a eficiência e confiabilidade das plantas (Badke et al., 2011;Feitosa et al., 2011).Existe um número muito grande de espécies vegetais que são consideradas medicinais (Lima et al., 2006), mas muitas ainda não tiveram qualquer avaliação científica do seu uso medicinal, o que é essencial para que possam continuar sendo utilizadas com segurança pela população (Stefanello et al., 2006).Dentre tantas espécies vegetais, o alho (Allium sativum) é considerado uma especiaria que pertence à f...

Objectives: to compare the pelvic floor muscle strength in primiparous women after normal birth and cesarean section, related to the socio-demographic characteristics, nutritional status, dyspareunia, urinary incontinence, perineal exercise in pregnancy, perineal condition and weight of the newborn.Methods: this was a cross-sectional study conducted after 50 - 70 postpartum days, with 24 primiparous women who underwent cesarean delivery and 72 who had a normal birth. The 9301 PeritronTM was used for analysis of muscle strength. The mean muscle strength was compared between the groups by two-way analysis of variance. Results: the pelvic floor muscle strength was 24.0 cmH2O (±16.2) and 25.4 cmH2O (±14.7) in postpartum primiparous women after normal birth and cesarean section, respectively, with no significant difference. The muscular strength was greater in postpartum women with ≥ 12 years of study (42.0 ±26.3 versus 14.6 ±7.7 cmH2O; p= 0.036) and in those who performed perineal exercises (42.6±25.4 11.8±4.9 vs. cmH2O; p = 0.010), compared to caesarean. There was no difference in muscle strength according to delivery type regarding nutritional status, dyspareunia, urinary incontinence, perineal condition or newborn weight. Conclusion: pelvic floor muscle strength does not differ between primiparous women based on the type of delivery. Postpartum women with normal births, with higher education who performed perineal exercise during pregnancy showed greater muscle strength.

OBJECTIVES: to analyze the Pelvic Floor Muscle Strength (PFMS) of pregnant women with one or more vaginal or cesarean deliveries; to compare the PFMS of these with pregnant women with the PFMS of primiparous women. METHODS: cross-sectional study with women up to 12 weeks pregnant, performed in Itapecerica da Serra, São Paulo state, from December 2012 to May 2013. The sample consisted of 110 pregnant women with one or more vaginal deliveries or cesarean sections and 110 primigravidae. The PFMS was evaluated by perineometry (Peritron(tm)) and vaginal digital palpation (modified Oxford scale). RESULTS: the average PFMS in pregnant women with a history of vaginal delivery or cesarean section was 33.4 (SD=21.2) cmH2O. From the Oxford scale, 75.4% of the pregnant women with previous vaginal or cesarean deliveries presented grade ≤ 2, and 5.5% grade ≥ 4; among the primiparae, 39.9% presented grade ≤ 2, and 50.9% grade ≥ 4, with a statistically significant difference (p<0.001). From the perineometry, there was no statistically significant difference between the PFMS and age, type of delivery, parity, body mass index, and genitourinary tract symptoms, however, there was a statistically significant difference between the pregnant women with and without a history of episiotomy (p=0.04). In the palpation, none of the variables showed a statistically significant difference. CONCLUSION: pregnancy and childbirth can reduce the PFMS.