Objective: to evaluate the effectiveness of an educational manual in the instrumentalization of companions to provide support to the parturients and check its influence on the satisfaction of companions and women during vaginal delivery. Method: pilot study of a randomized controlled clinical trial with 65 companions and puerperal women (intervention = 21 and control = 44). The previous knowledge of the companions was evaluated at baseline. The Evaluation Form for Companions in the Delivery Room was used to measure the actions provided and the satisfaction with the experience, and the Questionnaire for Evaluation of the Experience and Satisfaction of Puerperal Women with Labor and Delivery was used to evaluate the satisfaction of women with childbirth. The Student’s t-test or Wilcoxon, chi-square or Fisher’s exact test, risk ratios and 95% confidence intervals were used. Results: the companions in the intervention group performed a greater number of support actions (7.2 vs 4.6, p: 0.001) and had higher satisfaction scores (72.4 vs 64.2; p = 0.00). Puerperal women in the intervention group had higher satisfaction with childbirth (119.6 vs 107.9; p: 0.000). Conclusion: the manual was effective for the instrumentalization of companions, contributed to support actions to the parturients and had repercussions on the satisfaction of companions and women with the birthing process. RBR-776d9s

Objective: to evaluate the importance of a companion during the birth process from the perspective of mothers. Method: a descriptive cross-sectional quantitative study conducted in Maternity Reference Fortaleza-CE, with 105 postpartum women in the accommodations. Data were collected from a form and analyzed with SPSS program. There was submission and approval of the project by the Ethics in Research of the motherhood according Protocol No. 11/2008. Results: the insertion of a companion in the process of delivery was a practice accepts by the vast majority of women, with what 104 (99%) considered it important or very important. The justification for such assertions have referred mainly to the emotional support provided by this character. Of the accompanying persons were present during the birth process, the majority, 84 (80.0%) were females, and the social category most frequent been the mother, with a prevalence of 35 (33.4%), followed Spouse 20 (19.0%). Conclusion: the experience of being accompanied during labor was considered positive for almost all mothers, reinforcing the importance of accompanying this period. Descriptors: nursing; obstetrical nursing; humanizing delivery; patient escort service; labor, obstetric; natural childbirth; women's health.RESUMO Objetivo: averiguar a importância do acompanhante durante o processo de trabalho de parto na perspectiva de puérperas. Método: estudo descritivo, transversal, quantitativo, realizado em Maternidade de Referência de Fortaleza-CE, com 105 puérperas internadas no alojamento conjunto. Os dados foram coletados a partir de um formulário e analisados com auxílio do programa SPSS. Houve submissão e aprovação do projeto pelo Comitê de Ética em Pesquisa da referida maternidade, conforme Protocolo Nº11/2008. Resultados: a inserção de um acompanhante no processo de parto foi uma prática aprovada pela grande maioria das mulheres, tendo 104 (99%) destas considerado importante ou muito importante. As justificativas para tais assertivas se referiram, principalmente, ao apoio emocional prestado por este personagem. Dos acompanhantes que se fizeram presentes durante o processo de parto, a maioria, 84 (80,0%) pertencia ao sexo feminino, sendo a categoria social de acompanhante mais frequente a mãe, com prevalência de 35 (33,4%), seguida do esposo 20 (19,0%).  Conclusão: a experiência de ser acompanhada durante o parto foi considerada positiva pela quase totalidade das puérperas, reforçando a importância do acompanhante nesse período. Descritores: enfermagem; enfermagem obstétrica;  parto humanizado; acompanhantes de pacientes; trabalho de parto; parto normal; saúde da mulher.RESUMENObjetivo: evaluar la importancia de un compañero durante el proceso de nacimiento en la perspectiva de las madres. Método: estudio transversal, descriptivo, cuantitativo realizado en una maternidad de referencia en Fortaleza-CE, con 105 mujeres en el posparto en los alojamientos. Se recogieron datos con un formulario y se analizaron con el software SPSS. Hubo la presentación y aprobación del proyecto por el Equipo de Ética en Investigación de la maternidad, como el Protocolo N º 11/2008. Resultados: la inserción de un acompañante en el proceso de nacimiento fue una práctica adoptada por la inmensa mayoría de las mujeres, y 104 (99%) mujeres la consideran importante o muy importante. La justificación de tales afirmaciones se han referido principalmente a la ayuda emocional que los compañeros fornecieran. Los acompañantes estuvieron presentes durante el proceso del parto, la mayoría, 84 (80,0%) eran mujeres, y la categoría social más frecuente fueron las madres, con una prevalencia de 35 (33,4%), seguido del esposo 20 (19,0%). Conclusión: la experiencia de ser acompañada durante el parto se consideró positiva para casi todas las madres, reforzando la importancia de acompañar este período. Descriptores: enfermería; enfermería obstétrica; parto humanizado; acompañantes de pacientes; trabajo de parto; parto normal; salud de la mujer.

OBJETIVO: avaliar a preparação da mulher para a realização do exame de Papanicolaou. MÉTODOS: os dados foram coletados por meio da observação direta, seguindo o que preconiza o Instrumento de Melhoria de Desempenho (IMD), durante o mês de setembro de 2005. Participaram os sete enfermeiros do Programa Saúde da Família de um município cearense, os quais tiveram suas práticas observadas nos respectivos sítios de atuação (Unidade Básica de Saúde). Cada enfermeiro foi acompanhado em três exames, totalizando 21 observações. RESULTADOS: dentre as 21 observações realizadas, em nenhuma, os enfermeiros endagaram se a usuária havia esvaziado a bexiga; em 8 (38,1%) estas profissionais explicaram sobre o exame; e, em 18 (85,7%, respectivamente orientaram para a troca de roupa em local privativo e cobririam a usuária de forma adequada durante o exame. CONCLUSÕES: a preparação das mulheres mostrou-se insatisfatória, pois os quatro itens preconizados no IMD só foram cumpridos em 52,4% das vezes. Transformar esta realidade exige mudanças de atitude humana, área da competência técnica de maior desafio no contexto do serviço público.

This study was developed to analyze socio-cultural factors that may influence the breastfeeding practices of low-income women in Fortaleza, Ceará, Brazil. This observational study utilized Leininger"s Culture Care Theory to identify and analyze key socio-cultural factors. The study was based on 12 pregnant and breastfeeding women. Using an observational data sheet created in concordance with the Sunrise model (Leininger), we visited the homes of pregnant and breastfeeding women and observed their living conditions. Our observations were recorded and photographs were taken of the overall housing conditions, the surrounding neighborhood, and the local clinic. Living conditions were impoverished. Most homes had inadequate refrigeration, structural problems, and provided small living space. This indicated the severity of the residents" economic situations. The women observed were usually self-employed and living with at least one family member. The factors that appeared to have the most influence on women"s decisions regarding breastfeeding were familial and economic factors. It is expected that the findings of this study will lead to more culturally appropriate and effective interventions aimed at increasing breastfeeding initiation and duration. Enfermería Global

Objectives: to identify the scientific evidence about the clinical complications and manifestations of congenital syphilis and aspects related to its prevention. Methods: integrative review after a search in the databases LILACS and MEDLINE, carried out in March 2018, using the descriptors “syphilis, congenital”, “complications”, and “signs and symptoms”, leading to the selection of 27 researches. Results: the publications found were published from 1966 to 2017, and most of them were from Latin America and Africa. Negative outcomes, laboratory changes, and the clinical manifestations in congenital syphilis, whether early or delayed, were, respectively: low weight at birth, anemia, hepatosplenomegaly, and dental alterations. The lack of treatment of the pregnant women in the prenatal was the most common occasion in which the opportunity to prevent the complications of congenital syphilis was lost. Conclusions: the scientific evidences analyzed showed serious complications of congenital syphilis that could be avoided if early opportunities of diagnosing and treating the pregnant women are not lost during the prenatal.