The study aims to discuss the concepts of caring and education and propose a strategy for health education as a possibility for clinical nursing care for women in menopause based on the educational principles of Paulo Freire. Over the years, different paradigms of Health Education are conditioned by different strategies, many of them reductionists, which require questioning and implementation of more integral and participatory actions. From this thought, we seek an opportunity for education that includes the "Other" in their complexity, enabling the women in their climacteric phase can also be assisted in full. In this scenario, we visualize the principles of Paulo Freire as a framework to guide this development; it shows a dialectic education, solidarity, without arrogance, articulating the scientific knowledge and popular knowledge, translating his method in a collective work.

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Estudo ecológico com base em dados secundários do estudo Global Burden of Disease 2019 (GBD) sobre mortalidade materna por hemorragia  que analisa as tendencias da carga de doença dos anos vividos com deficiência (YLD) e anos de vida perdidos (YLL) por síndromes hemorrágicas maternas no Brasil e Ceará de 1990 a 2019. Métodos: utilizou-se os filtros: distúrbios maternos/hemorragia materna; localização (Brasil-Ceará); período 1990-2019; população (mulheres entre 10 e 54 anos) estimar os Anos de Vida Perdidos (YLL) e dos Anos Vividos com Incapacidade (YLD). O software Joinpoint versão 4.9.1.0 ® foi usado para estimar tendencias com permutação de Monte Carlo. Resultados: houve redução significativa na taxa de YLD no Brasil (-3,8%*) eo Ceará (-5,1%*).  Tendências de YLL no Brasil teve redução significativa até 1997, seguido de queda; Ceará apresentou redução de YLL -8,8% até 1996, com aumento significativo 25.1%*, e após 1999 queda contínua e mais intensa que no Brasil. Conclusão: O Ceará destacou-se em número de YLL e YLD por síndrome hemorrágica materna, com maior variação nos extremos de idade.

Objective: To compare maternal and perinatal outcomes between day-time and evening/night-time births in a low-risk population. Material and Methods: The present study had a retrospective and cross-sectional design. The study recruited 421 pregnant women admitted for spontaneous or induced labor, with singleton, full-term pregnancy, without comorbidities, and with birthweight between 2,500 and 4,499 g. Maternal data, including severe bleeding, need for blood transfusion, puerperal infection, and admission to the intensive care unit, and neonatal data including birthweight, Apgar scores at first and fifth minute, oxygen administration, resuscitation, admission to the neonatal care unit, infection, and blood transfusion, were evaluated. Univariate and multivariate analysis and calculation of the prevalence ratio (PR) were performed with a 95% confidence interval (CI). Results: There were no differences in factors of maternal morbidity between delivery times. Newborns delivered during the evening/night-time had a higher prevalence of infection (15.3% vs 7.9%, p=0.019, PR: 2.11, CI 95% 1.13-3.93) and hospitalization in the neonatal care unit (25.8% vs 10.4%, p<0.001, PR: 2.99, CI 95% 1.76-5.10). There was no difference in other perinatal morbidities examined. Conclusion: Evening/night-time births were associated with a higher prevalence of infection and the need for admission to an intensive care unit.