Epidemiol. Serv. Saúde, Brasília, 23(2):287-294, abr-jun 2014 ResumoObjetivo: descrever a ocorrência e o perfil dos casos notificados de sífilis congênita no estado do Rio Grande do Norte, Brasil, no período de 2007 a 2010. Métodos: estudo descritivo, com dados do Sistema de Informações sobre Nascidos Vivos (Sinasc) e do Sistema de Informação de Agravos de Notificação (Sinan). Resultados: no período avaliado, verificou-se 598 casos notificados de sífilis congênita e taxas de incidência de 2,7 e 0,9 por 1.000 nascidos vivos, respectivamente nos anos de 2007 e 2010; o município de Natal-RN concentrou 74,6% das notificações; a maioria das notificações foi de nascidos vivos cujas mães tinham até 8 anos de estudo (65,0%), haviam realizado pré-natal (72,2%) e com diagnóstico de sífilis no momento do parto/curetagem (41,0%). Conclusão: apesar da diminuição da taxa de incidência no período investigado, em 2010, ela ainda era superior ao valor de 0,5/1.000 nascidos vivos, meta estabelecida para eliminação da doença.Palavras-chave: Epidemiologia Descritiva; Sífilis; Sífilis Congênita; Nascimento Vivo.

Nº 47 Julio 2017Página 71 ORIGINALES Formas de violencia obstétrica experimentada por madres que tuvieron un parto normal RESUMENObjetivo: Identificar las formas de violencia obstétrica experimentadas por las madres que tuvieron un parto normal. Método: Estudio descriptivo, con un enfoque cualitativo, desarrollado con 35 puérperas, en dos maternidades públicas municipales existentes en la ciudad de Natal, Rio Grande do Norte, Brasil, que tuvieron parto vaginal, con niño vivo, y en condiciones físicas y emocionales para responder a las preguntas propuestas. Fueron excluidas las adolescentes sin tutor legal y las puérperas que dieron a luz fuera del hospital. Resultados: Los informes de las madres representan las formas de violencia obstétrica de las que eran víctimas, que se caracteriza por las palabras y actitudes de los profesionales de la salud que las asistieron. Conclusiones: En el marco del nuevo modelo de asistencia al parto y al nacimiento, la violencia obstétrica no debería tener espacio y profesionales de la salud deben actuar para garantizar un servicio decente, con una calidad y un trato respetuoso. El tiempo en que la única opción era el silencio y soportar llegó a su fin.Palabras clave: Parto normal; Servicios de salud materna; Violencia contra la mujer; Mujeres. RESUMO

Objective: to analyze the scientific production about the role of the man as a caregiver during the birth process of his partner. Methods: integrative review held in electronic databases Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, ISI Web of Knowledge, and Latin American and Caribbean in Health Sciences. Results: there were 389 scientific articles located, of which 26 studies were selected that showed active roles - physical and emotional support - and passive roles – spectator or total lack of viewer participation – of the partner during the birth process. The monitoring of this event by the father is considered positive experience. However, the lack of incentive limits their active participation. Conclusion: despite the historical, religious, cultural, institutional or individual barriers, there is a desire to actively participating in the child´s birth, even though sometimes parents are unprepared to provide the support they would like.

Objective: Describing the obstetric care provided in public maternity hospitals during normal labour using the Bologna Score in the city of Natal, Northeastern Brazil. Method: A quantitative cross-sectional study conducted with 314 puerperal women. Data collection was carried out consecutively during the months of March to July 2014. Results: Prenatal care was provided to 95.9% of the mothers, beginning around the 1 st trimester of pregnancy (72.3%) and having seven or more consultations (51%). Spontaneous vaginal delivery was planned for 88.2% women. All laboring women were assisted by a health professional, mostly by a physician (80.6%), and none of them obtained 5 points on the Bologna Score due to the small percentage of births in non-supine position (0.3%) and absence of a partogram (2.2%). A higher number of episiotomies were observed among primiparous women (75.5%). Conclusion: The score obtained using the Bologna Index was low. Thus, it is necessary to improve and readjust the existing obstetrical model.

Objective: to analyze in the scientific literature the educational technologies on sexually transmitted infections used in health education for incarcerated women. Method: an integrative review carried out by searching for articles in the following databases: Scopus, Cumulative Index of Nursing and Allied Health, Education Resources Information Center, PsycInFO, Medical Literature Analysis and Retrieval System Online, Latin American Literature in Health Sciences, Cochrane, and the ScienceDirect electronic library. There were no language and time restrictions. A search strategy was developed in PubMed and later adapted to the other databases. Results: a total of 823 studies were initially identified and, after applying inclusion and exclusion criteria, eight articles were selected. Most of them were developed in the United States with a predominance of randomized clinical trials. The technologies identified were of the printed materials type, isolated or associated to simulators of genital organs, videos, and games. Conclusion: the technologies on sexually transmitted infections used in health education for incarcerated women may contribute to adherence to the prevention of this serious public health problem in the context of deprivation of liberty.