O objetivo deste artigo é analisar as queixas de nutrizes que buscaram atendimento em um BLH e fatores associados.Trata-se de um estudo descritivo, analítico, transversal, retrospectivo, cuja população é composta por 1.709 nutrizes quebuscaram atendimento no período de Janeiro a Dezembro de 2016. Para a coleta de dados, utilizaram-se as fichas deatendimento do BLH. As principais queixas que levaram as nutrizes a buscarem atendimento no BLH relacionam-se àdificuldade com a técnica de amamentação (41,9%) e a problemas mamários, como o ingurgitamento mamário (27,1%) eo trauma mamilar (18,1%). A necessidade de auxílio na técnica de amamentação esteve associada às seguintes condiçõesrelativas à nutriz: ser procedente da capital (p=0,001), apresentar mais de oito anos de estudo (p=0,040), ter uma ocupação (p=0,010), ser primípara (p=<0,001), optar pela realização de parto cesárea (p=<0,001) e ter experiência préviacom amamentação (p=0,004). Houve associação entre ingurgitamento mamário e primiparidade (p=0,038), além do fatode a nutriz ter contado com o apoio ao aleitamento materno na maternidade (p=0,021). O estudo possibilitou verificar aimportância dos BLH no processo de lactação, um período em que as mulheres ficam ansiosas, necessitam de informaçõesconfiáveis e apresentam muitas queixas em relação à lactação.PALAVRAS-CHAVES : Aleitamento materno, Bancos de leite, Saúde da mulher. Abstract: The aim of this article is to analyze the complaints of lactating mothers who sought care in a HMB and associatedfactors. It is a descriptive, cross-sectional, retrospective study, whose population is composed of 1.709 lactating mothers whosought care in the period from January to December the 2016. For the data collection, were used the service records ofthe HMB. The main complaints that led the lactating mothers to seek care at HMB were related to the difficulty with thebreastfeeding technique (41.9%) and to breast problems, such as breast engorgement (27.1%) and nipple trauma (18,1%). Theneed for breastfeeding technique was associated to the following nutrient conditions: coming from the capital (p = 0.001),presenting more than eight years of study (p = 0.040), having an occupation (p = 0.010), being primiparous (p = <0.001), optfor cesarean (p = 0.001) and to have previous experience with breastfeeding (p = 0.004). There was an association betweenbreast engorgement and primiparity (p = 0.038), in addition to the fact that the mother had support for breastfeeding in thematernity ward (p = 0.021). The study made it possible to verify the importance of HMBs in the lactation process, a period inwhich women become anxious, require reliable information and have many complaints about lactation.Keywords: Breast feeding, Milk banks, Women’s health
Objetivo: analisar o comportamento de risco, os fatores associados e as repercussões neonatais em gestantes com sífilis.Método: estudo transversal, descritivo e retrospectivo, composto por 107 casos de sífilis gestacional em um hospital referência em gestação de alto risco, no período entre janeiro de 2016 e abril de 2017. Para análise estatística, foram aplicadosos testes de qui-quadrado de Yates e Exato de Fisher. Resultados: maior ocorrência em mulheres jovens (56,1%), de cornão branca (81%), sem companheiro (53%), procedentes de outros municípios (65%), com menor escolaridade (62%) esem exercer atividade remunerada (82%). Apesar de realizarem o pré-natal (95%), obtiveram um tratamento inadequadopara a infecção (60%) e sem adesão dos parceiros sexuais (48%). Houve um predomínio de recém-nascidos pré-termos(51%), classificados com baixo peso ao nascer (35%) e vivos (90%). Houve uma associação estatisticamente significante entre o comportamento de risco com a escolaridade de até 8 anos de estudos (p<0.010), número de consultas de pré-natal<6 (p<0.001) e ocorrência de parto vaginal (p<0.032). Conclusão: as desigualdades sociais, aliadas às falhas na assistênciapré-natal, corroboram para a persistência do quadro epidemiológico de sífilis no Brasil.Descritores: Doenças Sexualmente Transmissíveis; Sífilis; Saúde da Mulher; Infecções por Treponema; Comportamentos de Risco à Saúde. Objective: to analyze the risk behavior, associated factors and neonatal repercussions in pregnant women with syphilis.Method: a cross-sectional, descriptive and retrospective study of 107 cases of gestational syphilis in a high-risk gestational hospital, in the period between January 2016 and April 2017. For statistical analysis, the chi-square Yates and Fisher’sExact test were applied. Results: greater occurrence in young women (56.1%), non-white skin color (81%), withoutcompanion (53%), coming from other municipalities (65%), lower schooling (62%) and without exercising paid activity(82%). Although they performed prenatal care (95%), they were inadequately treated for infection (60%) and withoutadherence of sexual partners (48%). There was a predominance of preterm newborns (51%), classified as having lowbirth weight (35%) and alive (90%). There was a statistically significant association between risk behavior with up to 8years of schooling (p <0.010), number of prenatal consultations <6 (p <0.001), and vaginal delivery (p <0.032). Conclusion: social inequalities, together with failures in prenatal care, corroborate the persistence of the epidemiologicalpresentation of syphilis in Brazil.Descriptores: Sexually Transmitted Diseases; Syphilis; Women’s Health; Treponemal Infections; Health Risk Behaviors. ,corroboram para a persistência do quadro epidemiológico de sífilis no Brasil. presentment
Background A healthy lifestyle should be followed since childhood. To do so a healthy diet and to be physically active are mandatory. To measure and improve that the School Health Project “Com Peso e Medida” was applied throughout schools from the ARS Centro region. Methods In the context of School Health questionnaires were given out to school children. The questions pertained to health habit. Questions about socioeconomic characteristics were also included. 464 responses were collected. The responses were collected in a database in MS Excel. The database was then run in SPSS to provide a statistical analysis. Results All the students were attending the 5th grade. Median age was 10 years old. There was a similar sex distribution with 50.6% males. Mother education was higher than fathers with 24.7% and 15.7% college education respectively. There was a significative association between the parents' education degree (p < 0.01). In terms of meal frequency, the students had a median of 5 meals a day. 93.3% of them had breakfast every day, 66.4% had a morning snack, 83.4% had an afternoon snack and 30.2% had a late-night snack. Considering the ingredients consumed daily only 41.7% ate the recommended amount of daily vegetables and 30.4% the daily amount of fruit. On a different note 28.6% ate candies more than once a week, and 41.5% drank soft drinks more than once a week. Questions about the physical activity habits revealed that 50.8% watched more than one hour of television every day and 29.1% played videogames more than one hour. 39.2% had no sport activity outside school. There was a positive association between the mother education level and sports practice (p < 0.01) and fruit consumption (p = 0.19). Conclusions A healthy diet and regular physical activity are cornerstones in a Health promoting lifestyle. With this study was possible to ascertain the lifestyle of young schoolchildren. With those results it's possible to set futures measures to best improve health. Key messages Healthy habits should be developed since early on to give way to a healthy life. To better prepare the future we need to know what health choices the children are taking today.
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