Objective: to analyze the Early Neonatal Mortality risk factors according to the risk stratification criteria of the Guideline of the Rede Mãe Paranaense Program. Method: a case-control epidemiological study with secondary data from the Mortality and Live Birth Information System in 2014. The crude analysis was performed by the Odds Ratio association measure, followed by the adjusted analysis, considering risk factors as independent variables, and early neonatal death as dependent variable. Results: were considered as maternal risk factors: absence of partner and miscarriages; neonatal: male, low birth weight, prematurity, Apgar less than seven in the fifth minute, presence of congenital anomaly; and care: up to six prenatal appointments. Conclusion: an innovative study of risk factors for early neonatal death from the Guideline's perspective, a technological management tool for maternal and child health, in search of its qualification and greater sensitivity.

Objective: To describe the experience of the families of children with cerebral palsy concerning their social support network. Methods: Qualitative research carried out with 19 families of children with cerebral palsy. Focal group sessions were performed and statements were recorded, thoroughly transcribed and assessed by the thematic analysis technique. Results: The following thematic categories emerged: Experience of the family in caring for the child with cerebral palsy, and Frail social support concerning family bonds. Conclusion: The social support network of the families of children with cerebral palsy is basically comprised of family members. Families undergo changes in their daily life and experience unfavorable feelings, seeking in the spiritual realm the hope to cope with adversities. ResumoObjetivo: Descrever a experiência da família de criança com paralisia cerebral em relação à rede social de apoio. Métodos: Pesquisa qualitativa realizada com 19 familiares de criança com paralisia cerebral. Foram realizadas sessões de grupo focal e os depoimentos foram gravados, transcritos na íntegra e analisados pela técnica de análise categorial temática. Resultados: Emergiram as categorias temáticas: experiência da família no cuidado com a criança com paralisia cerebral e apoio social frágil nos laços familiares. Conclusão: A rede social de apoio da família da criança com paralisia cerebral é constituída por membros da própria família. Esta passa por mudanças em sua rotina diária vivencia sentimentos adversos e busca na dimensão espiritual o acalento para as adversidades encontradas.

Objective:present the cross-cultural adaptation and content and semantic validation of the Difficult Intravenous Access Score for current use in Brazil. Method:cross-cultural adaptation and validation study, structured in six phases: initial translation, synthesis of translations, back-translation, assessment of documents by expert committee of specialized judges, pretest and presentation of the documents to the expert judges and to the author of the original instrument. Twenty health professionals were randomly recruited from a public hospital in the South of Brazil, working in pediatrics, in order to assess the agreement level with the variables in the instrument. In addition, a convenience sample of 30 pediatric patients was selected for the face validation of the same instrument. Cronbach’s alpha coefficient, simple and percentage frequencies, the Shapiro-Wilk and Fisher’s exact tests were used for the data analysis and reliability measures. Results:the cross-cultural adaptation phases were executed with totally clear translated variables, demonstrating satisfactory results in the content and semantic validation process. Conclusions:the Difficult Intravenous Access Score was adapted and its content and semantics were validated. External clinical validity, measuring equivalence and reproducibility analyses are needed.

Most samples tested (> 80%) were considered top quality milk (< 4°D) based on acidity values, and milk energy content was preserved after storage. We conclude that the storage methods required by Brazilian regulations are suitable to ensure milk safety and energy content of stored milk when supplied to neonates.

RESUMOObjetivo: descrever a vivência do acompanhante da parturiente no processo de trabalho de parto e parto. Método: estudo qualitativo, descritivo, exploratório, com 21 acompanhantes, com o uso de um questionário semiestruturado. No processamento de análise dos dados, foi utilizado o software Iramuteq. Resultados: emergiram cinco classes: 1. A informação como meio de valorização da participação do acompanhante; 2. A experiência vivenciada pelo acompanhante e a importância do acolhimento como fator de influência; 3. A participação do acompanhante como escolha; 4. O pré-natal como fonte de preparo ao acompanhante; 5. O conhecimento sobre o processo de trabalho de parto e parto e as ações executadas pelo acompanhante. Conclusão: a vivência do acompanhante esteve ligada à sua interação junto à parturiente quando este realizava ações por instinto ou orientação da equipe, o que o fazia com satisfação e orgulho. Demonstrada, também, a influência positiva dessa vivência em sua vida familiar, associada à importância da equipe de saúde em informar, acolher e valorizar essa presença, proporcionando condições favoráveis para tornar o acompanhante também protagonista nesse processo. Descritores: Pré-Natal; Humanização da Assistência; Enfermagem; Parto Normal; Trabalho de Parto.ABSTRACT Objective: to describe the experience of the parturient's companion in the process of labor and delivery. Method: qualitative, descriptive, exploratory study with 21 companions, with the use of a semi-structured questionnaire. In the data analysis processing, Iramuteq software was used. Results: five classes emerged: 1. Information as a means of valuing the participation of the companion; 2. The experience experienced by the companion and the importance of the host as a factor of influence; 3. The participation of the companion as a choice; 4. Prenatal care as a source of preparation for the companion; 5. Knowledge about the process of labor and delivery and the actions performed by the companion. Conclusion: the experience of the companion was related to his interaction with the woman in the parturient when he performed actions by instinct or team orientation, which did with satisfaction and pride. The positive influence of this experience on family life was also demonstrated, associated with the importance of the health team in informing, welcoming and valuing this presence, providing favorable conditions to make the companion also protagonist in this process. Descriptors: Prenatal Care; Humanization of Assistance; Nursing; Natural Childbirth; Labor, Obstetric.RESUMEN Objetivo: describir la vivencia del acompañante de la parturienta en el proceso de trabajo de parto y parto. Método: estudio cualitativo, descriptivo, exploratorio, con 21 acompañantes, con el uso de un cuestionario semiestructurado. En el procesamiento de análisis de los datos, se utilizó el software Iramuteq. Resultados: emergieron cinco clases: 1. La información como medio de valorización de la participación del acompañante; 2. La experiencia vivida por el acompañante y la importancia de la acogida como factor de influencia; 3. La participación del acompañante como opción; 4. El prenatal como fuente de preparación al acompañante.; 5. El conocimiento sobre el proceso de trabajo de parto y parto y las acciones ejecutadas por el acompañante. Conclusión: la vivencia del acompañante estuvo relacionada a su interacción junto a la parturienta, cuando éste realizaba acciones por instinto, u orientación del equipo, lo que hacía con satisfacción y orgullo. También, demostró la influencia positiva de esa vivencia en su vida familiar, y asociada a la importancia del equipo de salud, en informar, acoger y valorar esa presencia, proporcionando condiciones favorables para hacerlo también protagonista en ese proceso. Descriptores: Atención Prenatal; Humanización de la Atención; Enfermería; Parto Normal; Trabajo de Parto.