No abstract

Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery.

No abstract

RESUMOObjetivo: avaliar as competências dos ACS no desenvolvimento das atribuições esperadas e definidas pelo Ministério da Saúde nas ações de pré-natal de risco habitual, desenvolvidas no âmbito da ESF, em relação à prevenção da infecção pelo zika vírus na gestação. Método: estudo quantitativo, descritivo, transversal, com coleta de dados em 14 equipes da Estratégia de Saúde da Família, mediante um questionário com três partes: A (enfrentamento ao Aedes aegypti); B (pré-natal de baixo risco) e C (medidas de prevenção pessoal contra o Zika vírus), analisadas por agrupamentos e pelo Teste Exato de Fisher. Resultados: melhor desempenho foi observado em B, seguido de A. As maiores dificuldades estavam relacionadas com a atividade C. Conclusão: há um panorama favorável de atuação desses profissionais, embora com dificuldades quanto à alimentação dos sistemas de informação, à baixa participação comunitária e à pouca integração com o trabalho das equipes. Descritores: Enfermagem; Agente Comunitário de Saúde; Zika Vírus.ABSTRACT Objective: to evaluate the competences of the ACS in the development of the attributions expected and defined by the Ministry of Health in the habitual, risk prenatal actions, developed within the scope of the FHS, in relation to the prevention of infection by the zika virus during pregnancy. Method: quantitative, descriptive, cross-sectional study with data collection in 14 teams of the Family Health Strategy, through a questionnaire with three parts: A (coping with Aedes aegypti); B (low risk prenatal) and C (personal prevention measures against Zika virus), analyzed by clusters and Fisher's Exact Test. Results: better performance was observed in B, followed by A. The greatest difficulties were related to activity C. Conclusion: there is a favorable panorama of these professionals, although with difficulties in feeding information systems, low community participation and little integration with the work of the teams. Descritores: Nursing; Community Health Workers; Zika Virus.RESUMEN Objetivo: evaluar las competencias de los ACS en el desarrollo de las atribuciones esperadas y definidas por el Ministerio de Salud en las acciones de prenatal de riesgo habitual, desarrolladas en el marco de la ESF, en relación a la prevención de la infección por el zika virus en la gestación. Método: estudio cuantitativo, descriptivo, transversal, con recolección de datos en 14 equipos de la Estrategia de Salud de la Familia, mediante un cuestionario con tres partes: A (enfrentamiento al Aedes aegypti); B (prenatal de bajo riesgo) y C (medidas de prevención personal contra el Zika virus), analizadas por agrupaciones y por la prueba exacta de Fisher. Resultados: mejor desempeño fue observado en B, seguido de A. Las mayores dificultades estaban relacionadas con la actividad C. Conclusión: hay un panorama favorable de actuación de estos profesionales, aunque con dificultades en cuanto a la alimentación de los sistemas de información, a la baja participación comunitaria y a la poca integración con el trabajo de los equipos. Descritores: Enfermería; Agentes Comunitarios de Salud; Vírus Zika.

No abstract