Objective: Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route. Methods: Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables. Results: 73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller’s maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization. Conclusion: Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.
A formação acadêmica a partir da perspectiva da educação popular e humanização em saúde: relato de experiência da disciplina Saúde da ComunidadeThe academic formation from the perspective of popular education and humanization in health: report on the experience of the Community Health discipline ResumoObjetivo: Relatar como uma disciplina do curso de Nutrição, da Universidade Federal do Rio de Janeiro (UFRJ), campus Macaé, inicia a formação acadêmica, a partir da óptica da humanização e dos princípios da educação popular em saúde. Metodologia: Tratase de um relato de experiência da disciplina, do primeiro período, denominada "Saúde da Comunidade". Para a construção desse relato, utilizaram-se como documentos norteadores a Política Nacional de Humanização, Caderno de Educação Popular em Saúde, Diretrizes Curriculares Nacionais do Curso de Graduação em Nutrição e o Projeto Pedagógico do Curso. Resultados: A disciplina possui carga horária majoritariamente prática e envolve campos de atuação da atenção básica em saúde, como Estratégia de Saúde da Família, e da proteção básica, como Centro de Referência da Assistência Social. A vivência dos alunos nesses serviços possibilita que os mesmos se aproximem da realidade e conheçam as demandas, potencialidades e dificuldades do trabalho em saúde, visando à formação de profissionais generalistas, humanistas e críticos, conforme preconizado pelos documentos analisados. A disciplina pauta-se em uma abordagem pedagógica inovadora, com exposição dialogada de conteúdos, filmes e documentários para fomento de discussões e exposição de conceitos. Além disso, como recurso do processo de ensino-aprendizagem e avaliação, utiliza-se o portfólio, para estimular o pensamento reflexivo e formar profissionais capazes de prestar atendimento integral e humanizado. AbstractObjective: To report how a subject of Nutrition course, at the Federal University of Rio de Janeiro (UFRJ), Campus Macaé, starts academic training, from the perspective of humanization and the principles of popular education in health. Methodology: It is an experience report of the first-term discipline called "Community Health". To build this report, the guiding documents were the National Policy of Humanization, Reports in Popular Education in Health, National Curricular Guidelines of Nutrition Graduation Course and the Course's Pedagogical Project. Results: The discipline has a mainly practical hourly load and involves fields of action of primary healthcare, such as Family Health Strategy, and basic protection, as a Reference Center for Social Assistance. The students' experience in these services enables them to approach reality and to know the demands, potentialities and difficulties of health work, aiming at the training of general, humanist and critical practitioners, as recommended by the documents analyzed. The discipline is based on an innovative pedagogical approach, with a dialogical exhibition of contents, movies and documentaries to foster discussions and exposition of concepts. In addition, as a resource of...
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