Made available in DSpace on 2015-03-03T11:52:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-08-22Bitstream added on 2015-03-03T12:07:06Z : No. of bitstreams: 1 000807276.pdf: 704969 bytes, checksum: ff10c194ee62e34fee0c1662ec6b1794 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weight (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, pointing to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight have increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weigth (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about the parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, poiting to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems

Orientador: Ligia Maria Suppo de Souza Rugolo / Coorientador: Saskia Maria Wiegerinck Fekete / Banca: Celeste Gomez Sardinha Oshiro / Banca: João Cesar Lyra / Resumo: Introdução: Pré-eclampsia (PE) é a complicação médica mais frequente da gestação e os dados são conflitantes quanto ao prognóstico dos filhos de mães com PE. Objetivo: Determinar a prevalência de alterações ao ultrassom de crânio (USc) e os fatores de risco associados, em prematuros de muito baixo peso (PT-MBP) de mães com PE em comparação aos de normotensas. Investigar a influência da restrição do crescimento intrauterino nos achados ultrassonográficos. Métodos: Coorte de PT-MBP nascidos no serviço e internados na UTI neonatal do HC da Faculdade de Medicina de Botucatu-UNESP, de janeiro de 2009 a dezembro de 2013. Excluídos os que não realizaram USc. Foram constituídos 2 grupos de PT-MBP: 1- mães PE e 2- Mães normotensas, que foram comparados quanto às características, gestacionais e neonatais. Desfecho: alterações no USc (hemorragia periintraventricular graus I a IV, e leucomalácia periventricular). Por regressão logística foram avaliados os fatores de risco ou proteção para as alterações no USc. Resultados: Foram estudados 381 PTMBP, sendo 151 de mães pré-eclampticas e 230 de mães normotensas. A prevalência de alterações no USc foi de 39%, sendo menor no grupo PE (30% versus 45%; p=0,007). No grupo PE a idade gestacional foi maior, a restrição do crescimento intrauterino foi muito frequente, e a morbidade neonatal menor. Na regressão logística a PE não foi identificada como fator de risco ou proteção para alterações ultrassonográficas. Também o uso de sulfato de magnésio, a corioamnionite e a restrição do crescimento intrauterino não se associaram com os achados ultrassonográficos. A idade gestacional e o parto cesáreo foram fatores de proteção, e a administração de surfactante, uso de inotrópicos e infecção foram fatores de risco. Conclusão: A prevalência de alterações ao USc foi elevada nos PT-MBP e embora menos frequente no grupo PE, esta doença, bem como a... / Abstract: Background: Preeclampsia (PE) is the most common medical complication in pregnancy, however data on the morbidity and outcome for preterm infants of preeclamptic mothers are conflicting, and few studies address this issue. Objective: To determine the prevalence of cranial ultrasound abnormalities and to identify variables that affect the risk of these abnormalities in very low birthweight infants (VLBW) from preeclamptic and normotensive mothers. To investigate the influence of intrauterine growth restriction on the cerebral ultrasound findings. Methods: A cohort of all inborn VLBW infants admitted to NICU at University Hospital-Botucatu School of Medicine-UNESP from January 2009 to December 2013. Infants who was not assessed by cranial ultrasound screening were excluded. Two groups of infants: 1: Preeclamptic mothers (PE) and 2: Normotensive mothers were compared regarding gestational and neonatal data. Primary outcome: cranial ultrasound abnormalities (intraventricular hemorrhage grades I to IV and periventricular leukomalacia). Logist regression analyses were used to identify risk factors for ultrasound abnormalities. Results: A total of 381 VLBW infants were studied, 151 born to preeclamptic mothers and 230 from normotensives. The prevalence of abnormal ultrasound findings was 39%, with lower rate in PE group (30% vs 45%; p=0,007). In PE group the gestational age was higher, intrauterine growth restriction was very common and neonatal morbidity was lower. PE was not an independent risk or protective factor for cranial ultrasound abnormalities on logistic regression analysis. Antenatal magnesium sulphate therapy, chorioamnionitis and intrauterine growth restriction were not associated with ultrasound findings. Gestational age and cesarean delivery were protective factors, whereas surfactant administration, inotropic use within the first 72 hours of life, and neonatal infection were associated with increased risk of cranial ultrasound ... / Mestre

Orientador: Cristina Maria Garcia de Lima Parada / Coorientador: Vera Lúcia Pamplona Tonete / Banca: Sonia Silva Marcon / Banca: Monika Wernet / Banca: Sueli Terezinha Ferreira Martins / Banca: Gimol Benzaquen Perosa / Resumo: O nascimento de um filho, de modo geral, gera transformações no contexto familiar. No caso do nascimento de recém-nascido de muito baixo peso, a família se vê frente a uma experiência delicada e difícil, que ocasiona diversas mudanças em sua dinâmica. O cuidado a essa população por parte do setor saúde mostra-se como desafio, tendo em vista a complexidade biopsicosocial envolvida. Considerando o exposto, o objetivo geral deste estudo foi apreender as representações maternas e de enfermeiros sobre o cuidado integral aos recém-nascidos de muito baixo peso. Os objetivos específicos foram: identificar, por meio da literatura científica, os sentimentos que permeiam as representações de famílias que vivenciam o nascimento de recém-nascido de risco, bem como o cuidado prestado aos recémnascidos de baixo peso por equipes de Saúde da Família; apreender as representações de enfermeiros sobre a participação da família no cuidado do recém-nascido de muito baixo peso internado em unidade de terapia intensiva neonatal; apreender representações maternas sobre cuidado de recém-nascidos de muito baixo peso em unidades de internação neonatal; identificar os vínculos apoiadores de famílias de recém-nascido prematuro e de muito baixo peso egresso de unidade de terapia intensiva neonatal e apreender as representações maternas e de enfermeiros sobre o cuidado no domicílio ao recém-nascido de muito baixo peso. Trata-se de pesquisa de abordagem qualitativa, sob a ótica da Teoria das Representações Sociais. Foram realizadas duas revisões integrativas da literatura e quatro estudos descritivos, com dados colhidos por meio de entrevistas semiestruturadas, sendo estes analisados segundo o referencial metodológico do Discurso do Sujeito Coletivo. Empregaram-se, também, como técnica de coleta de dados, o genograma e ecomapa. A amostra foi constituída por 41 familias (mães, 10 pais, seis avós maternas e duas avós paternas), ... / Abstract: The birth of a child, in general, causes transformations in the family context. In case of the birth of a very low birth weight newborn, the family is faced with a delicate and difficult experience, which causes several changes in its dynamics. The caring to this population by the health sector shows up as a challenge, considering the biopsychosocial complexity involved. Considering the above, the aim of this study was to understand the representations of mothers and nurses about the integral care to the very low weight newborns. The specific objectives were to identify, through the scientific literature, the feelings that permeate the representations of families experiencing the birth of a newborn at risk, as well as the care given to underweight newborns by teams of the Family Health , to apprehend the representations of nurses about family participation in the care of the very low birth weight newborn admitted to neonatal intensive care unit; grasp representations about maternal care of infants with very low birth weight in hospital neonatal units; identify ties supporters of families of preterm newborns and very low birth weight, taken of neonatal intensive care unit and apprehend the representations of mothers and nurses on home care to the very low weight newborns. This is a qualitative research, under a perspective of the Theory of the Social Representations. There were two integrative reviews of the literature and four descriptive studies, with data collected through semi-structured interviews and analyzed according to the methodological framework of the Collective Subject Discourse.A technique for data collection was also used: the genogram and eco-map. The sample consisted of 41 families (mothers, 10 fathers, six grandmothers and two paternal grandparents), 18 nurses in the intensive care unit and 22 nurses in primary health care unit / Family Health Program. The data collection period was ... / Doutor

Orientador: Luiz Fernando Costa Nascimento / Coorientadora: Andrea Paula Peneluppi de Medeiros / Banca: João Andrade de Carvalho Junior / Banca: Gregório Lorenzo Acácio / Resumo: Este trabalho tem por objetivo avaliar a exposição da gestante aos poluentes do ar em sua somatória de 30, 60 e 90 dias anteriores ao parto, e analisar o efeito desses poluentes sobre o baixo peso ao nascer. Trata-se de estudo longitudinal, com dados todos os nascidos vivos de mulheres residentes no município de São José dos Campos no ano de 2013, excluindo os com peso menor de 500 gramas, os partos ocorridos até 36 semanas e 6/7 de gestação, os partos gemelares e trigemelares, bem como os fetos com mal-formação congênita. A variável dependente, peso ao nascer, foi categorizada como desfavorável ≤ 2500 g e favorável > 2500 g, e as independentes foram idade materna, estado civil, escolaridade, número de consultas e mês do início do pré-natal. Os poluentes do ar analisados foram SO2, PM10, CO, NO2 e O3 com dados acumulados de 30, 60 e 90 dias anteriores ao parto. A análise utilizada foi o modelo de regressão logística hierarquizada em três níveis: distal, intermediário e proximal. Foram 9336 nascidos vivos, sendo incluídos 8028 (86,0%) que atenderam aos critérios de inclusão. As variáveis significativas do nível distal foram idade materna e estado civil, do nível intermediário o número de consultas e no proximal a exposição materna ao O3 com 60 dias (OR= 1,10) e 90 dias (OR= 1,12) anteriores ao parto, sendo para o sexo feminino a associação ao O3 se deu no segundo quartil (OR = 1,61) e no quarto quartil (OR = 1,16) e para o sexo masculino com 90 dias no terceiro quartil (OR = 1... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The purpose of this study is to evaluate the exposure of pregnant women to air pollutants in their sum of 30, 60 and 90 days prior to birth, and to analyze the effect of these pollutants on low birth weight. This is a longitudinal study, with data on all live births of women living in the São José dos Campos City in 2013, excluding newborns under 22 complete weeks of gestation and those weighing less than 500 g, births under to 36 weeks and 6/7, twin and trigeminal gestations, and fetuses with congenital malformation. The dependent variable was birth weight and was categorized as unfavorable ≤ 2500 g and favorable> 2500 g, and the independent variables were maternal age, marital status, schooling, number of prenatal visits and month of prenatal initiation. The air pollutants analyzed were SO2, PM10, CO, NO2 and O3 with cumulative data of 30, 60 and 90 days prior to labor. The analysis used was the hierarchical logistic regression model at three levels: distal, intermediate and proximal. There were 9336 live births and 8028 (86.0%) that filed the inclusion criteria. The significant variables of the distal level were maternal age and marital status, at the intermediate level the number of prenatal visits. In the proximal level the maternal exposure to O3 with 60 days (OR = 1.10) and 90 days (OR = 1.12) prior to delivery, being to females sex the association of the O3 was in the second quartile (OR = 1.61) and in the fourth quartile (OR = 1.16) and for males sex with 90 days in the third quartile (OR = 1, 35). This study allowed the identification of the association only with the exposure of the pregnant woman to the O3 for the accumulated 60 and 90 days before delivery with low birth weight, and for the other pollutants there was no statistical significance / Mestre

Orientador: Lígia Maria Suppo de Souza Rugolo / Banca: Maria Regina Bentlin / Banca: Paulo Roberto Pachi / Resumo: A síndrome hipertensiva gestacional está associada com prematuridade e restrição de crescimento fetal. Estudos sobre o crescimento dos recém-nascidos de mães hipertensas são escassos e inconclusivos. Avaliar o perfil de crescimento de prematuros de baixo peso ao nascer, filhos de mães hipertensas nos primeiros dois anos de vida e investigar a ocorrência de distúrbios no crescimento. Estudo de coorte de prematuros de baixo peso, acompanhados até os 24 meses de idade corrigida, no ambulatório de seguimento de um centro Universitário, entre agosto de 2008 a dezembro de 2010. Peso, comprimento e perímetro cefálico foram aferidos a cada 3 meses no 1º ano e por semestres no 2º ano. As medidas antropométricas foram analisadas conforme as curvas-padrão da OMS. Desfechos: falha de crescimento e risco de sobrepeso. Associações entre grupos foram investigadas por análise univariada. 80 prematuros de mães hipertensas e 101 de mães normotensas foram estudados. Não houve diferença no perfil de crescimento entre os 2 grupos. As medidas das crianças foram próximas ao padrão da OMS, principalmente peso e perímetro cefálico. Crianças de mães hipertensas mostraram aumento do risco de sobrepeso (RR=2,20;IC95%:1,07-4,57) com 24 meses de idade corrigida. Prematuros adequados para idade gestacional apresentaram maior crescimento ponderal que os pequenos para idade gestacional. O perfil de crescimento de prematuros de baixo peso de mães hipertensas e normotensas é semelhante nos primeiros anos de vida, mas ao final do segundo ano as crianças de mães hipertensas apresentam maior risco de sobrepeso / Abstract: Hypertensive disorders of pregnancy are associated with prematurity and fetal growth restriction. Studies on the growth of infants born to hypertensive mothers are scarce and inconclusive. To assess the growth profile of preterm low birth weight infants, born to hypertensive mothers in the first two years of life and to evaluate the occurrence of growth disorders. A cohort study of low birth weight preterm infants followed up to 24 months corrected age (CA) at a University follow up clinic, between August 2008 to December 2010. Weight, length and head circumference were measured every 3 months during the first year and by semesters in the second year. Anthropometric measurements were plotted on WHO growth reference charts. Outcomes: failure to thrive and risk of overweight. Associations between groups were investigated by univariate analysis. 80 premature infants born to hypertensive mothers and 101of normotensive were studied. There was no difference in the growth profile between the 2 groups. The measurements of the infants were close to the standard of WHO, especially weight and head circumference. Children of hypertensive mothers showed increased risk for overweight (RR = 2.20, 95% :1,07-4, 57) at 24 months CA. Appropriate for gestational age infants had higher weight growth than small for gestational age. The growth profile of preterm low birth weight born to hypertensive and normotensive mothers is similar in the first years of life, but at the end of the second year the infants of hypertensive mothers are at increased risk of overweight / Mestre

Orientador: Olga Maria Piazentin Rolim Rodrigues / Banca: Verônica Aparecida Pereira / Banca: Tania Gracy Martins do Valle / Resumo: Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weight (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, pointing to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Abstract: Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight have increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weigth (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about the parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, poiting to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Mestre

Made available in DSpace on 2015-12-10T14:23:43Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-26. Added 1 bitstream(s) on 2015-12-10T14:29:43Z : No. of bitstreams: 1 000848644.pdf: 897471 bytes, checksum: c19f5ecc788d0375e93aee6bd4e968f6 (MD5) / Introdução: Pré-eclampsia (PE) é a complicação médica mais frequente da gestação e os dados são conflitantes quanto ao prognóstico dos filhos de mães com PE. Objetivo: Determinar a prevalência de alterações ao ultrassom de crânio (USc) e os fatores de risco associados, em prematuros de muito baixo peso (PT-MBP) de mães com PE em comparação aos de normotensas. Investigar a influência da restrição do crescimento intrauterino nos achados ultrassonográficos. Métodos: Coorte de PT-MBP nascidos no serviço e internados na UTI neonatal do HC da Faculdade de Medicina de Botucatu-UNESP, de janeiro de 2009 a dezembro de 2013. Excluídos os que não realizaram USc. Foram constituídos 2 grupos de PT-MBP: 1- mães PE e 2- Mães normotensas, que foram comparados quanto às características, gestacionais e neonatais. Desfecho: alterações no USc (hemorragia periintraventricular graus I a IV, e leucomalácia periventricular). Por regressão logística foram avaliados os fatores de risco ou proteção para as alterações no USc. Resultados: Foram estudados 381 PTMBP, sendo 151 de mães pré-eclampticas e 230 de mães normotensas. A prevalência de alterações no USc foi de 39%, sendo menor no grupo PE (30% versus 45%; p=0,007). No grupo PE a idade gestacional foi maior, a restrição do crescimento intrauterino foi muito frequente, e a morbidade neonatal menor. Na regressão logística a PE não foi identificada como fator de risco ou proteção para alterações ultrassonográficas. Também o uso de sulfato de magnésio, a corioamnionite e a restrição do crescimento intrauterino não se associaram com os achados ultrassonográficos. A idade gestacional e o parto cesáreo foram fatores de proteção, e a administração de surfactante, uso de inotrópicos e infecção foram fatores de risco. Conclusão: A prevalência de alterações ao USc foi elevada nos PT-MBP e embora menos frequente no grupo PE, esta doença, bem como a... / Background: Preeclampsia (PE) is the most common medical complication in pregnancy, however data on the morbidity and outcome for preterm infants of preeclamptic mothers are conflicting, and few studies address this issue. Objective: To determine the prevalence of cranial ultrasound abnormalities and to identify variables that affect the risk of these abnormalities in very low birthweight infants (VLBW) from preeclamptic and normotensive mothers. To investigate the influence of intrauterine growth restriction on the cerebral ultrasound findings. Methods: A cohort of all inborn VLBW infants admitted to NICU at University Hospital-Botucatu School of Medicine-UNESP from January 2009 to December 2013. Infants who was not assessed by cranial ultrasound screening were excluded. Two groups of infants: 1: Preeclamptic mothers (PE) and 2: Normotensive mothers were compared regarding gestational and neonatal data. Primary outcome: cranial ultrasound abnormalities (intraventricular hemorrhage grades I to IV and periventricular leukomalacia). Logist regression analyses were used to identify risk factors for ultrasound abnormalities. Results: A total of 381 VLBW infants were studied, 151 born to preeclamptic mothers and 230 from normotensives. The prevalence of abnormal ultrasound findings was 39%, with lower rate in PE group (30% vs 45%; p=0,007). In PE group the gestational age was higher, intrauterine growth restriction was very common and neonatal morbidity was lower. PE was not an independent risk or protective factor for cranial ultrasound abnormalities on logistic regression analysis. Antenatal magnesium sulphate therapy, chorioamnionitis and intrauterine growth restriction were not associated with ultrasound findings. Gestational age and cesarean delivery were protective factors, whereas surfactant administration, inotropic use within the first 72 hours of life, and neonatal infection were associated with increased risk of cranial ultrasound ...

Made available in DSpace on 2014-06-11T19:35:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-11-12Bitstream added on 2014-06-13T20:06:52Z : No. of bitstreams: 1 000747539.pdf: 11279178 bytes, checksum: 3c69109ef86c104fa25df5975f4e7dfd (MD5) / O nascimento de um filho, de modo geral, gera transformações no contexto familiar. No caso do nascimento de recém-nascido de muito baixo peso, a família se vê frente a uma experiência delicada e difícil, que ocasiona diversas mudanças em sua dinâmica. O cuidado a essa população por parte do setor saúde mostra-se como desafio, tendo em vista a complexidade biopsicosocial envolvida. Considerando o exposto, o objetivo geral deste estudo foi apreender as representações maternas e de enfermeiros sobre o cuidado integral aos recém-nascidos de muito baixo peso. Os objetivos específicos foram: identificar, por meio da literatura científica, os sentimentos que permeiam as representações de famílias que vivenciam o nascimento de recém-nascido de risco, bem como o cuidado prestado aos recémnascidos de baixo peso por equipes de Saúde da Família; apreender as representações de enfermeiros sobre a participação da família no cuidado do recém-nascido de muito baixo peso internado em unidade de terapia intensiva neonatal; apreender representações maternas sobre cuidado de recém-nascidos de muito baixo peso em unidades de internação neonatal; identificar os vínculos apoiadores de famílias de recém-nascido prematuro e de muito baixo peso egresso de unidade de terapia intensiva neonatal e apreender as representações maternas e de enfermeiros sobre o cuidado no domicílio ao recém-nascido de muito baixo peso. Tratase de pesquisa de abordagem qualitativa, sob a ótica da Teoria das Representações Sociais. Foram realizadas duas revisões integrativas da literatura e quatro estudos descritivos, com dados colhidos por meio de entrevistas semiestruturadas, sendo estes analisados segundo o referencial metodológico do Discurso do Sujeito Coletivo. Empregaram-se, também, como técnica de coleta de dados, o genograma e ecomapa. A amostra foi constituída por 41 familias (mães, 10 pais, seis avós maternas e duas avós paternas),... / The birth of a child, in general, causes transformations in the family context. In case of the birth of a very low birth weight newborn, the family is faced with a delicate and difficult experience, which causes several changes in its dynamics. The caring to this population by the health sector shows up as a challenge, considering the biopsychosocial complexity involved. Considering the above, the aim of this study was to understand the representations of mothers and nurses about the integral care to the very low weight newborns. The specific objectives were to identify, through the scientific literature, the feelings that permeate the representations of families experiencing the birth of a newborn at risk, as well as the care given to underweight newborns by teams of the Family Health , to apprehend the representations of nurses about family participation in the care of the very low birth weight newborn admitted to neonatal intensive care unit; grasp representations about maternal care of infants with very low birth weight in hospital neonatal units; identify ties supporters of families of preterm newborns and very low birth weight, taken of neonatal intensive care unit and apprehend the representations of mothers and nurses on home care to the very low weight newborns. This is a qualitative research, under a perspective of the Theory of the Social Representations. There were two integrative reviews of the literature and four descriptive studies, with data collected through semi-structured interviews and analyzed according to the methodological framework of the Collective Subject Discourse.A technique for data collection was also used: the genogram and eco-map. The sample consisted of 41 families (mothers, 10 fathers, six grandmothers and two paternal grandparents), 18 nurses in the intensive care unit and 22 nurses in primary health care unit / Family Health Program. The data collection period was ...

Made available in DSpace on 2014-06-11T19:29:51Z (GMT). No. of bitstreams: 0 Previous issue date: 2011Bitstream added on 2014-06-13T18:59:45Z : No. of bitstreams: 1 costa_el_me_botfm.pdf: 250558 bytes, checksum: 70bf179aa259c3c0b523630a00bdc8c1 (MD5) / Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) / A análise da evolução e principais características dos nascimentos no Brasil no período de 2000 a 2007 evidencia que mulheres com idade de 15 a 19 anos, no momento do parto, respondem por 20% dos nascimentos no país. Estudos indicam que a gravidez na adolescência, etapa da vida de 10 a 19 anos, está associada a eventos adversos no recém- -nascido como baixo peso, prematuridade e comprometimento das condições de vitalidade ao nascimento. Dois objetivos foram definidos: 1.Revisar a ocorrência de partos prematuros e de baixo peso ao nascer com a gravidez em adolescentes e sua condição socioeconômica e cultural. Analisar os nascimentos, descrevendo-os segundo características da gestação, do parto e do recém-nascido. Dois trabalhos foram realizados para responder os objetivos. O primeiro compreende um artigo de revisão de um levantamento bibliográfico onde foram identificados textos que abordam assunto e o segundo um artigo original. Neste trabalho foram analisadas 24.800 declarações de nascidos vivos, correspondentes aos partos hospitalares ocorridos no Hospital Regional da Asa Sul (HRAS), no período de 1º de janeiro de 2006 a 31 de dezembro de 2009. As faixas etárias maternas foram estratificadas em: adolescente precoce, idade entre 10 a 14 anos; adolescente tardia, idade de 15 a 19 anos e adultas jovens, de 20 a 35 anos. Foi utilizando o programa estatístico SPSS versão 17.0 e aplicado o Qui-quadrado de Pearson com significância de 5 %. Rocha et al apuraram que a ocorrência de baixo peso logo após o nascimento no grupo de gestantes precoces foi muito maior (13,5%) em relação ao grupo de gestantes tardias (3,1%); identificaram no seu estudo que 91,3% das gestantes precoces possuíam somente o ensino fundamental, enquanto que as gestantes tardias representavam 55,5%. Ainda nessa pesquisa... / An analysis of the development and main characteristics of births in Brazil from 2000 to 2007 suggests that women aged 15 to 19 at childbearing represent 20% of births in this country. Studies have demonstrated that pregnancy among teenagers, a stage of life between the ages of 13 and 19, is associated with adverse birth outcomes such as low-birth weight, prematurity and compromised vitality conditions at birth. Two objectives were defined:To revise the incidence of preterm births and low-birth weight in teenage pregnant mothers and their socioeconomic and cultural condition. To analyse the births, describing them according to pregnancy, delivery and newborn infant characteristics. Two studies were carried out to meet the objectives. The first one is a review article based on reference materials in which article s related to the topic were identified, and the second one, the original article. In the present study, we analysed 24.8000 declarations of live births corresponding to hospital births at the Hospital Regional da Asa Sul (HRAS), from January 1, 2006, to December 31, 2009. The mother age groups were stratified in: precocious adolescent, aged between 10 to 14; late adolescent, between 15 to 19; and young adult, between 20 to 35. We used the statistical program SPSS version 17.0 and applied the Chi-square Pearson with 5% level of significance. Rocha et al concluded that the incidence of low-birth weight in the group of precocious pregnant adolescents was much higher (13.5%) if compared to the group of late pregnant adolescents (3.1%); it was also showed that 91.3% of precocious pregnant adolescents had just basic schooling while in the late pregnant adolescents, 55.5%. Still in this study it has been showed that 37.5% of precocious pregnant adolescents had poor prenatal care, having fewer than 07 visits... (Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:29:52Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-02-28Bitstream added on 2014-06-13T20:20:22Z : No. of bitstreams: 1 kiy_am_me_botfm.pdf: 671369 bytes, checksum: 631d15c2eb13910d4bbd22e725169c09 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A síndrome hipertensiva gestacional está associada com prematuridade e restrição de crescimento fetal. Estudos sobre o crescimento dos recém-nascidos de mães hipertensas são escassos e inconclusivos. Avaliar o perfil de crescimento de prematuros de baixo peso ao nascer, filhos de mães hipertensas nos primeiros dois anos de vida e investigar a ocorrência de distúrbios no crescimento. Estudo de coorte de prematuros de baixo peso, acompanhados até os 24 meses de idade corrigida, no ambulatório de seguimento de um centro Universitário, entre agosto de 2008 a dezembro de 2010. Peso, comprimento e perímetro cefálico foram aferidos a cada 3 meses no 1º ano e por semestres no 2º ano. As medidas antropométricas foram analisadas conforme as curvas-padrão da OMS. Desfechos: falha de crescimento e risco de sobrepeso. Associações entre grupos foram investigadas por análise univariada. 80 prematuros de mães hipertensas e 101 de mães normotensas foram estudados. Não houve diferença no perfil de crescimento entre os 2 grupos. As medidas das crianças foram próximas ao padrão da OMS, principalmente peso e perímetro cefálico. Crianças de mães hipertensas mostraram aumento do risco de sobrepeso (RR=2,20;IC95%:1,07-4,57) com 24 meses de idade corrigida. Prematuros adequados para idade gestacional apresentaram maior crescimento ponderal que os pequenos para idade gestacional. O perfil de crescimento de prematuros de baixo peso de mães hipertensas e normotensas é semelhante nos primeiros anos de vida, mas ao final do segundo ano as crianças de mães hipertensas apresentam maior risco de sobrepeso / Hypertensive disorders of pregnancy are associated with prematurity and fetal growth restriction. Studies on the growth of infants born to hypertensive mothers are scarce and inconclusive. To assess the growth profile of preterm low birth weight infants, born to hypertensive mothers in the first two years of life and to evaluate the occurrence of growth disorders. A cohort study of low birth weight preterm infants followed up to 24 months corrected age (CA) at a University follow up clinic, between August 2008 to December 2010. Weight, length and head circumference were measured every 3 months during the first year and by semesters in the second year. Anthropometric measurements were plotted on WHO growth reference charts. Outcomes: failure to thrive and risk of overweight. Associations between groups were investigated by univariate analysis. 80 premature infants born to hypertensive mothers and 101of normotensive were studied. There was no difference in the growth profile between the 2 groups. The measurements of the infants were close to the standard of WHO, especially weight and head circumference. Children of hypertensive mothers showed increased risk for overweight (RR = 2.20, 95% :1,07-4, 57) at 24 months CA. Appropriate for gestational age infants had higher weight growth than small for gestational age. The growth profile of preterm low birth weight born to hypertensive and normotensive mothers is similar in the first years of life, but at the end of the second year the infants of hypertensive mothers are at increased risk of overweight