Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-03-15T13:32:48Z No. of bitstreams: 1 Nicolau Rafael Guimarães Coelho.pdf: 528512 bytes, checksum: 132075b0ad02b8127de4e84ea16dead3 (MD5) / Made available in DSpace on 2017-03-15T13:32:48Z (GMT). No. of bitstreams: 1 Nicolau Rafael Guimarães Coelho.pdf: 528512 bytes, checksum: 132075b0ad02b8127de4e84ea16dead3 (MD5) Previous issue date: 2017-02-22 / The objective of the present study is the analysis of a current topic of great relevance, namely, women's work and maternity, according to the current legal system. For this approach, it is necessary to highlight the dual role that women play in society, either as a worker in search of capital for the support of her family and as administrator of the home, and to provide means of subsistence in the first moments of the new life that was Conceived. Thus, there is no denying the need to reassess the role of motherhood, given the increased participation of women in the labor market. Including women in the labor market goes far beyond their qualification, just as men do. It means respecting their hormonal, personal and family characteristics, where maternity is highlighted, as it is a general knowledge of the difficulty of reconciling responsibilities arising from the labor market and the obligations arising from maternity. Despite the adverse scenario of maternity and the economic crisis in Brazil, the transition and increase in the number of women entering and remaining in the Brazilian labor market is perceptible. It should be noted that a brief analysis of statistics reveals that men still have higher wages, which demonstrates a discriminatory nature of the insertion of women into the labor market. On the other hand, there is an increase in female employment in middle-level qualification occupations, with relatively more compensated income, with labor benefits extended by the Federal Constitution of 1988, and supported by the Consolidation of Labor Laws (CLT) As in several activities that historically have always been occupied by the male sex, such as, engineering, drivers, among others / O objetivo do presente estudo é a análise de um tema atual e de grande relevância, qual seja, o trabalho da mulher e a maternidade, conforme o ordenamento jurídico vigente. Para essa abordagem, se faz necessário destacar o duplo papel que a mulher exerce na sociedade, seja como trabalhadora em busca do capital para o sustento de sua família e como administradora do lar, devendo prover meios de subsistência nos primeiros momentos da nova vida que foi concebida. Dessa forma, não há como negar a necessidade de reavaliar o papel da maternidade, perante o aumento da participação das mulheres no mercado de trabalho. Incluir a mulher no mercado de trabalho vai muito além de sua qualificação, tal como ocorre com os homens. Significa respeitar suas características hormonais, pessoais e familiares, onde destaca-se a maternidade, eis que é de conhecimento geral a dificuldade de conciliar as responsabilidades oriundas do mercado de trabalho e as obrigações decorrentes da maternidade. Em que pese o cenário adverso decorrente da maternidade e a crise econômica que o Brasil atravessa, é perceptível a transição e o aumento do número de mulheres que ingressam e permanecem cada vez mais no mercado de trabalho brasileiro. Importante salientar, que uma breve análise das estatísticas, revela que os homens ainda possuem maiores salários, o que demonstra um caráter discriminatório da inserção da mulher no mercado de trabalho. Por outro lado, observa-se o aumento da atividade feminina em ocupações de nível médio de qualificação, com rendimentos relativamente mais compensadores, com benefícios trabalhistas ampliados pela Constituição Federal de 1988, e sendo amparadas pela Consolidação das Leis do Trabalho (CLT), bem como em diversas atividades que historicamente sempre foram ocupadas pelo sexo masculino, tais como, engenharia, motoristas, entre outras

Made available in DSpace on 2016-04-25T20:22:45Z (GMT). No. of bitstreams: 1 Cristina Maria Macedo Tomaz.pdf: 2185440 bytes, checksum: 90455a30829828b01017ecddc8deab94 (MD5) Previous issue date: 2009-05-12 / The aim of this study is to research the memory of women who are hosted at the Associação de Crianças Cardíacas e Transplantadas do Coração (ACTC_ Association of Transplanted and Heart Disease Children) while their children are undergoing treatment at Instituto do Coração (INCOR_Heart Institute) located in the city of São Paulo. Most of them come from several different regions of Brazil and belong to the less privileged social classes. We established relations through their recollections and the construction of their identities by registering and interpreting the daily routine at the ACTC, as well as by analyzing these women s background using the memory as a methodological tool. We also tried to understand what to be a woman for this group means as well as how the child s disease and their new living experiences in the city of São Paulo interfere in the construction and reconstruction of their identities / O presente estudo trata da memória de mulheres que recebem hospedagem na Associação de Crianças Cardíacas e Transplantadas do Coração (ACTC), enquanto seus filhos estão em tratamento no INCOR Instituto do Coração, na cidade de São Paulo. A maioria delas vêm de diversas regiões do país e pertencem às camadas mais baixas da nossa população. Ao registrar e interpretar o cotidiano da ACTC, bem como analisar as histórias de vida dessas mulheres, utilizando a memória como recurso metodológico, estabelecemos relações por meio de suas lembranças com a construção de suas identidades. Além disso, procuramos compreender o que é ser mulher para esse grupo, assim como a doença do filho e as novas experiências vividas em São Paulo interferem na construção e reconstrução de suas identidades

Made available in DSpace on 2016-04-26T14:57:36Z (GMT). No. of bitstreams: 1 Cristina Maria Macedo Tomaz.pdf: 2185440 bytes, checksum: 90455a30829828b01017ecddc8deab94 (MD5) Previous issue date: 2009-05-12 / The aim of this study is to research the memory of women who are hosted at the Associação de Crianças Cardíacas e Transplantadas do Coração (ACTC_ Association of Transplanted and Heart Disease Children) while their children are undergoing treatment at Instituto do Coração (INCOR_Heart Institute) located in the city of São Paulo. Most of them come from several different regions of Brazil and belong to the less privileged social classes. We established relations through their recollections and the construction of their identities by registering and interpreting the daily routine at the ACTC, as well as by analyzing these women s background using the memory as a methodological tool. We also tried to understand what to be a woman for this group means as well as how the child s disease and their new living experiences in the city of São Paulo interfere in the construction and reconstruction of their identities / O presente estudo trata da memória de mulheres que recebem hospedagem na Associação de Crianças Cardíacas e Transplantadas do Coração (ACTC), enquanto seus filhos estão em tratamento no INCOR Instituto do Coração, na cidade de São Paulo. A maioria delas vêm de diversas regiões do país e pertencem às camadas mais baixas da nossa população. Ao registrar e interpretar o cotidiano da ACTC, bem como analisar as histórias de vida dessas mulheres, utilizando a memória como recurso metodológico, estabelecemos relações por meio de suas lembranças com a construção de suas identidades. Além disso, procuramos compreender o que é ser mulher para esse grupo, assim como a doença do filho e as novas experiências vividas em São Paulo interferem na construção e reconstrução de suas identidades

This thesis is focused on the situation of women - mothers in the Czech labor market as a vulnerable population groups. The work comprehensively analyzes the current system of support for women on maternity leave and subsequent return to the labor market. The theoretical part provides basic concepts and institutions associated with the harmonization of work and family life of women. The analytical part is focused on the causes of insecure women, which are captured from different angles: women, employers, and experts such as sociologists and psychologists. The analysis also provides a comparison of the CR family policy with selected European countries. To better illustrate, the work included a survey that was conducted in the South Region by the questionnaire method. In conclusion this thesis, there are summarizes most important findings detected during processing of the topic.

Late Motherhood from Demographic Point of View (Example of the Czech and Slovak Republic) Abstract The thesis thematically refers the issue of late motherhood in the Czech and Slovak Republics from the twenties of the twentieth century to the present from a demographic point of view. It describes the changes that have occurred during the observed years as to fertility of women aged over 35, using selected demographic indicators. In the second part the focus lies on the analysis of selected demographic factors using binary logistic regression. In the very end, the form of late motherhood is discussed. According to the results of the analysis are determined three different types of late motherhood. Keywords: late motherhood, late maternity, fertility, Czech Republic, Slovak Republic, logistic regression

O nascimento pré-termo é potencialmente traumático na vida da mãe e do bebê e o confronto entre o bebê imaginário da gestação e o bebê real tende a ser intensificado. O estudo buscou investigar o bebê imaginário e o bebê real prematuro, no pós-parto, na pré-alta e no 3º mês após a alta hospitalar do bebê. Buscou-se compreender o confronto entre o bebê imaginário e o bebê real e o processo de adaptação da mãe a este último. Participaram quatro mães de bebês pré-termos, primíparas, de 19 a 31 anos, com bebês nascidos entre 28-29 semanas, com peso entre 1000-1500g e internados na UTINeo. Com o delineamento de estudo de caso coletivo, buscou-se compreender cada caso, as semelhanças e particularidades entre eles. Entrevistas investigaram a experiência da gestação e da maternidade e foram examinadas por análise de conteúdo qualitativa. Os resultados confirmaram a expectativa de um maior confronto entre o bebê real e o bebê imaginário e a dificuldade de elaboração da perda do bebê imaginário e adaptação da mãe ao bebê real, no período pós-parto. Na pré-alta e no 3º mês após a alta, notou-se que as mães conseguiram se aproximar mais tanto física como emocionalmente do bebê real, elaborando a perda do bebê imaginário. No entanto, a maternidade mostrou-se envolta em constantes preocupações com o filho e exigências maternas em relação ao próprio desempenho. Assim, o nascimento pré-termo gerou um impacto emocional intenso nas mães e constituiu-se em um desafio para a adaptação destas às necessidades do filho e para a maternidade. / The preterm birth is a potentially traumatic event in the life of the mother and baby and in this context, the confrontation between the imaginary baby of pregnancy and the real baby can be enhanced. The aim of this study was to investigate the feelings of the mother about the imaginary baby and the real baby (in postpartum, pre-discharge and at 3 months after hospital discharge) in the context of preterm birth. Four mothers of preterm infants participated, primipara, aged 19 to 31 years. The babies were born between 28-29 weeks, weighing 1000-1500g and were hospitalized in the NICU. A study of collective case was carried out, trying to understand each case, the similarities and particularities among them. Interviews were conducted to investigate the experience of pregnancy and motherhood were examined by qualitative content analysis. Results confirmed the expectation of a major confrontation between the real and imaginary baby and the difficulty of the mother in elaborating the loss of the imaginary baby and the adjustment to the real baby, especially in the postpartum period. In the pre-discharge and at 3 months after discharge, it was noted that mothers were able to get closer, both physically and emotionally to the real baby, elaborating gradually the loss of the imaginary baby. However, motherhood proved to be surrounded by constant worries about the baby, with the mothers charging themselves in relation to their maternal performance. The results indicate that preterm birth has generated an intense emotional impact on mothers and constituted a challenge to adapt to the needs of the real premature baby and to motherhood.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2017-11-06T17:11:54Z No. of bitstreams: 1 Laudeci B. Batista.pdf: 1307965 bytes, checksum: 9bb27e13fa5efbdc825d86a5205e63ee (MD5) / Made available in DSpace on 2017-11-06T17:11:54Z (GMT). No. of bitstreams: 1 Laudeci B. Batista.pdf: 1307965 bytes, checksum: 9bb27e13fa5efbdc825d86a5205e63ee (MD5) Previous issue date: 2017-03-30 / From the second half of the twentieth century Brazilian society presented socio-cultural, economic and family changes which marked the construction of masculinity and parental care and which culminated in the advent of the new paternity, proposing a masculine attention that gives to man a bigger parental presence in domestic space and implies new meaning in the affective dimension of the father in relation to the child. However, this transformation is not exempted of tensions and it includes to the man traditional attributes added to new convictions. In this sense, the new paternity occurs from the inclusion and amplification of the involvement of the man-father in the context of the labor and childbirth and acquires a new meaning. The objective of this study is to comprehend the meanings that man attributes to his perception in the performance of paternity in the context of labor and childbirth in a public maternity hospital of Brazilian Northeast. This is a study with a qualitative approach that used the triangulation of methods: ethnography and in-depth interview done at the Instituto de Saúde Elpídio de Almeida - ISEA in the city of Campina Grande - PB. The data were collected during the months of April to May 2016, which population was determined by intentionality, with the interviews recorded in digital devices and later transcribed in totality, and the number of interviews defined by the criterion of theoretical saturation. As for the analysis of the empirical data, from the study of content, three analytical categories were constructed: 1- Expressions of paternity; 2. Meaning of being a father; 3 - how it is for this man being in the process of labor and childbirth. This study evidenced as main results the differences and similarities in the ways of being a father and of taking care, depending on the sector unit and the stages of laboring experienced, highlighting the support and shelter focused on women, suggesting a perspective of care attribution mediated by the mother considering the corporality of the fetus and the conjugal relationship. Although the man-father expresses availability for the care and the follow-up of the woman in labor, he did in an inconsistently form and putting himself as a support. As for the meaning of being a father, there were parents who as soon as they perceived themselves still in gestation, others from the childbirth and some related to the value and quality of their conjugal relationship. Being present in the labor and childbirth scenario offered openness to the living of paternity assuring the man to live an unique moment in life through the birth of the child and, on the other hand, made a problem of his presence, since there are still barriers of man himself, professionally and institutionally which separate the father from the birth scene, interfering with the father and child relationship. Thereby, the new paternity in the maternity scenario permits the expressions of the different modalities of being a father and that is why it becomes a relevant theme for the field of collective health. / A partir da segunda metade do século XX a sociedade brasileira apresentou alterações socioculturais, econômicas e familiares que marcaram a construção da masculinidade e o cuidado parental e que culminou no advento da nova paternidade propondo uma atenção masculina que confere ao homem maior presença paterna no espaço doméstico e imprime novo significado na dimensão afetiva do pai em relação ao filho. Porém, essa transformação não é isenta de tensões e agrega ao homem atributos tradicionais somados a novas convicções. Neste sentido, a nova paternidade dar-se a partir da inclusão e ampliação da participação do homem-pai no contexto do parto e nascimento e adquire nova significação. O objetivo desse estudo é compreender os significados que o homem atribui a sua vivência no exercício da paternidade no contexto do parto e nascimento em uma maternidade pública do nordeste brasileiro. Trata-se de um estudo com abordagem qualitativa que utilizou a triangulação de métodos: etnografia e entrevista em profundidade feito no Instituto de Saúde Elpídio de Almeida ¿ ISEA no município de Campina Grande ¿ PB. Os dados foram coletados durante os meses de abril a maio de 2016 cuja população foi determinada por intencionalidade sendo as entrevistas gravadas em aparelho digital e posteriormente transcritas na íntegra e o número de entrevistas definidos por critério de saturação teórica. Quanto à análise dos dados empíricos, a partir da análise de conteúdo, foram construídas três categorias analíticas: 1- Expressões da paternidade; 2- Significado de ser pai; 3 - Como é para este homem está no processo do parto e nascimento. Este estudo evidenciou como principais resultados diferenças e semelhanças nos modos de ser pai e de cuidar, dependendo da unidade setorial e das etapas do trabalho de parto vivenciadas, com destaque para apoio e amparo direcionado à mulher sugerindo uma perspectiva de atribuição de cuidado mediado através da mãe considerando a corporalidade do feto e a relação conjugal. Embora o homem-pai expresse disponibilidade para o cuidado e para o acompanhamento da mulher em trabalho de parto, ele o fez de modo inconsistente e posicionando-se como coadjuvante. Quanto ao significado de ser pai, houveram pais que assim perceberam-se ainda na gestação, outros a partir do nascimento e alguns relacionaram ao valor e qualidade da sua relação conjugal. Estar presente no cenário do parto e nascimento, por um lado, ofereceu abertura para vivência da paternidade garantindo ao homem viver um momento único na vida através do nascimento do filho e, por outro, problematizou a sua presença, haja vista ainda existirem barreiras do próprio homem, profissionais e institucionais que afastaram o pai da cena do parto interferindo na relação pai-filho. Deste modo, a nova paternidade no cenário da maternidade permite as expressões das modalidades diversas de ser pai e por isso torna-se uma temática relevante para o campo da saúde coletiva.

Background: To achieve better health outcomes it is important to identify those aspects of health care delivery system that determines patient satisfaction. The health care planners must therefore be cognizant of the opinions and expectations of those who utilize health care facilities to achieve better health outcomes. This also applies to maternal satisfaction. The study aimed to measure mothers satisfaction with maternity care and its association with various socio-demographic characteristics. Method: The study presented here is a quantitative cross-sectional study that utilizes secondary data from facility-based survey conducted in 12 different tertiary hospitals of Nepal and included client exit interviews  (n=43756). The maternal satisfaction association with different exposures and potential confounders was determined using multivariate logistic regression analysis. Statistical Package for Social Sciences (SPSS) was used for data analysis. Results:. Better information and counselling is seen to be associated with higher satisfaction and recommendation [AOR: 1.67 [1.60-1.75]] and [1.68[1.57-1.80], respectively. Higher level of delivery preparation indicates lower overall satisfaction [AOR: 0.70 [0.66-0.74]]. Mothers were seen to be less satisfied with the religious and cultural aspects of the maternal health services. Mothers age and sex of child was not seen to be significant with any outcome. Conclusion: Better information and counselling indicates more satisfaction and recommendation. Mothers delivery preparation is seen as a significant predictor of their overall satisfaction; therefore, this should be a part of education and information strategy for mothers from the different backgrounds.

Building on research about low-income mothers’ perceptions of social support and well-being levels, this research will vary the types of support mothers receive to determine the most effective way to increase mothers’ well-being. The proposed study will be a quasi-experimental, longitudinal study that focuses on maternity groups as a space that provides mothers with essential parenting information in addition to emotional support. Mothers will be randomly assigned to either a control condition with daily access to free parenting supplies or a treatment condition where they will have access to the parenting supplies and be invited to join a maternity group. The participants will complete a pre-test survey and then an identical post-test survey six months later. The surveys will assess their perceived levels of social support and well-being. It is expected that mothers in the treatment condition will report higher levels of perceived social support and well-being as a result of attending the weekly maternity group. The results will stress the importance of developing policies that amend the absence of accessible support programs for low-income mothers. These programs should be dedicated to providing free supplies for mothers while helping them establish supportive social networks that increase psychological well-being.

Knowledge gaps exist related to the care and education of pregnant teens. This project study addressed the problem of an inadequate amount of professional development (PD) and training for healthcare professionals (HCPs) caring for pregnant teens at a maternity clinic in the Southeastern United States. Unless HCPs are appropriately trained, the ability to meet the needs of pregnant teens is deficient and negative health outcomes for these patients are likely to be exacerbated. The humanistic learning theory was used in this phenomenological exploratory study to explore perception of 9 HCPs who had the responsibility for patient teaching, clinical care, and were full time employees at a maternity clinic. The research questions focused on the perceptions of the HCPs regarding their experiences of PD as it relates to the care of pregnant and parenting teens, strengths and weaknesses of their current PD, and how their PD could impact the health outcomes of pregnant and parenting teens. The themes developed from the interview data revealed a need for an expansion of HCP knowledge and skills to improve the healthcare of pregnant and parenting teens, as well as challenges associated with the current PD plan. The resulting project consisted of a 3-day workshop to increase the HCPs' proficiency and efficacy in caring for pregnant and parenting teens. Evaluation of the project will be through formative and summative assessment. The project contributes to positive social change at the local clinic by reinforcing the HCPs' skills in in educating, caring for, and supporting the teen parent population.