Orientador: José Carlos Peraçoli / Banca: Leoni Antonio Simonetti / Banca: Roberto Antonio Araújo Costa / Resumo: No passado, as gestantes eram aconselhadas a reduzirem suas atividades de trabalho ocupacional ou muitas vezes a interrompê-las, especialmente durante os estágios finais da gestação. Acreditava-se que essas atividades aumentariam o risco de trabalho de parto prematuro. Atualmente, entende-se que, apenas determinadas atividades laborais podem ser fatores de risco para intercorrências como parto prematuro e baixo peso ao nascer. Por outro lado, verifica-se que o gasto energético de nível médio pode ser vantajoso para o ganho de peso do recém-nascido e contribui para a redução do risco de complicações no parto. Em contrapartida, a baixa atividade física acarreta maiores chances de prematuridade. Caracterizar o perfil das atividades cotidianas e determinar o desfecho materno-perinatal de gestantes nulíparas. Foram avaliada 106 gestantes nulíparas, acompanhadas no Serviço de Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Botucatu - Unesp. Foram considerados critérios de inclusão ter: gestação única e não ser portadora de doença clínica ou intercorrência obstétrica. Todas as gestantes responderam a um interrogatório com intuito de determinar o perfil de atividades cotidianas desempenhadas pelas mesmas, bem como a energia gasta ao realizar essas atividades. Foram analisados os desfechos maternos (evolução da gestação e tipo de parto) e perinatais (peso, índice de Apgar e peso em relação à idade gestacional). Os grupos de gestantes com atividade física leve e sedentária foram comparados em relação às variáveis numéricas pelo teste de Mann-Whitney e em relação às variáveis categóricas pelo teste Qui-quadrado ou pelo teste exato de Fisher. Considerou-se o nível de significância de 5%. Observou-se predomínio de adolescentes (57,5%) e alta taxa de... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: In the past, pregnant women were advised to reduce their occupational work activities or often break them, especially during the final stages of pregnancy. It was believed that these activities might increase the risk of premature labor. Currently, it is understood that only certain activities can be risk factors for complications such as premature delivery and low birthweight. On the other hand, it appears that the average energy expenditure can be advantageous for the weight gain of the newborn and contributes to reducing the risk of complications at birth. In contrast, low physical activity leads to greater chances of prematurity. To characterize the profile of daily activities and determine the maternal and perinatal outcome of nulliparous women. We evaluated 106 nulliparous pregnant women attended at the Obstetric Service of Clinical Hospital of Botucatu Medical School - UNESP. The inclusion criteria were: single pregnancy and not show clinical disease or obstetric complications. All pregnant women completed the interrogation aiming to determine the profile of daily activities performed by them, as well as the energy expended to perform these activities. We analyzed the maternal (pregnancy outcome and type of birth) and perinatal (weight, Apgar score and weight for gestational age) outcomes. The groups of pregnant women with mild physical activity and sedentary were compared to the numerical variables by the Mann-Whitney test and for categorical variables by chi-square test or Fisher's exact test. The significance level was set at 5%. It was observed the predominance of adolescents (57.5%) and high inactivity rate (69.8%), with a large percentage of daily activity represented by watching television over 4 hours daily (41,5%). Comparison between sedentary and light physical activity or less active groups showed that... (Complete abstract click electronic access below) / Mestre

Thesis (M Med.(Family Medicine))--University of Limpopo, 2010. / OBJECTIVE: In 2007 36% of the pregnant women tested positive for HIV at Embhuleni Hospital and its satellite clinics. However, only one quarter of those returned to the wellness clinic for their CD4 results so as to begin with Anti-Retrovirus Therapy (ART) if they qualified. The rest would not return to the wellness clinic, and would only present late with opportunistic infections or a subsequent pregnancy. The study aimed at exploring the reasons why women who had been tested for HIV by means of VCT failed to return for their CD4 results, to understand those reasons, to determine what information was given to them before they were tested, to assess the availability of personal support systems (family, friends, etc), and finally to assess the women’s understanding of HIV/AIDS, for which they were tested. METHODS: A descriptive qualitative study was conducted using the free attitude interview technique for data collection. The Ante-natal care (ANC) clinic register of the Embhuleni Hospital was used to trace patients who had consented for voluntary counselling and testing (VCT), but who had since not returned for their results after 30 days of testing. Those patients were visited at their places of residence by the research team (interviewing nurse and the researcher) to request them to participate in the study. The exploratory question was: “May you tell us why you did not come back for your HIV test results?” “Sicela usichazele kutsi yinindzaba ungasetanga kutewuhlola imiphumela yakho yengati? (SiSwati Version). The interviews were audio recorded and field notes taken. The interviewer sought clarification for unclear issues raised, and gave reflective summaries at the conclusion of each idea under discussion. The interviews continued until there was information saturation. In this study, was reached at respondent number nine. The audio-tapes were transcribed verbatim, followed by translation into English. The emerging themes formed the basis for the write-up. RESULTS: The following themes emerged:  Communication between health care workers and patients Poor quality of communication (patients not told to come back)  Knowledge on HIV/AIDS and PMTCT Patients had poor knowledge of HIV/AIDS and PMTCT  Fear of stigma for HIV/AIDS The community associated coming back for the results with being HIV positive  Poor patient support Poor family support system for the patient Limited patient financial resources  Experience at the health facilities Lack of patient privacy Attitude of the health care workers not acceptable to patients CONCLUSION: The factors that resulted in non-return of the pregnant women to the facility for their results were that the women were not made aware that they were to return for their results; poor quality of communication by the hospital staff; unpleasant experiences by patients at the facility; patients feared community stigmatisation; there was lack of patient support, and the patients had poor knowledge of HIV/AIDS and PMTCT

In this study, the childbearing women's perception of the role of a midwife in Australia was explored using a descriptive study. Data was gathered using a semi structured questionnaire.The findings revealed that childbearing women in Australia overwhelmingly believed a midwife is specifically trained and qualified to deliver babies normally and to care for a woman in labour.In addition, the belief was that a midwife is trained to provide a comprehensive range of maternity related tasks.The overriding themes which emerged identified the midwife as a source of advice, information, support, education, guidance, specific midwifery knowledge and being a liason person between the doctor and the pregnant woman.Limitation of the role of a midwife was believed to be due to the nursing based training of a midwife.The findings from this study revealed that childbearing women in Australia, United Kingdom and Singapore have similar perceptions of a midwife's role.Recommendations were made for further studies to investigate the reasons for a persistent lack of information regarding the role of a midwife and the type of information required by pregnant women. / Master of Nursing (Hons.)

Little is known about domestic violence experienced by Thai pregnant women. This exploratory descriptive study aimed to investigate the prevalence of domestic violence during pregnancy and immediate postpartum period among Thai women aged between 18 and 45 years. The study also aimed to investigate maternal and neonatal outcomes for childbearing women, the ways in which they dealt with domestic violence, barriers that inhibited them from seeking help or resisting violence, as well as the needs and support that would be helpful in dealing with domestic violence. A cohort of 421 women in their third trimester of pregnancy was recruited from two tertiary public hospital antenatal clinics located in Khon Kaen Province, Northeastern Thailand. Structured questionnaires were used. Participants were again contacted at six weeks postpartum either in person at the family planning clinics or by telephone. Two hundred and seventy-four women were able to be contacted. The results showed that 53.7% of women reported psychological abuse, 26.6% experienced threats of and/or acts of physical abuse, and 19.2% experienced sexual violence during the current pregnancy. In the postpartum period, 35.4% of women reported psychological abuse, 9.5% reported threats of and/or acts of physical abuse, and 11.3% experienced sexual abuse. Women who were abused during pregnancy showed significantly poorer health status compared to non-abused women in role emotional functioning, vitality, bodily pain, mental health and social functioning. Women who experienced postpartum abuse reported significantly lower mean scores in mental health and social functioning than women who did not. Antepartum haemorrhage was also found to be statistically associated with physical abuse. No statistical differences were found between abuse status and neonatal outcomes. There were several strategies used by abused women in dealing with domestic violence to maximize their safety including crying, keeping quiet, leaving violent situations and temporarily staying with relatives, seeking help from others, and notifying local authorities. Support services that would be helpful for abused women in dealing with the problem included emotional support, social legal assistance, and community health promotion. Domestic violence during pregnancy and after birth is an increasing but under-recognized problem in Thailand. It has pervasive consequences on maternal health. The findings from this study suggest more interventions and urgent domestic violence support services need to be established in this remote area of Thailand. This study also suggests routine screening for domestic violence should be established to provide effective early intervention and prevention of adverse consequences of violence, as pregnancy is a time when most pregnant women seek health care.

This study describes the experience of homelessness and pregnancy for seven women and their partners in Lane County, Oregon. Homeless pregnant women provide a unique challenge to health care providers and social workers. These women are at increased risk for many negative factors that could affect their pregnancy outcomes. The purpose of the study was to collect information from pregnant women experiencing homelessness in Lane County. Data was analyzed to identify demographic characteristics, service use patterns and recurring themes. It is expected the results will be the basis for further research with homeless pregnant women in Lane County. The project utilized a mostly qualitative research design supported by limited quantitative data. The sources of data included client records, written surveys, and face-to-face personal interviews. Findings indicated that there is a service gap for women less than eight months pregnant with no other children in her custody and that over half of the participants had other children that were not in their current custody. The investigator recommends that further research examine the psychosocial aspects of homelessness and pregnancy. Also, the association between current pregnancy and the previous removal of a child from a mother's custody should be further explored. / Graduation date: 2000

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Thesis (Ph.D.) in Nursing--University of Maine, 2009. / Includes vita. Includes bibliographical references (leaves 134-152).

Thesis (Ph.D.)--Ohio University, June, 2009. / Release of full electronic text on OhioLINK has been delayed until June 1, 2012. Includes bibliographical references (leaves 222-251)

Thesis (Ph.D.)--Ohio University, June, 2009. / Title from PDF t.p. Release of full electronic text on OhioLINK has been delayed until June 1, 2012. Includes bibliographical references (leaves 222-251)