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1
Martin, C. J. "Stress in the puerperium." Thesis, University of Manchester, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.356440.
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Eichner, Yvonne. "Trächtigkeit, Geburt und Puerperium bei der Hündin." Diss., lmu, 2012. http://nbn-resolving.de/urn:nbn:de:bvb:19-148096.
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Knox, Fiona Mary. "Lung water in pregnancy and the early puerperium." Thesis, University of Aberdeen, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.277223.
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Background. Today, Mendelson's syndrome (pneumonitis following the aspiration of gastric contents) is a major cause of the small, but apparently irreducible number of maternal deaths associated with anaesthesia. Previous research has been directed at the relationship between the physical characteristics of the aspirate and the severity of the ensuing pneumonitis. Prophylaxis, logically based on this knowledge has been directed at reducing the volume and increasing the pH of the stomach contents of women in labour, and at specific measures to reduce the risk of aspiration at the induction of anaesthesia. Despite this, the maternal mortality attributed to Mendelson's syndrome remains essentially unchanged. The operation of an additional, but previously unconsidered variable might explain both the apparent increase in severity of Mendelson's syndrome and the failure of prophylaxis. This thesis reports attempts to elucidate the place of lung water content in this context. Review of the literature and theoretical discussion. This falls into two distinct but inter-related categories: (a) Circumstantial evidence, already existing in the literature for lung water handling being altered in pregnancy and the puerperium, for example the reports of B2 sympathomimetics inducing pulmonary oedema when used for tocolysis. (b) A detailed review of the present understanding of the pathogenesis of pulmonary oedema, together with the alterations in maternal physiology which accompany normal pregnancy. The two have not previously been considered in conjunction. From this base it is possible to proceed to a theoretical prediction of the consequences of such common interventions as the use of intravenous fluids, oxcytocics and endotracheal intubation under light general anaesthesia. Clinical Study - Normal Primagravidae. Twenty normal primagravidae were investigated for evidence of increased lung water. Detectable increases were found in seven. There was a positive correlation with plasma volume and water turnover. Clinical Study - Pre Eclampsia. Seventeen primagravidae having a pregnancy complicated by pre eclampsia were investigated for evidence of increased lung water. Detectable increases were found in six. There was a positive correlation with fluid balance. Mouse Model. The lungs of pregnant and non pregnant MF1 mice were examined by electron microscopy to confirm and if possible elucidate the expansion of the interstitial tissue detected by the clinical study. A stereological method of point counting allowed volumetric quantification of the tissue components and measurement of surface areas and thicknesses. The results showed that in pregnant mice: (1) Total lung volume was increased but not significantly; (2) The volume and surface area of alveolar lining cells was increased; (3) Pulmonary blood volume was unchanged; (4) Capillary surface area was unchanged; (5) The interstitial compartment was expanded. Within this compartment: The cellular component was unchanged The volume of collagen was unchanged The amorphous component was enlarged Basal lamina volume was increased Appendix A. A magnetic resonance imaging method of lung water measurement was developed with the intention of using it in pregnancy but was not sufficiently sensitive for this purpose.
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Smith, Mary Patricia. "Postpartum concerns of mothers." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26135.
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Using a questionnaire developed by M. Gruis in 1974, this study determines (a) the major concerns of primiparous and multiparous mothers one month postpartum, and (b) the resources used in meeting identified concerns. The sample was composed of 19 primiparas and 22 multiparas who delivered their babies in a large tertiary care maternity centre in Vancouver, B. C, in January and February of 1987.
The most frequently identified major concerns of primiparas were feeding, fatigue, breast soreness, infant behavior, and return of the figure. The most frequently identified major concerns of multiparas were fatigue, regulating demands, emotional tension, jealousy of other children, and the labor and delivery experience.
The vast majority of major concerns were dealt with effectively. The women used a variety of resources, and their partners were particularly helpful. However, for 64% of the multiparas in this study, the hospital stay did not provide preparation for the first weeks at home with their new babies. It is recommended that hospital nurses assess the learning needs of postpartum mothers individually, and place more attention on (a) the rest and recuperation of mothers from the birthing process, and (b) ensuring that mothers are able to thoroughly review their labor and delivery experiences.
Public health or community health nurses should see their postpartum clients as soon as possible after discharge from hospital. Teaching sessions can occur in the home, and in accordance with individual concerns.Applied Science, Faculty of
Nursing, School of
Graduate
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McDade, Megan Elizabeth. "Psychological preparation for motherhood and its association with postpartum outcomes /." Connect to title online (Scholars' Bank) Connect to title online (ProQuest), 2008. http://hdl.handle.net/1794/8414.
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Thesis (Ph. D.)--University of Oregon, 2008.Typescript. Includes vita and abstract. Includes bibliographical references (leaves 63-68). Also available online in Scholars' Bank; and in ProQuest, free to University of Oregon users.
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Schiavo, Rafaela de Almeida [UNESP]. "Presença de stress e ansiedade em primígestas no terceiro trimestre de gestação e no pós-parto." Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/97483.
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schiavo_ra_me_bauru.pdf: 678543 bytes, checksum: 3d0257b7fbad7c2fdf12837b076da463 (MD5)Universidade Estadual Paulista (UNESP)
O ciclo gravídico puerperal é marcado por alterações emocionais, características deste período, com possibilidade de desencadear transtornos psíquicos significativos, comprometendom a saúde materno-infantil. Entre os fatores psicológicos que, geralmente, implicam em complicação durante gestação, parto e puerpério estão o stress e a ansiedade vivenciados na gravidez e a depressão, no puerpério. Objetivo: Avaliar a ansiedade-estado e o stress de primagestas no terceiro trimestre de gestação e no pós-parto e averiguar ocorrência de depressão pós-parto associando-os com aspectos de gestação e cuidados com o bebê. Método: A pesquisa foi constituída de duas etapas. Na etapa 1 ocorreu a coleta de dados no terceiro trimestre de gestação e a etapa 2, ocorreu após 45 de nascimento do bebê. Na etapa 1 entrevistou-se 98 primagestas e aplicou-se os instrumentos IDATE (Inventário de Ansiedade Taco/Estaco), ISSL (Inventário de Sintomas de Stress de Lipp) e Entrevista Inicial. Destas, 64 também participaram da etapa 2, onde aplicou-se os instrumentos IDATE, ISSL, EPDS (Escala de Depressão Pós-parto de Edimburgo) e Questionário a respeito do parto, nascimento e rotina de cuidados com o bebê. Os dados foram analisados usando o programa SPSS for Windows, versão 17.0. Resultados: Os resultados da etapa 1 indicaram que 63% da primagestas apresentam ansiedade-estado controlada e 37% alta ansiedade-estado no terceiro trimestre. Quanto ao stress, 22% não o manifestaram e 78% manifestaram. Das participantes, 56% estavam na Fase de Resistência, 20% na Quase Exaustão e 2% na Exaustão. Delas, 11% manifestaram sintomas físicos, 86% psicológicos e 3% e psicológicos. Os resultados da etapa 2 indicam que 73% das puérperas manifestaram ansiedade-estado controlada e 27% alta ansiedade-estado. Observou-se diferença significativa entre a ansiedade-estado manifestada no terceiro...
The puerperal period is marked by emotional changes, typical of this period, with the possibility of triggering significant mental disorders, affecting the maternal and child health. Psychological factors that usually imply a complication during pregnancy, childbirth and are experienced stress and anxiety and depresssion in pregnancy, postpartum. Objective: To evaluate the state-ansiety and stress of primipara in the third trimester of pregnancy and postpartum and to investigate the occurence of postpartum depression by associating them with aspects of pregnancy and baby care. Method: The study considered of two steps. In step data collection occurred in the third trimester of pregnancy and step 2,45 occured after the baby's birth. In step 1 was interviewed 98 primiparous and applied the tools STAI Anxiety Inventory (Taco/State), Inventory (SSI Lipp Stress Symptoms) and the Initial Interview. Of these, 64 also participated in the second stage, where we applied the tools IDATE, SSI, EPDS (Edinburgh Postnatal Depression Scale) and the Questionnaire about labor, birth and care routine with the baby. Data were analyzed using SPSS for Windows, version 17.0. Results: The results of phase 1 indicated that 63% od primiparum have anxiety state-controlled and 37% high state anxiety in the third quarter. As for stress, not the 22% and 78% had expressed. Of participants, 56% were in Stage of Resistance, 20% in almost 2% at axhaustion. Of these, 11% had physical symptoms, 86% 3% psychological and physical and physichological. The results of step 2 indicate that 73% of the women expressed anxiety state-controlled and 27% high-anxiety state. There was a significant difference between state anxiety manifested in the third trimester of pregnancy and puerperium (t 2:36, p<0.05). Regarding the stress 37.5% had no symptoms of stress and 62.5% manifested. Of which indicated 80% were in Phase Resistance... (Complete abstract click electronic access below)
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Khunou, Maggie Mmammyadi. "Support for caregivers during puerperium to enhance the PMTCT programme / M.M. Khunou." Thesis, North-West University, 2010. http://hdl.handle.net/10394/5582.
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An estimated 33.0 million people are currently living with HIV/AIDS worldwide. Of these,
15.5 million are women, and 2.2 million children under the age of 5 years who have mainly been infected through mother-to-child transmission. Mothers and babies are increasingly infected and about 90% of these are in sub-Saharan Africa. The same trend can be identified in South Africa, which has one of the highest incidences and prevalence rates of HIV/AIDS in the world with 5-6 million people living with HIV/AIDS. Women of childbearing age constitute 55% of all HIV positive adults and a quarter of pregnant women (28%) in South Africa are HIV positive.
The HIV/AIDS epidemic is overburdening hospital systems and it will continue to grow within the context of already massively overstretched public resources. This increase also impacts on health services in the North West Province which are facing an alarming increase in mothers and babies living with HIV/AIDS. One of the strategies that are implemented to reduce maternal deaths is the Prevention-of-Mother-to-Child Transmission (PMTCT) Programme and massive roll out of Antiretrovirals during puerperium. One of the goals of the PMTCT programme is to prevent transmission of HIV/AIDS from mothers to babies and reduce child, perinatal and neonatal morbidity and mortality. This strategy is integrated with Non-Governmental Organizations (NGOs) and community-based organizations (CBOs) in care of mothers and babies living with HIV/AIDS during puerperium. Successful implementation of this programme requires social support and community involvement because of short hospitalization during the postnatal period.
Caregivers are trained to perform various tasks and fulfil certain roles due to lack of human resources. Caregivers implementing the PMTCT programme experience problems which lead to stress and one of the causes of this stress manifests in feelings of inadequacy and isolation. They are faced with problems pertaining to mothers not adhering to treatment, and poverty is an additional source of stress as it negatively affects the quality of the PMTCT services they need to provide.
This research was conducted in the Bojanala region, Rustenburg Sub-District of the North West Province in South Africa. A descriptive, exploratory, qualitative research design was utilized to explore and describe the lived experiences of caregivers while implementing the
PMTCT programme as well as perceptions of health workers coordinating the PMTCT
programme in order to gain a more thorough understanding of the support needed by
caregivers during puerperium. Two populations were used. In population one, purposive
sampling was used to select caregivers. In population two inclusive sampling was used to
select health workers. In-depth interviews were conducted with both populations with the aim to collect data.
From the research findings similarities were identified between the two populations regarding support, namely:
(a)
Caregivers need personal support in the form of counselling as well as support networks to enable them to deal with the problems they are faced with.
(b)
Caregivers need financial support to afford basic essentials and better remuneration to meet their financial needs.
(c)
Caregivers need to be trained in areas in which they lack knowledge -continued development and empowerment is essential. They also need to be trained specifically in PMTCT and they need a PMTCT consultant to always be available to support them.
(d)
Improvement of the PMTCT services by providing transport to follow up mothers, protective resources to protect themselves against infections as they are at risk of infections, water is essential as a basic human right, provision with food parcels to mothers who are poverty stricken and the PMTCT health services to be intensified from the antenatal period.
(e)
Management to establish a caring environment by displaying a caring attitude, respecting them and providing them with rewards to improve morale and performance.
Recommendations were made for the fields of nursing education, nursing research and community health practice with recommendations to establish a structure of support for caregivers to enhance the PMTCT programme during puerperium. These recommendations were discussed under the five themes presented above.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2010.
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Van, der Klei Jannine Daphne. "Health promotion for primiparous women in the puerperium : the role of the midwife." Thesis, The University of Sydney, 1995. https://hdl.handle.net/2123/26796.
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The purpose of this descriptive study was to explore the role of the midwife in health promotion for primiparous women in the puerperium, as perceived by midwives and primiparous women. Perceptions of midwives and primiparous women in the puerperium were sought in relation to the midwife’s role in health promotion for primiparous women in the puerperium.
The sample consisted of twenty-three midwives and forty-nine primiparous women from three public hospitals in the central, southern and western areas of Sydney. Two questionnaires, one for the midwives and one for the primiparous women, consisting of quantitative and qualitative components, were developed and used for data collection in the study. The relationship between the perceptions of the two groups was examined by comparison of the results.
Health promotion methods used by midwives for primiparous women in the puerperium were perceived as occurring to a much greater extent by the midwives than reported as experienced by the women. All of the midwives thought that they educated the women for health in the puerperium and that they gave adequate health information to the women. However, a number of the women felt that the health information given to them was inadequate and that midwives could have helped to promote health better for them during the puerperium. Nevertheless, the majority of the women indicated their comfort in asking midwives questions that concerned them during their postpartum hospital stay.
There were many areas of difference between the midwives’ perceptions of how commonly various health concerns or problems occurred for prirniparous women in the puerperium and the incidence of their occurrence reported by the women. A number of women felt either only minimally prepared or not prepared at all for the health concerns or problems experienced by them during the puerperium and thought that midwives could have provided them with further health information in the early days after birth.
Only forty-one percent of the primiparous women were debriefed by midwives concerning their labour and birth and all of these women found it helpful. The majority of women who were not debriefed after birth would have liked this opportunity.
Conflicting information given by midwives in the early puerperium was reported by almost half of the prirniparous women as occurring often or always, particularly with regard to breastfeeding. Most of the women commenced breastfeeding in hospital but by six weeks after birth, thirty-one percent had ceased breastfeeding, with many experiencing breastfeeding difficulties.
The majority of the midwives identified constraints in their health promoting role for prirniparous women in the early puerperium and provided a variety of suggestions of how they could promote health better for puerperal women.
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Pinto, Rosane Heineck. "USO NOCIVO DE ÁLCOOL E TRANSTORNOS MAIS GRAVES EM HOMENS QUE ACOMPANHARAM O PUERPÉRIO DE SUAS PARCEIRAS." Universidade Catolica de Pelotas, 2004. http://tede.ucpel.edu.br:8080/jspui/handle/tede/413.
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Previous issue date: 2004-12-21Aim: The aim of the present study was to determine the prevalence as well as the factors related to the harmful consumption of alcohol and more serious disturbances presented by men who accompanied their partners during puerperium, in the urban area of Pelotas. Methodology: It was performed a transversal population based study including men whose children had been born from March to August 2003. Amongst all deliveries which occurred in the urban area of Pelotas, 30% of men who lived with their partners or went to their houses quite often were alleatorily chosen. Visits included 402 houses having babies from six to twelve weeks old. Two questionnaires were applied, one containing AUDIT instrument and the other including sociodemographic and psychosocial variables, as well as subject related questions. Results: A total of 386 fathers were interviewed. It was found a 10, 1% prevalence of harmful alcohol consumption. After logistic regression, the following variables remained: social class, child s sex, prematurity, child s sex wished by the father, and father support during pregnancy. Fathers belonging to D and E social classes (less privileged classes) presented an odds value 2,21 times higher (95% CI 1,01 a 4,21) than groups of A and B classes. Conclusions: The harmful consumption of alcohol and more serious disturbances related to it presented by men whose partners are in puerperium may cause several negative consequences to the health of both parents and their children. The obtained results show a high prevalence of such disturbances in our population. These also 31 31 indicate poverty and lack of father support to the pregnant mother as factors related to alcoholism.
Objetivo: Determinar a prevalência e os fatores associados ao uso nocivo de álcool e transtornos mais graves em homens que acompanharam o puerpério de suas parceiras, na zona urbana da cidade de Pelotas. Metodologia: Estudo transversal de base populacional, realizado com homens cujos filhos nasceram entre os meses de março e agosto de 2003. Entre todos os partos ocorridos na zona urbana da cidade de Pelotas, sorteou-se 30% dos homens que moravam ou freqüentavam a casa de suas parceiras. Foram visitadas 402 residências entre a sexta e a décima segunda semana de vida dos bebês, onde foi aplicado questionário contendo o instrumento AUDIT e, questionário com as variáveis sociodemográficas, psicosociais. questões de interesse. A análise multivariada com regressão não condicional, foi considerado o modelo hierárquico das variáveis associadas ao uso nocivo de álcool e transtornos mais graves. Resultados: Foram entrevistados 386 pais. Constatou-se prevalência de 10,1% de uso nocivo de álcool. Após a regressão logística, pode-se observar que permaneceram as seguintes variáveis: classe social, o sexo da criança, prematuridade, se o sexo era o que o pai desejava e o apoio do pai durante a gestação. O grupo de pais das classes D e E mostraram um odds 2,21 vezes (IC 95% 1,01 a 4,21) maior, quando comparados ao grupo pertencente às classes A,B, e c.Conclusões: O uso nocivo e transtorno mais graves associados ao álcool entre os pais cujas parceiras encontram-se em situação de puepério pode ocasionar inúmeras conseqüências negativas para a saúde dos pais e de seus filhos. Os resultados indicam 29 29 uma alta prevalência destes transtornos em nossa população e identificam a pobreza e falta de apoio paternos as gestantes como fatores associados ao alcoolismo
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Maybury, Helena. "The characterisation of global haemostatic function during pregnancy and the puerperium using thromboelastography." Thesis, University of Leicester, 2007. http://hdl.handle.net/2381/10236.
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Derbyshire, Emma. "Dietary intake, physical activity & gastrointestinal function throughout pregnancy and in the puerperium." Thesis, London South Bank University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435241.
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There is a deficit of prospective, up-to-date research investigating gastrointestinal function during and after pregnancy, particularly in relation to non-starch polysaccharide (NSP) and water intakes, and physical activity levels. The aims of the work reported in this thesis were to investigate habitual dietary intake, patterns of physical activity and bowel function and their inter-relationships throughout and after pregnancy. Ninety-four subjects were recruited from three London Teaching Hospitals and a magazine advertisement. Seventy-two, 59, 62 and 55 subjects participated in the first, second, third and postpartum study stages respectively and 42 participants completed every study stage. Volunteers completed a screening questionnaire, 4-7 -day weighed inventory food diary, physical activity questionnaire and bowel function diary prospectively at mean weeks 13, 25, 35 of gestation and 6 weeks after birth, in addition to a postnatal questionnaire. No statistically significant differences were observed when data was compared between the 42 volunteers that completed the study longitudinally and higher subject numbers. Findings indicated that only 47% of women met the 18 g/d population average NSP recommendation during pregnancy and 41 % after birth. Women participated in statistically significantly higher levels of vigorous activities in the first trimester when compared with these activities in the puerperium (P
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Kulkarni, A. A. "Changes in the coagulation system of the mother and fetus : pregnancy, labour and puerperium." Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1393289/.
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Aim of this thesis is to study the changes in the maternal coagulation system during pregnancy and puerperium. The effect of labour and mode of delivery on the fetal coagulation system was also studies. A study of 191 women with inherited bleeding disorders showed a significant increase in mean FVIII (p <0.0001), VWF:Ag (p <0.0001) and VWF:CB (p <0.0001) levels in third trimester of pregnancy compared to mean pre pregnancy values, in women with von Willebrand disease (VWD). However, there was no increase in mean factor levels in those with severe VWD. A significant increase in mean FVIII levels (p <0.0001) in third trimester was also observed compared to mean pre pregnancy levels, in haemophilia A carriers, with FVIII level >50 IU dL-1 in 96% pregnancies. A significant increase in mean FIX levels in third trimester (p <0.0001) compared to mean pre pregnancy values was observed in carriers of haemophilia B. However, 29% pregnancies in carriers of haemophilia B had levels below 50 IU dL-1 at term. In women with FXI deficiency, there was only 19% increase in FXI level during third trimester over pre pregnancy level. Pregnancy associated rise in coagulation factors returns to pre pregnancy level after delivery. To assess the exact time when the factor levels start to decline in the immediate postnatal period, a study of FVIII, VWF:Ag and VWF:CB on days 1, 2 and 3 of the puerperium was conducted in 95 healthy pregnant women. There was no significant decrease in mean FVIII, VWF:Ag and VWF:CB levels on days 1 (p=0.17, p=0.36, p=0.21 respectively) and day 2 (p=0.064, p=0.97, p=0.46 respectively) of the puerperium compared to mean factor levels at the onset of labour or immediately prior to elective caesarean section (CS). A significant decrease in mean VWF:Ag and VWF:CB level (p=0.009 and p=0.04 respectively) was seen on day 3 postpartum. In another study, cord blood was obtained from 154 normal full term pregnancies, to study the level of coagulation factors and inhibitors of coagulation and to assess the effect of labour on these parameters. There was a significant difference in mean cord blood levels of FVIII:C (p<0.0001), VWF:Ag (p<0.0001), VWF:CB(p<0.0001), FIX(p=0.0002), FXI(p=0.0008), FXII(p<0.0001) and plasminogen (p=0.01) between cord blood of fetuses who went through labour, compared to those who were born by an elective caesarean section; levels being higher in those who laboured. Babies with meconium stained liquor, had significantly lower levels of FII (p=0.003), FV (p=0.009), FVII (p=0.0004) and FX (p=0.0009) in cord blood compared to those with clear liquor. In conclusion: This study has refined data on the changes of coagulation factor in pregnancy in women with inherited bleeding disorders. There was a significant increase in mean FVIII, FIX and VWF levels in third trimester compared to pre pregnancy level. All women with mild VWD and 96% of carriers of haemophilia A had factor normal (>50 IU dL-1) at term. However, 29% haemophilia B carriers, continue to have factor levels below 50 IU dL-1 at term, thus required prophylactic cover for labour/delivery as well as regional block. The changes in coagulation factors in first trimester in women with IBDs were also been defined in this study. 29% pregnancies with VWD and 24% pregnancies in carriers of haemophilia in this study, had factor levels below 50 IU dL-1 in the first trimester. They require haemostatic measures such as factor replacement, to reduce the risk of haemorrhagic complications in the event of miscarriage, termination of pregnancy and invasive prenatal diagnosis. Epidural catheters are generally removed within 12 h of delivery and it has been recommended that factor levels are reassessed before removal of the catheter. Study of postnatal changes in VWF and FVIII showed a significant drop in mean VWF level on day 3 compared to levels during early labour and FVIII:C levels did not show any statistically significant decrease on day 1, day 2 and day 3 after delivery. Thus, it seems unnecessary to repeatedly check coagulation profiles and factor levels prior to the removal of the epidural catheter, avoiding delay in removal of the catheter and mobilisation and limiting infection risk. The findings may provide an explanation for secondary PPH which most commonly occurs in the second week following delivery. Cord blood levels of FVIII:C, VWF:Ag, VWF:CB, FIX, FXI, FXII and plasminogen were significantly higher in women who laboured, compared to women who had elective caesarean section. Significantly lower values of FII, FV, FVII and FX were found in the cord blood of babies with meconium stained liquor compared to those with clear liquor. The current study provides valuable information on the effect of labour on the coagulation system of the fetus and indicates that, in cord blood, the results of coagulation parameters in the newborn baby should be considered in light of mode of delivery and events of labour.
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Hofer, Armin [Verfasser]. "Einfluss einer eCG-Applikation im Puerperium auf die Fruchtbarkeit von Fleckvieh-Milchkühen / Armin Hofer." Gießen : Universitätsbibliothek, 2020. http://d-nb.info/1209159783/34.
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Schiavo, Rafaela de Almeida. "Presença de stress e ansiedade em primígestas no terceiro trimestre de gestação e no pós-parto /." Bauru : [s.n.], 2011. http://hdl.handle.net/11449/97483.
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Orientador: Olga Maria Piazentim Rolim RodriguesBanca: Maria Beatriz Linhares
Banca: Gimol Benzaquen Perosa
Resumo: O ciclo gravídico puerperal é marcado por alterações emocionais, características deste período, com possibilidade de desencadear transtornos psíquicos significativos, comprometendom a saúde materno-infantil. Entre os fatores psicológicos que, geralmente, implicam em complicação durante gestação, parto e puerpério estão o stress e a ansiedade vivenciados na gravidez e a depressão, no puerpério. Objetivo: Avaliar a ansiedade-estado e o stress de primagestas no terceiro trimestre de gestação e no pós-parto e averiguar ocorrência de depressão pós-parto associando-os com aspectos de gestação e cuidados com o bebê. Método: A pesquisa foi constituída de duas etapas. Na etapa 1 ocorreu a coleta de dados no terceiro trimestre de gestação e a etapa 2, ocorreu após 45 de nascimento do bebê. Na etapa 1 entrevistou-se 98 primagestas e aplicou-se os instrumentos IDATE (Inventário de Ansiedade Taco/Estaco), ISSL (Inventário de Sintomas de Stress de Lipp) e Entrevista Inicial. Destas, 64 também participaram da etapa 2, onde aplicou-se os instrumentos IDATE, ISSL, EPDS (Escala de Depressão Pós-parto de Edimburgo) e Questionário a respeito do parto, nascimento e rotina de cuidados com o bebê. Os dados foram analisados usando o programa SPSS for Windows, versão 17.0. Resultados: Os resultados da etapa 1 indicaram que 63% da primagestas apresentam ansiedade-estado controlada e 37% alta ansiedade-estado no terceiro trimestre. Quanto ao stress, 22% não o manifestaram e 78% manifestaram. Das participantes, 56% estavam na Fase de Resistência, 20% na Quase Exaustão e 2% na Exaustão. Delas, 11% manifestaram sintomas físicos, 86% psicológicos e 3% e psicológicos. Os resultados da etapa 2 indicam que 73% das puérperas manifestaram ansiedade-estado controlada e 27% alta ansiedade-estado. Observou-se diferença significativa entre a ansiedade-estado manifestada no terceiro... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The puerperal period is marked by emotional changes, typical of this period, with the possibility of triggering significant mental disorders, affecting the maternal and child health. Psychological factors that usually imply a complication during pregnancy, childbirth and are experienced stress and anxiety and depresssion in pregnancy, postpartum. Objective: To evaluate the state-ansiety and stress of primipara in the third trimester of pregnancy and postpartum and to investigate the occurence of postpartum depression by associating them with aspects of pregnancy and baby care. Method: The study considered of two steps. In step data collection occurred in the third trimester of pregnancy and step 2,45 occured after the baby's birth. In step 1 was interviewed 98 primiparous and applied the tools STAI Anxiety Inventory (Taco/State), Inventory (SSI Lipp Stress Symptoms) and the Initial Interview. Of these, 64 also participated in the second stage, where we applied the tools IDATE, SSI, EPDS (Edinburgh Postnatal Depression Scale) and the Questionnaire about labor, birth and care routine with the baby. Data were analyzed using SPSS for Windows, version 17.0. Results: The results of phase 1 indicated that 63% od primiparum have anxiety state-controlled and 37% high state anxiety in the third quarter. As for stress, not the 22% and 78% had expressed. Of participants, 56% were in Stage of Resistance, 20% in almost 2% at axhaustion. Of these, 11% had physical symptoms, 86% 3% psychological and physical and physichological. The results of step 2 indicate that 73% of the women expressed anxiety state-controlled and 27% high-anxiety state. There was a significant difference between state anxiety manifested in the third trimester of pregnancy and puerperium (t 2:36, p<0.05). Regarding the stress 37.5% had no symptoms of stress and 62.5% manifested. Of which indicated 80% were in Phase Resistance... (Complete abstract click electronic access below)
Mestre
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Sousa, Valéria Feitosa de. "A depressão no ciclo gravídico-puerperal de mulheres atendidas em um ambulatório de hospital geral." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-09122008-154716/.
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O ciclo gravidico-puerperal é um período que envolve transformações profundas para a mulher nos aspectos físicos, psíquicos e sociais, podendo, no seu transcurso, aparecer importantes alterações na sua personalidade e gerar sofrimento psíquico com intensidades variadas, tornando-se um fator que pode dificultar o estabelecimento de um futuro vínculo afetivo seguro entre mãe e filho, interferindo, particularmente, nas relações interpessoais. Este estudo objetivou identificar a existência de quadros depressivos no ciclo gravídico-puerperal, seus fatores de risco biopsicossociais, bem como descrever os resultados obstétricos e pediátricos das mulheres com sintomas depressivos. Trata-se de um estudo do tipo epidemiológico, descritivo, transversal, realizado em um ambulatório de pré-natal de um hospital geral em 3 etapas, sendo uma durante a gestação, outra durante o puerpério, e, numa terceira, foram realizadas buscas em seus prontuários. Os dados foram coletados por meio de 5 instrumentos, sendo dois questionários contendo informações gerais, aplicados na gestação e no puerpério; uma planilha de coleta de dados, para informações referentes ao trabalho de parto, parto, puerpério imediato e dados do recém nascido; o Inventário de Depressão de Beck e a Escala de Depressão Pós-Parto de Edimburgo, para identificar depressão na gestação e no puerpério respectivamente. Fizeram parte da pesquisa 47 mulheres que aceitaram participar e preencheram aos critérios de inclusão estabelecidos. Os resultados mostraram que, das participantes pesquisadas, 51,07% tiveram depressão em alguma fase do ciclo-gravídico-puerperal, sendo que 42,55% apresentaram depressão na gestação e 29,79% no puerpério. Os fatores de risco estatisticamente significantes para a depressão na gestação foram: ter duas ou menos gestações e não desejar a gestação. Os resultados obstétricos pediátricos com significância estatística apontaram que as gestantes com depressão apresentaram menor intercorrência, e, seus filhos, nasceram com melhores pesos e estaturas. Os fatores de risco para a depressão estatisticamente significantes no puerpério foram: não ter religião, companheiro desempregado, depressão na gestação, não receber apoio, não receber ajuda e não receber ajuda do companheiro. Os resultados permitiram concluir que a depressão é uma realidade na vida das gestantes e puerperas e que o pré-natal pode ser uma excelente oportunidade de se conjugar esforços a fim de melhorar a detecção de quadros depressivos, melhorando, assim, as condições psicossociais da mulher nesse momento tão vulnerável, evitando, assim, complicações no trabalho de parto, a própria depressão pós-parto, e, inclusive, as conseqüências para os seus futuros bebês.The pregnancy and puerperal cycle are periods that involve deep changes for women in the physical, psychic and social aspects, and during its course there can be important alterations in their personality, developing psychic suffer in different intensities. This can become a factor that raises difficulties for the establishment of a future safe affective bonding between mother and child, interfering specially in interpersonal relationships. This study aimed to identify the existence of depressive states during pregnancy and puerperal cycle and their biopsychosocial risk factors, as well as describing the obstetric and pediatric results of women with depressive symptoms. It is an epidemiologic, descriptive and cross-sectional study, carried out at a prenatal outpatient clinic in a general hospital in three stages, one during pregnancy, other during puerperium and lastly through searches in their medical records. Data were collected using 5 instruments, two questionnaires with general information, applied during pregnancy and puerperium; a data collection worksheet, with information regarding labour, delivery, immediate puerperium and newborns data; the Beck Depression Inventory and the Edinburgh Postnatal Depression Scale, to identify depression during pregnancy and during puerperium, respectively. The subjects were 47 women who accepted to participate and met the established inclusion criteria. The results showed that, among the participants, 51,07% had depression in some stage of pregnancy and puerperal cycle, among those, 42,55% presented depression during pregnancy and 29,79% in puerperium. The statistically significant risk factors for depression during pregnancy were: having two or less pregnancies and undesired pregnancy. The obstetric and pediatric results with statistic significance showed that the women with depression presented less intercurrence, and their child were born with better weights and sizes. The statistically significant risk factors for depression during puerperium were: no religion, unemployed partner, depression during pregnancy, lack of support, lack of help and lack of help from the partner. The results allowed concluding that depression is a reality in pregnant women and puerperas life, and prenatal care can be an excellent opportunity to unite efforts aiming to improve the detection of depressive states. This could improve womens psychosocial conditions in this vulnerable moment, avoiding complications during labour, postnatal depression itself and also consequences for their future babies.
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Kregel, Sebastian [Verfasser]. "Vergleichende Untersuchung zur Wirksamkeit unterschiedlicher Behandlungsprotokolle mit Prostaglandin F2α im Puerperium bei Milchkühen / Sebastian Kregel." Berlin : Freie Universität Berlin, 2017. http://d-nb.info/1124465219/34.
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Bolton, Lesley Margaret. "Erythrocyte sodium content and sodium pump kinetics in the puerperium following normal and hypertensive pregnancy." Thesis, University of Newcastle Upon Tyne, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.283055.
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Leidel, Ines. "Stabilisierung des Stoffwechsels bei Milchkühen im peripartalen Zeitraum." Doctoral thesis, Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-210059.
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Einleitung: Bei Milchkühen häufen sich Erkrankungen in der Frühlaktation. Sie gehören zu den wichtigsten Ursachen frühzeitiger Merzung und damit der aktuell unbefriedigenden Nutzungsdauer. Ziele der Untersuchungen: Ziel dieser Arbeit war es, den Stoffwechsel von Milchkühen in der kritischen Übergangszeit vom Trockenstehen zur Laktation (Transitphase) durch drei verschiedene prophylaktische Maßnahmen zu stabilisieren: mittels Huminsäuren Belastungen aus dem Darm einschließlich Endotoxinen zu mindern, mit einem Ammoniumpropionat-Propylenglykol- Gemisch die Energieversorgung zu verbessern sowie mit Dexamethason-21-isonicotinat die Stoffwechselfunktion der Leber zu fördern sowie gleichzeitig Entzündungsprozesse infolge der Kalbung zu hemmen. Materialien und Methoden: Die Untersuchungen wurden in einem sächsischen Bestand an 312 Kühen der Rasse „Holstein Friesian“ randomisiert innerhalb eines Jahres durchgeführt. An jeweils 78 Kühe wurden 300 ml Ammoniumpropionat-Propylenglykol-Gemisch(C3) täglich vom 14. Tag ante partum (a.p.) bis zum 14. Tag post partum (p.p.) oral verabreicht; ebenfalls oral wurden 100 g Huminsäure-Fertigpräparat (HS-FP) bzw. 50 g Huminsäuren-Rohstoff (HS-RS) im selben Zeitraum appliziert, und Dexamethason-21-isonicotinat (DEXA21) wurde einmalig am 1. Tag p.p. intramuskulär in der Dosierung 0,02 mg/kg Körpermasse verabreicht. 78 unbehandelte Kühe dienten als Kontrollgruppe. Die Auswirkungen dieser Maßnahmen auf Gesundheit, Leistung und Stoffwechsel wurden durch klinische Untersuchungen, durch Blutkontrollen am 14. Tag a.p., am 3. und 28. Tag p.p. (Leukozyten, freie Fettsäuren [FFS], Bilirubin, ß-0H-Butyrat[BHB], Glucose, Cholesterol, Creatinkinase [CK], Aspartat-Amino-Transferase [ASAT], Glutamat-Dehydrogenase [GLDH], gamma-Glutaryl-Transferase [GGT], Protein, Albumin, Mg, Fe, Ca, anorganisches Phosphat [Pi], Na, K) sowie durch die Erfassung von Gesundheitsstatus, Milchleistung und Fruchtbarkeit zu bestimmten Zeitpunkten geprüft. Ergebnisse: Die verschiedenen prophylaktischen Maßnahmen hatten keinen signifikanten Einfluss auf Fruchtbarkeits- und Gesundheitsparameter. Bei den absoluten und fettkorrigierten Milchmengen konnten ebenfalls keine statistisch gesicherten Unterschiede zwischen den Versuchsgruppen und der Kontrollgruppe festgestellt werden. Der Milcheiweißgehalt von C3 28 d p.p. sowie der Milchfettgehalt von DEXA21 und C3 100 d p.p. waren signifikant erhöht. Die Ergebnisse der Blutuntersuchungen ergaben hauptsächlich am 3., aber auch am 28. Tag p.p. gesicherte Unterschiede bei wichtigen Stoffwechselparametern wie Glucose, Cholesterol, Bilirubin, Protein, Albumin, Ca, Fe und CK. Die einmalige Gabe von Dexamethason-21-isonicotinat am 1. Tag p.p. hatte den besten Einfluss auf den Leber- und Energiestoffwechsel. In dieser Gruppe waren am 3. Tag p.p. die Glucose-, Bilirubin-, Cholesterol-, Protein, Ca- und Fe-Konzentrationen sowohl gegenüber der KG wie auch gegenüber allen anderen Versuchsgruppen signifikant günstiger. Für die Albumin- und Na-Konzentrationen sowie die CK-Aktivität traf das gegenüber der Kontroll- sowie der C3-Gruppe zu. Der Einsatz der Wirkstoffe mit HS-RS, HS-FP sowie C3 führte ebenfalls zu positiven Effekten auf die Leistung und den Stoffwechsel gegenüber der Kontrollgruppe, jedoch ließen sich diese nur in wenigen Fällen statistisch sichern. Schlussfolgerungen: Die Applikation von Dexamethason-21-isonicotinat einen Tag p.p. stabilisiert signifikant den Stoffwechsel von Kühen nach dem Partus. Gleichartige Effekte auf Milch- und Fruchtbarkeitsleitung sowie die Morbidität konnten nicht gesichert nachgewiesen werden. Für Huminsäure-Rohstoff, Huminsäure-Fertigpräparat sowie Ammoniumpropionat-Propylenglykol-Gemisch waren solche Effekte tendenziell erkennbar, statistisch aber nicht zu sichern. Auch wenn besonders mit Dexamethason-21-isonicotinat der Stoffwechsel in Belastungssituationen kurzfristig stabilisiert werden kann, müssen generell Haltung und Fütterung analysiert sowie Mängel beseitigt werdenProblem: In dairy cattle diseases are common in early lactation. They are among the main causes of early culling and the current unsatisfactory productive life. Objective: The aim of this work was to stabilize metabolism of dairy cows in the critical transition period from standing dry to lactation by three different prophylactic applications: using humic acids to minimize strain from the gut including endotoxins, using ammonium propionate mixed with propylene glycol to improve energy supply and dexamethasone-21-isonicotinate to promote metabolic function of the liver and at the same time to inhibit inflammatory processes following parturition. Experimental design: The studies were performed in a Saxon dairy farm on 312 cows of the „Holstein Friesian\" breed, randomly performed within one year. 78 cows were administered orally 300 ml ammonium propionate mixed with propylene glycol (C3) daily from 14 days before parturition (a.p.) to 14 days after parturition (p.p.), another 78 cows 100 g of a humic acid drug (HS-FP) or 50 g of humic acid raw material (HS-RS) were administered orally in the same period and dexamethasone-21-isonicotinate (DEXA21) was applied intramuscularly to another 78 cows on the first day p.p. in a dose of 0.02 mg/kg body weight. 78 untreated cows were used as control group. The impact of these administrations on health, performance and metabolism has been measured by clinical examinations and blood tests on 14. day a.p., on 3. and 28. day p.p. (Leukocytes, free fatty acids [ FFS ], bilirubin, beta-0H-butyrate [BHB] , glucose, cholesterol, creatine kinase [CK], aspartate aminotransferase [AST], glutamate dehydrogenase [GLDH], gamma glutaryl transferase [GGT], protein, albumin, Mg, Fe, Ca, inorganic phosphate [Pi] , Na, K) and was verified by detection of health status, milk yield and fertility. Results: The different prophylactic administrations had no significant effect on fertility and health parameters. The absolute and fat- corrected milk yields also showed no statistically reliable differences between experimental groups and control group. Milk protein content in C3 28 days p.p. and milk fat content in DEXA21 and C3 100 days p.p. were significantly increased. Blood control results showed mainly on 3. and 28. day p.p. important differences in metabolic parameters, such as glucose, cholesterol, bilirubin, protein, albumin, Ca, Fe and CK, which are statistically secured. A single dose of dexamethasone-21- isonicotinate on first day p.p. had the best effect on liver and energy metabolism. Three days p.p. glucose, bilirubin, cholesterol, protein, Ca and Fe concentrations performed significantly better in DEXA21 group compared both to control group and all other treatment groups. For albumin and Na concentrations and CK activity that was true with respect to control and C3 group. The use of a humic acid drug, humic acid raw material and ammonium propionate mixed with propylene glycol had positive impact on performance and metabolism compared with control group too, but could be statistically secured in only a few cases. Conclusions: The application of dexamethasone-21-isonicotinate at the first day p.p. significantly stabilizes metabolism in cows after parturition. Similar effects on milk yield and fertility as well as morbidity could not be observed. For humic acid drug, humic acid raw material and ammonium propionate mixed with propylene glycol such effects tended to be recognizable, but cannot be statistically secured. Metabolism can be stabilized in short term stress situations with dexamethasone-21-isonicotinate, general care and feeding must be analyzed and deficiencies have to be eliminated
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Lenz, Mirjam [Verfasser]. "Evaluierung der Sonografie als Diagnoseverfahren zur Erkennung subklinischer Endometritiden im Puerperium bei Milchkühen / vorgelegt von Mirjam Lenz." Berlin : Mensch-und-Buch-Verl, 2006. http://d-nb.info/979260485/34.
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Brömmling, Anne [Verfasser]. "Ovarieller Einfluss auf die Involution und Inflammation des Uterus im Puerperium von Holstein Friesian Kühen / Anne Brömmling." Hannover : Bibliothek der Tierärztlichen Hochschule Hannover, 2012. http://d-nb.info/1024342298/34.
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Lipinski, Leandro Cavalcante. "Perfil metabólico de bovinos de corte da raça Purunã." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/10/10136/tde-05122013-133301/.
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O objetivo do presente trabalho foi analisar a influência dos fatores etários, do puerpério, da castração, bem como a influência do confinamento no lipidograma e nas funções hepática e renal. Foram mensurados os valores séricos de colesterol, triglicérides, ácidos graxos não esterificados (NEFA), β-hidroxibutirato (B-HBO), ureia, creatinina, proteína total, albumina, aspartato-aminotransferase (AST), gama glutamil transferase (GGT), creatina quinase (CK) e glicose. Para realização do experimento foram utilizados 370 bovinos da raça Purunã. Os animais foram dispostos em 4 diferentes experimentos. Os dados foram analisados por ANOVA, usando o procedimento GLM do SAS. Concluiu-se que os constituintes metabólicos foram consideravelmente influenciados pela idade, sexo, puerpério e sistema de criação. Devido à grande quantidade de amostras estrategicamente colhidas, obtidas de diferentes manejos, também foi possível sugerir valores de referência para os análitos, nestes experimentos mensurados, para bovinos da raça Purunã de diferentes idades, sexos, fases do periparto e do puerpério e em confinamento.The objective of this study was to analyze the influence of age, after childbirth, castration, as well as the influence of confinement on lipid profile and in liver and kidney function. We measured the levels of serum cholesterol, triglycerides, non-esterified fatty acids (NEFA), β-hydroxybutyrate (B-HBO), urea, creatinine, total protein, albumin, aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), creatine kinase (CK) and glucose. For the experiment we used 370 cattle breed Purunã. The animals were assigned to four different experiments. Data were analyzed by ANOVA, using the GLM procedure of SAS. It was concluded that the constituents were considerably influenced by metabolic age, sex, and postpartum creation system. Due to the large amount of strategically collected samples, obtained from different management, it was also possible to suggest values for the analytes, measured in these experiments, Purunã to breed cattle of different ages, sexes, and stages of peripartum and postpartum and confinement.
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Claro, Marisa Fernandes. "Visita domiciliária de enfermagem no puerpério." Bachelor's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4440.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em EnfermagemO puerpério é considerado por muitos como um momento de adaptação física, psicológica e social. O período pós-parto demonstra-se ser uma fase onde a puérpera se depara com bastantes dificuldades e dúvidas quanto à sua condição. É momento cheio de peculiaridade e de vulnerabilidade na vida da mulher, em que a mesma precisa ser orientada quanto às mudanças e às adaptações que esse período impõe. A visita domiciliária tem-se demonstrado ao longo do tempo, uma estratégia adotada pelos enfermeiros para um melhor acompanhamento da puérpera e da família nesta fase. Esta permite aos profissionais de saúde, guiar, apoiar e aconselhar os pais a adquirir atitudes atitudes e comportamentos que lhe permite vivenciar este período sem complicações. Face a estas constatações surgiu a inquietação de conhecer a perceção das mulheres quanto à visita domiciliária de enfermagem no puerpério, assim como a relação desta com a idade, as habilitações literárias, a vigilância pré-natal e a frequência do curso de preparação para o parto/parentalidade. De forma a dar resposta a estas questões, foi realizado um estudo em meio natural, descritivo-exploratório com abordagem quantitativa. A colheita de dados foi realizada através da aplicação da EAVDPP, entre o dia 26 de Março de 2014 e 23 de Maio de 2014, na USF Lethes. Dos resultados obtidos pode se concluir que as puérperas consideram que a visita domiciliária no puerpério carece de uma grande importância. A maioria das mulheres considerou a visita domiciliária como boa, mas existe ainda uma grande percentagem de puérperas que a considera insuficiente e considera que é necessário melhorar alguns domínios.
The puerperium is considered by many authors as a moment f physical, psychological and social adaptation. The postpartum period demonstrates to be a phase in which the recent mother is faced with several difficulties and doubts regarding its condition. It is a moment full of peculiarities and doubts regarding its condition. It is a moment full of peculiarities and vulnerability in a woman´s life, in which she needs to be guided as to the changes and the adjustments that this period imposes. The house visit has, throughout time, been proved to be a strategy a strategy by the nurses for a better supervision of the recent mother and the family at this stage. This strategy allows health professionals to guide, support and advises parents to acquire attitudes and behaviors which allow them to experience this period without so many complications. Considering this information the concern of knowing the perception of the recent mother regarding the nurses house calls arose, as well as its relationship with age, academic qualifications, prenatal vigilance and the childbirth/parenting training course attendance. In order to return to these questions, a study was conducted in the natural surroundings, descriptive-exploratory with a quantitative approach. The data collection was carried out through the application of the EAVDPP, between Marc 26th 2014 and May 23rd 2014, at USF Lethes. From the results obtained we can conclude that recent mothers consider that the house visit in puerperium stands in need or a great importance. Most recent mothers considered the house visit as good, but there is still a large percentage of recent mothers who consider it insufficient and, moreover, that it is necessary to improve some areas.
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Le, Minh Thi Vanawipha Pasandhanatorn. "Traditional postpartum practices among Vietnamese mothers : a study in anthi district, Hungyen province /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd364/4537972.pdf.
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Inácio, Marta Isabel Revez. "Gabinete de apoio à puérpera/casal." Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/15899.
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Os projetos realizados no âmbito do aconselhamento no puerpério têm demonstrado que a prestação de informação e apoio às recém-mães, tende a aumentar o seu bem-estar e auto-estima. Neste sentido realizou-se um projeto de intervenção junto das puérperas de forma a colmatar alguma carência sentida por parte desta população, onde a atenção a estas, por parte dos profissionais, culmina no 2.º ou 3.º dia do puerpério. Desta forma, com a criação de um Gabinete de Apoio à Puérpera/casal (GAP), procurei apoiar as puérperas e seus companheiros nesta nova fase das suas vidas, com vista à diminuição dos níveis de stress e ansiedade e aumentar o seu grau de conhecimentos no cuidar aos seus bebés.
Os resultados desta intervenção foram positivos, revelando que houve um grande interesse por parte da população neste gabinete, sobretudo nas sessões de ginástica pós-parto e na massagem ao bebé, bem como na preocupação de certas utentes em esclarecer dúvidas, as quais se tornam tão frequentes nesta fase de vida; ABSTRACT: The projects implemented under the advice puerperium have shown that the provision of information and effective support to the newly mothers tend to increase their well-being and self-esteem.
In this sense there was a design for action to the target population in order to fill any shortage experienced by this population in their area of residence, where attention to mothers, by professionals sometimes end up in the 2nd to 3rd day puerperium.
Thus, with the creation of a Postpartum Support Office, sought support mothers and their companions in this new phase of their lives, in order to reduce levels of stress and anxiety and increase the level of knowledge in the care of their babies.
The results were positive, showing that there was a great interest on the part of the target population in this office, especially in postpartum gym sessions and baby massage as well as the concern of certain users in clarifying questions regarding various topics related with this phase.
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Eichner, Yvonne [Verfasser], and Joachim [Akademischer Betreuer] Braun. "Trächtigkeit, Geburt und Puerperium bei der Hündin : eine Literaturstudie und zwei CASUS-Lernfälle / Yvonne Eichner. Betreuer: Joachim Braun." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2012. http://d-nb.info/1026211239/34.
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Cunha, Marcia Regina. "Vulnerabilidades das mulheres à infecção de sítio cirúrgico pós-parto cesárea: proposta de um roteiro para auxílio à consulta de enfermeiro na atenção básica." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7144/tde-10052017-094847/.
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A infecção de sítio cirúrgico pós-cesárea corresponde a 8% de todas as infecções pós-parto. Sua magnitude está relacionada ao alto percentual de partos cesáreos, no mundo todo. O puerpério é um período em que há maior atenção ao recém-nascido, podendo passar despercebidas condições que indicam infecção. Objetivos: Descrever o perfil das mulheres submetidas ao parto cesáreo (condições de vida, saúde reprodutiva e perfil sociodemográfico), correlacionando-o à presença de infecção e propor um roteiro que auxilie o enfermeiro da atenção básica a identificar indícios de infecção de sítio cirúrgico pós-cesárea no puerpério. Método: estudo exploratório, descritivo, transversal, retrospectivo, realizado por meio de revisão de prontuários (prontuários geral e Mãe Paulistana e Ficha A do SIAB) de 89 mulheres que tiveram parto cesáreo, de 01/01 a 31/12/2014. Tomaram-se informações de diagnóstico médico de infecção de sítio cirúrgico e situações em que havia, pelo menos, uma condição sugestiva de sinais e sintomas. A análise foi realizada segundo estatística descritiva (teste de Fischer). Resultados: A ocorrência de sinais e sintomas de infecção de sítio cirúrgico pós- cesárea foi verificada em 11 prontuários. Em 16 prontuários, não foram encontrados sinais e sintomas, e 62 prontuários não continham informações ou elas estavam incompletas. Raça/cor e dor em baixo ventre podem indicar infecção, mulheres pardas e negras foram as mais frequentes do grupo que apresentaram sinais sugestivos de infecção, apresentando diferença estatística significativa (p. =0,038). O roteiro para consulta de enfermagem no puerpério pós-parto cesáreo complementa dados que auxilia a identificação da ocorrência de sinais e sintomas sugestivos de infecção de sítio cirúrgico e auxilia a identificação de diagnósticos de Enfermagem. Conclusão: O roteiro pode auxiliar o profissional enfermeiro a reconhecer situações de risco e vulnerabilidade para o desenvolvimento de infecção de sítio cirúrgico pós-parto cesáreo ou outro sinal de complicação pós-parto, contribuindo com a melhoria da qualidade da assistência e segurança do paciente.The surgical infection after cesarean section applies to 8% of all infections post childbirth. The magnitude of this event is related to cesarean sections high percent in the whole world. The puerperium is the period where there is more attention to the new born and the conditions that points to the infection can be unnoticed. Goals: To describe the profile of women who are submitted to cesarean section (life conditions, reproductive health and socio-demographic profile) correlating it to the presence of the infection and to propose a guide that will help the Basic Attention nurse to identify the surgical infection after cesarean section evidences at the puerperium. Method: exploratory, descriptive, transversal and retrospective study, achieved by medical record review (general records, Mãe Paulistana and Ficha A from SIAB) of eighty-nine women who had cesarean section, from January 01st to December 31st, 2014. Were analyzed medical records that had information about medical diagnosis of infection after cesarean section and conditions that contained at least one high trace of infection after cesarean sections signs and symptoms. The analysis was held through descriptive statistics (Fischers test). Results: The occurrence of signs and symptoms of surgical infection after cesarean section was observed in eleven medical records. In sixteen records wasnt found any reference to these signs and symptoms and sixty-two records didnt had the information or they were incomplete. Race/color, lower womb pain can indicate infection, black and dark women were more frequent among the group that presented high signs of infection, performing a significant statistical difference (p. =0,038). The guide to nurse consulting at puerperium after cesarean section complements the data that helps to identify the signs and symptoms of infection after cesarean section and supports the identification of nursing diagnosis. Conclusion: The guide can help the nurse to recognize situations of risk and vulnerability for the development of infection after cesarean section or any other sign of complication post childbirth complication, contributing to a better quality of patients assistance and safety.
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Masih, Sandra. "Sociotropy and autonomy personality and life event loss perceptions as predictors of depressive symptoms in the pre and postpartum period : a test of Beck's stressor-vulnerability model /." St. Lucia, Qld, 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17931.pdf.
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Colebrook, Binda. "Mothering the mother : can a postpartum doula enhance maternal self-confidence and maternal empathy in a primiparous mother? : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5875.
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Mulic-Lutvica, Ajlana. "Postpartum Ultrasound." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7830.
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Machado, Maria Luiza Camuri. "Uso de escala de autoeficácia para análise da capacidade de puérperas para a amamentação." Faculdade de Medicina de São José do Rio Preto, 2017. http://hdl.handle.net/tede/428.
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While aspects associated to benefits, duration and problems of breastfeeding are widespread in the scientific environment, issues related to selfefficacy in the breastfeeding process are still little addressed. Objective: To describe the self-efficacy for breastfeeding of postpartum women attended in a Health Insurance Plan. Material and Method: A descriptive, exploratory study with quantitative approach was developed with puerperal women who attended a course of birth preparation or were linked to a private health plan in the city of São José do Rio Preto , SP. Those with single, full-term newborns with good vitality at birth and hospital discharge were included. A socioeconomic questionnaire and breastfeeding selfefficacy scale (BSES-VB) were used for data collection. Results: A total of 98 postpartum women participated in the study. Of the participants, 32.7% were covered by health care plans, but did not participate in the course offered to pregnant women. Women who participated in the course of pregnant women had significantly higher selfefficacy in breastfeeding compared to those who did not participate. The level of selfefficacy was: 42.9% "high"; 27.5% "average" and 29.6% "low". The highest selfefficacy scores were observed among the exclusively breastfed women (69.4%). The technical domain had a higher score when compared to the intrapersonal domain score. Conclusion: The course offered to pregnant women proved to be relevant as a tool of great importance for the positivity of self-efficacy. These data have stood out the importance of the obstetrical nurses' performance in this setting, field of study, on the teaching / learning process on breastfeeding, a role that comprises multiple actions in the development of specific competences, reception, motivation and orientation, thus, improving the increase of compliance as well as the duration of breastfeeding . This research was performed in the field of a Nursing master degree program, Faculdade de Medicina de São José do Rio Preto (FAMERP). “Breastfeeding Self- Efficacy as assessed by the BSES: a literature review” and “Use of the Breastfeeding Self-Efficacy Scale (BSES) in the analysis of breastfeeding confidence” were both the papers produced on the theme.
Enquanto os aspectos que envolvem os benefícios, a duração e os problemas do aleitamento materno são bastante difundidos no meio científico, as questões relacionadas à autoeficácia no processo de amamentar ainda são pouco abordadas. Objetivo: Descrever a autoeficácia para amamentação de puérperas atendidas em um convênio de saúde. Material e Método: Pesquisa descritiva, exploratória, de abordagem quantitativa, desenvolvida com puérperas que frequentaram curso de preparo para o nascimento ou estavam vinculadas a um plano privado de saúde na cidade de São José do Rio Preto, SP. Foram incluídas aquelas com recém-nascido único, de termo, com boa vitalidade ao nascer e na alta hospitalar. Para coleta de dados foi utilizado um questionário sócio-econômico e a Breastfeeding Self Efficacy Scale (BSES-VB). Resultados: Participaram do estudo 98 puérperas. Das participantes, 32,7% eram conveniadas, mas não participaram do curso oferecido para gestantes. As mulheres que participaram do curso de gestantes apresentaram autoeficácia na amamentação significativamente superior em relação àquelas que não participaram do curso. O grau de auto eficácia foi: 42,9% “alta”; 27,5% “média” e 29,6% “baixa”. Os maiores escores de auto eficácia foram alcançados entre as puérperas em amamentação exclusiva (69,4%). O domínio técnico apresentou escore superior quando comparado ao escore do domínio de pensamento intrapessoal. Conclusão: O curso oferecido para gestantes mostrou-se relevante como ferramenta de grande importância para a positividade da autoeficácia. Os dados obtidos destacam a importância da atuação das enfermeiras obstetras desta instituição, campo do estudo, no processo de ensino/aprendizagem sobre amamentação; papel que envolve múltiplas ações no desenvolvimento de competências específicas, acolhimento, motivação e orientação, assim, contribuindo para o aumento da adesão e do tempo de manutenção da lactância. Esta pesquisa foi realizada em nível de mestrado acadêmico, junto ao Programa de Pós-Graduação em Enfermagem da Faculdade de Medicina de São José do Rio Preto (FAMERP) e teve dois manuscritos decorrentes: um apresentado no exame geral de qualificação, denominado Autoeficácia na amamentação com uso da “Breastfeeding Self-Efficacy Scale” (BSES): estudo de base bibliográfica e outro para a defesa do mestrado, com o título Uso da “Breastfeeding Self-Efficacy Scale (BSES) na análise da autoeficácia na amamentação
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Ribeiro, Bruno Leonardo Mendonça. "Avaliação do útero bovino com endometrite utilizando a técnica de ultrassonografia Doppler." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/10/10136/tde-17112016-120744/.
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Durante o puerpério há muita incidência de doenças reprodutivas acarretando aumento do intervalo entre partos, bem como diminuição na taxa de concepção. A endometrite é uma enfermidade puerperal que se caracteriza por um processo inflamatório superficial do endométrio. Com o intuito de se obter novas ferramentas diagnósticas não invasivas, precisas e que proporcionam resultados precoce à reprodução, faz-se uso da ultrassonografia convencional associada a ferramenta Doppler que fornece informações em tempo real sobre a arquitetura vascular e os aspectos hemodinâmicos dos vasos em diversos órgãos. Este estudo tem por objetivo descrever, através da ultrassonografia Doppler, as alterações hemodinâmicas no útero de fêmeas bovinas causadas pela endometrite. Avaliou-se o trato reprodutivo feminino de vacas entre 25 a 35 dias pós-parto utilizando a vaginoscopia, ultrassonografia convencional e Doppler, além de citologia e exame microbiológico em 89 vacas Holandesas sendo 33 sadias (controle) e 56 com endometrite diagnosticadas por citologia (saudáveis <10% de polimorfonucleares). Os resultados obtidos destacam-se a que animais com endometrite apresentavam aumento de cérvix (p=0,04), e de útero representado pelo corno esquerdo (p=0,02). Porém não foi observado diferença quando comparado os escore de condição corporal (ECC). Quanto a ultrassonografia notou-se que animais com fluido intrauterino (FIU) e conteúdo heterogêneo intrauterino (CHIU) tinham endometrite (p<0,0001), além de correlação com a presença de Trueperella pyogenes e leveduras. Com o modo cores do Doppler obteve-se a vascularização de mesométrio (p=0,004) e endométrio (p=0,025) associada aendometrite. Entretanto não foi observado diferença estatística nas medidas do Doppler espectral (índice de resistividade, pulsatilidade e fluxo sanguíneo). Portanto a busca de novas técnicas, menos invasivas e de rápido resultado, como a ultrassonografia Doppler, podem fornecer respostas satisfatórias quanto a evolução de alterações uterinas e com isso associar os resultados à precocidade reprodutiva.During the puerperium period there is a high incidence of reproductive diseases resulting in increased calving interval and decrease in conception rate. The endometritis is a postpartum disease that is characterized by a superficial inflammation of endometrium. With the aim to obtain new non-invasive and accurate diagnostic tools, that provide early results in reproduction, it is possible to be used the conventional ultrasound associated to Doppler that provides real time information about vascular architecture and hemodynamic aspects of vessels in several organs. This study aims to describe, through Doppler ultrasound, hemodynamic changes in the uterus of cows caused by endometritis. Were evaluated the female reproductive tract of 89 Holstein cows between 25 to 35 days postpartum using vaginoscopy, conventional ultrasound and Doppler, as well as cytology and microbiological examination. From the 89 animals that were studied, 33 were healthy (control) and 56 with endometritis diagnosed by cytology (healthy <10% polymorphonuclear). The obtained results show that animals with endometritis had increase in cervix (p = 0.04) and the uterus represented by left uterine horn (p = 0.02). However, it was not detected difference when compared the body condition score (BCS). About the ultrasound was noted that animals with intrauterine fluid (IUF) and intrauterine heterogeneous content (IUHC) had endometritis (p <0.0001) correlation with the presence of Trueperella pyogenes and yeasts. With the color Doppler mode it was possible to obtain the vascularization of mesometrium (p = 0.004) and endometrium (p = 0.025) associated with endometritis. However, it was not observed statistical difference in the measurements of the spectral Doppler (resistance index, pulsatility and blood flow). Therefore, the search for new techniques, less invasive and fast result, as the Doppler ultrasound can provide satisfactory answers as the evolution of uterine changes and thereby associate the results to the reproductive precocity.
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Wilkerson, Allison K. "Cognitive Performance as a Function of Sleep Disturbance in the Postpartum Period." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804950/.
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New mothers often complain of impaired cognitive functioning, and it is well documented that women experience a significant increase in sleep disturbance after the birth of a child. Sleep disturbance has been linked to impaired cognitive performance in several populations, including commercial truck drivers, airline pilots, and medical residents, though this relationship has rarely been studied in postpartum women. In the present study 13 pregnant women and a group of 22 non-pregnant controls completed one week of actigraphy followed by a battery of neuropsychological tests and questionnaires in the last month of pregnancy (Time 1) and again at four weeks postpartum (Time 2). Pregnant women experienced significantly more objective and subjective sleep disturbance than the control group at both time points. They also demonstrated more impairment in objective, but not subjective cognitive functioning. Preliminary analyses indicated increased objective sleep fragmentation from Time 1 to Time 2 predicted decreased objective cognitive performance from Time 1 to Time 2, though small sample size limited the power of these findings. Implications for perinatal women and need for future research were discussed.
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Francl, Mary Ellen. "A re-examination of stresses experienced by primiparous women in the first two weeks postpartum." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277161.
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A replication of "Stresses Experienced by Primiparous Women in the First Two Weeks Postpartum" (Wolfel, 1986) was undertaken to identify stressors experienced by women in the first 2 weeks postpartum and to compare results with the original study. Because of changes in the standard of care, a study replication was desirable. The replication sample consisted of 20 primiparous women who completed the Postpartum Stress Questionnaire (PSQ), a new tool developed by Wolfel. Descriptive data displayed the existence of stress. Analysis of variance, t tests, and correlation coefficients were used to find significant correlations between demographic characteristics and PSQ responses. Age correlated positively with stress. Married women reported stress in physiological and psychological areas. Women who had a miscarriage were more likely to exhibit postpartal stress. No relationship was found between PSQ and variables of previous experience with child care, length of hospital stay, use of pain medication, or prenatal caretaker.
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Haertel, Julia. "Untersuchungen zum Zusammenhang zwischen der Konzentration von Insulin-like growth factor 1 im Puerperium und der Fruchtbarkeit und Milchleistung beim Milchrind /." Berlin : Mbv, 2009. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=018620833&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Haertel, Julia. "Untersuchungen zum Zusammenhang zwischen der Konzentration von Insulin-like growth factor 1 im Puerperium und der Fruchtbarkeit und Milchleistung beim Milchrind." Berlin mbv, Mensch-und-Buch-Verl, 2008. http://d-nb.info/995878110/04.
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Farias, Dóris Helena Ribeiro. "Vivências de cuidado da mulher: a voz das puérperas." reponame:Repositório Institucional da FURG, 2008. http://repositorio.furg.br/handle/1/2951.
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O puerpério é um período vivido e percebido de forma singular pela mulher, exigindo, dos profissionais da saúde, sensibilidade e esforços para que estas se sintam acolhidas e valorizadas como seres únicos e especiais. Assim, este estudo teve como objetivo compreender como a mulher vem vivenciando o seu cuidado no puerpério, alicerçado no referencial teórico de Madeleine Leininger e em autores que abordam esta temática. Trata-se de uma pesquisa qualitativa, desenvolvida com 10 puérperas egressas da Unidade de Internação Obstétrica do Hospital Universitário Dr. Miguel Riet Corrêa - FURG e atendidas na Consulta de Enfermagem. A coleta de dados foi realizada através de entrevistas semi-estruturadas gravadas e transcritas na íntegra, com o devido consentimento esclarecido das participantes. Mediante a Análise Temática dos Dados, a partir de Minayo, emergiram três categorias: Sendo cuidada no puerpério, O cuidado de si no puerpério e Dificuldades encontradas pela mulher no puerpério. Constatei que o puerpério apresenta-se como um período especial na vida da mulher, em que cada uma o vivencia de acordo com seus valores, crenças e costumes. O estudo evidencia o importante papel da família no cuidado à puérpera e a influência cultural que esta exerce sobre a mulher. As alterações ocasionadas no corpo das mulheres durante a gestação, o parto e o puerpério, afetam sua auto-imagem, tornando-as mais vulneráveis emocionalmente. Para algumas mulheres, após o parto, o corpo volta-se para a função materna de amamentar. Com relação às dificuldades enfrentadas pela mulher no puerpério, percebi que ela pode apresentar uma sobrecarga de papéis, com a sensação de perda de controle sobre sua vida, exigindo reorganização do seu cotidiano. O estudo ainda evidenciou a presença de um homem mais participativo na família, mais atento às necessidades da mulher nesse período, mais companheiro e amigo, procurando assumir responsabilidades, compartilhando as demandas de cuidado com a mulher, o trabalho com a casa e os cuidados com o filho. Compreender como as mulheres vivenciam o seu cuidado no puerpério, possibilita à enfermeira, mais facilmente, planejar ações educativas que as instrumentalizem para o seu autocuidado. Acredito que a partir dos conhecimentos mostrados neste estudo, possa contribuir para a produção de um novo olhar para o ser humano puérpera, possibilitando às enfermeiras repadronizarem suas consultas de puerpério, de modo que não dirijam seu olhar apenas para a dimensão biológica da mulher, mas também incorporemseus aspectos subjetivos, valorizando suas crenças e costumes.
Puerperium is a period experienced and realized in a singular way by the woman and it requires sensibility and efforts from the health professionals to these women feel valorized and approached as unique and special beings. Thus, this study aimed to comprehend how the woman is experiencing her care in puerperium and was based on the referential theory by Madeleine Leininger and authors who approach this thematic. It is about a qualitative research developed with 10 mothers who came out from the Obstetric Internment Unit of the Academical Hospital Dr. Miguel Riet Corrêa – FURG and attended in the Nursing Consultation. Data were collected through semi-structured interviews which were completely recorded and transcribed under the participants’ clear consent. Data were analyzed under the Minayo’s proposal denominated Data Thematic Analysis. Results reveled three categories: Woman being cared in purperium, Self care in puerperium and Difficulties found by the woman in purperium. I observed that, puerperium is presented as a special period in woman’s life and it is experienced by her according with her values, beliefs and costumes. The study highlights the family’s important role in caring the mother and the cultural influence that family have on the woman. The alterations occasioned in the woman’s body during pregnancy, birth and in purperium affect her self-image, making her more vulnerable emotionally. For some women, after the birth, the body is ready to breastfeed. In relation to the difficulties faced by the woman in puerperium, I noticed that she can show a roles’ overload, giving her the sensation of loss of controlling her life, requiring reorganization of her daily. The study also evidenced the presence of a more participative and partner man in the family in alert to woman’s needs in this period, and more friendly looking for assuming the responsibilities, sharing the caring demands with the woman, the house and the child. To comprehend how these women experience their care in puerperium, easily makes the nurse able to plan educative actions that prepare them to their self-care. I believe that the knowledge shown in this study can contribute to a new look at mothers, making the nurses able to construct a new pattern for their purperium consultations in a way they no more observe only the biological dimension but also to incorporate the woman’s subjective aspects.
El puerperio es un período vivido y percibido de manera singular por la mujer, exigiendo, de los profesionales de la salud, sensibilidad y esfuerzos para que estas se sientan acogidas y valoradas como seres único y especiales. Por lo tanto, este estudio tuvo como objetivo entender cómo la mujer está vivenciando su atención en el puerperio, se basó en el marco teórico de Madeleine Leininger y autores que abordan esta cuestión. Esta es una investigación cualitativa, realizada con 10 puérperas egresas de la Unidad de Internamiento Obstétrico del Hospital Universitario Miguel Riet Corrêa - FURG y atendidas en la consulta de Enfermería. La colecta de datos fue realizada a través de entrevistas semiestructuradas grabadas y transcritas en su totalidad, con el debido consentimiento de los participantes. Los datos fueron analizados de acuerdo con la propuesta de Minayo, llamado de análisis temático de los datos. Los resultados revelaron 3 categorías: Siendo cuidada en el puerperio, El cuidado de sí mismos en el puerperio y de las dificultades encontradas por la mujer en el puerperio. Constate que el puerpero es un período especial en la vida de la mujer, en la que cada una de vivencia de acuerdo a sus valores, creencias y costumbres. El estudio evidencia el importante papel de la familia en el cuidado de la puérpera y la influencia cultural que esta ejerce sobre la mujer. Los cambios causados en el cuerpo de la mujer durante el embarazo, parto y puerperio, que afecta a su auto imagen, lo que los hace más vulnerables emocionalmente. Para algunas mujeres, después del parto, el cuerpo de vuelta a la tarea de amamantar. Cuanto a las dificultades enfrentadas por las mujeres en el puerperio, verifiqué que la misma podrá presentar una sobrecarga de papel, dándole la sensación de pérdida de control sobre su vida, exigiendo la reorganización de su vida cotidiana. El estudio también mostró la presencia de un hombre más participativo y compañero en la familia, más atento a las necesidades de las mujeres en ese período, más compañero y amigo, buscando asumir responsabilidades, compartiendo de las demandas de cuidado con su esposa, hijo y la casa. Entender cómo las mujeres experencian el cuidado en el puerperio, permite a la enfermera, más fácilmente, planificar las actividades educativas que las herramientas para su auto cuidado. Creo que, partiendo del conocimiento demostrado en este estudio podrá contribuir a la producción de una nuevo mirar para los seres humanos puerperios, permitiendo a la enfermera estandardizar sus consultas en el puerperio, de manera que las mismas no vuelven su mirada sólo para las medidas biológicas, sino también la incorporación de los aspectos subjetivos de la mujer.
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Beleza, Ana Carolina Sartorato. "A dor perineal no pós-parto normal com episiotomia: mensuração, caracterização e efeitos da crioterapia." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-06102008-144024/.
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A dor perineal no pós-parto é uma das morbidades mais comuns que acometem as mulheres no período puerperal. Recursos farmacológicos e não farmacológicos têm sido investigados para aliviar tal sintoma. A crioterapia é uma técnica frequentemente utilizada na clínicaobstétrica, porém existem poucos estudos que fundamentam tal terapêutica. Diante disso, este estudo teve como objetivo geral avaliar o efeito da crioterapia no alívio da dor da região perineal em primíparas submetidas ao parto normal com episiotomia. Os objetivos específicos foram: mensurar a dor perineal em primíparas submetidas ao parto normal com episiotomia por meio instrumento unidimensional de dor, caracterizar a dor perineal por meio de instrumento de avaliação multidimensional de dor, verificar quais atividades realizadas pelas puérperas dentro da maternidade estavam limitadas pela presença da dor, verificar o efeito da crioterapia no alívio da dor imediatamente após a aplicação e uma hora pós-tratamento, verificar a temperatura da região perineal antes, durante e depois da crioterapia e a correlação com a intensidade da dor, verificar possíveis efeitos adversos provocados pela crioterapia e verificar a opinião das puérperas sobre o tratamento. Trata-se de um estudo do tipo ensaio clínico aleatório e controlado realizado em uma maternidade localizada no interior do estado de São Paulo. Foram selecionadas aleatoriamente 50 mulheres primíparas que apresentavam dor perineal após o parto vaginal com episiotomia, divididas em 26 mulheres no grupo controle e 24 no grupo experimental. Foi utilizado um formulário para a coleta de dados sócio-demográficos, sobre a assistência ao parto e os dados do recém-nascido; para avaliar a dor foi utilizada a escala numérica compartimentada em 11 pontos e os descritores do questionário McGill; também foi utilizado um formulário sobre as atividades funcionais desempenhadas pelas puérperas que estavam limitadas pela dor; por fim, foi aplicado um questionário sobre a opinião das mulheres sobre a terapêutica. A técnica de crioterapia utilizada consistiu de bolsa plástica no formato de um absorvente, contendo gelo triturado, aplicada durante 20 minutos. Foram realizadas três avaliações em ambos os grupos: avaliação inicial onde era questionada a intensidade da dor pela escala numérica e a aplicação do questionário McGill; avaliação dois: realizada após 20 minutos da primeira avaliação, sendo que no grupo experimental foi realizada após a crioterapia; avaliação três: realizada após uma hora da segunda avaliação. Este trabalho foi aprovado pelo Comitê de Ética da EERP/USP. Verificou-se alívio da dor para o grupo experimental comparado ao controle na segunda avaliação e na terceira avaliação (p=0,000). As puérperas de ambos os grupos apresentavam limitadas as funções de sentar, deitar e deambular. A dor perineal foi caracterizada pelas puérperas como latejante, que repuxa, que esquenta, ardida, dolorida, chata, incômoda, que prende e que deixa tenso. A média da temperatura perineal antes da crioterapia foi a 34,5o C, baixando para 23,4ºC após a técnica. Uma hora após o tratamento a média passou para 33,7ºC. Foi encontrada correlação positiva entre a intensidade da dor e as modificações da temperatura perineal. Sobre a satisfação das mulheres com a crioterapia 87,5% referiram estar satisfeitas com o recurso e 12,5% referiram estar muito satisfeitas. A crioterapia mostrou-se eficaz no alívio da dor perineal, entretanto, são necessários demais estudos que possam elucidar questões tais como tempo de alívio do sintoma, intervalo entre as aplicações e os efeitos sobre demais sinais e sintomas do processo inflamatório.Postpartum perineal pain is among the most common morbidities affecting women in the puerperal period. Studies have been conducted to assess the effectiveness of pharmacological and non-pharmacological resources to relief this symptom. Cryotherapy is a frequently used clinical-obstetric technique, but few studies have provided the foundations of this therapeutics. In this view, this study had the purpose to: assess the effect of cryotherapy in providing pain relief of the perinal region of primiparae submitted to natural childbirth with episiotomy using a one-dimensional pain instrument; characterize perineal pain using a multidimensional pain assessment tool, verify what activities performed by the puerperae in the maternity were limited due to the presence of pain; verify the effect of cryotherapy in relieving pain immediately after it application, and one hour later; verify the temperature of the perineal region before, during, and after cryotherapy, and the correlation with the intensity of pain, verify the possible adverse effects caused by cryotherapy; and verify the puerperaes opinion about the treatment. This is a controlled and random clinical trial carried out in a maternity in the interior of Sao Paulo state, and it was approved by the EERP/USP Research Ethics Committee. Fifty primiparae with perineal pain after vaginal delivery with episiotomy were randomly selected and 26 were assigned to the control group and 24 to the experimental group. A form was used to collect socio-demographic data, as well as information about care during the delivery and regarding the newborn; an 11-point numerical scale and descriptors from the McGill questionnaire were used to assess the pain. In addition, a form was used to assess the functional activities performed by the puerperae that were limited due to the pain. Finally, a questionnaire was applied to obtain the womens opinion about the therapy. The cryotherapy technique used consisted of a plastic bag in the shape of an absorbent pad, containing ground ice, which was applied for 20 minutes. Three assessments were performed in both groups: an initial assessment, in which the women were asked about the intensity of the pain using the numerical scale and by administering the McGill questionnaire. The second assessment was performed 20 minutes after the first, and in the experimental group it was performed after the cryotherapy. The third assessment was performed one hour after the second. This study was approved by the EERP/USP Ethics Committee. It was verified there was pain relief in the experimental group compared to control in the second and third assessment (p=0.000). On the other hand, the women reported feeling pain again in the third assessment. The puerperae from both groups had limited functions when sitting, laying down, and walking. The puerperae characterized the perineal pain as pulsing, pulling, hot, stinging, hurting, annoying, troublesome, tight and tense. The average perineal temperature before cryotherapy was 34.5 o C, dropping to 23.4 o C after the technique. One hour after the treatment, the average lowered to 33.7 o C. There was a positive correlation between the intensity of pain and the changes in perineal temperature. As for the womens satisfaction toward the cryotherapy, 87.5% reported being satisfied with the resource and 12.5% reported being much satisfied. Cryotherapy was effective in relieving perineal pain, however further studies are needed in order to elucidate issues like time of symptom relief, interval time between applications, and the effects over other signs and symptoms of the inflammatory process.
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Wolfel, Audrey Kloski 1954. "STRESSES EXPERIENCED BY PRIMIPAROUS WOMEN IN THE FIRST TWO WEEKS POSTPARTUM." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276893.
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Bergmann, Josef. "Einfluss der negativen Energiebilanz bei Hochleistungskühen im Puerperium auf die Sensibilität der Hypophyse für GnRH und auf die Veränderung unterschiedlicher indirekter Stoffwechselparameter." [S.l.] : [s.n.], 1998. http://www.diss.fu-berlin.de/1998/37/index.html.
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Beening, Jan-Gerd. "Der Einfluss verschiedener peripartaler Fütterungsmassnahmen (Zulage von Glaubersalz, Haferspelzen sowie eines milchsäurehaltigen Fermentationsproduktes) auf den Verlauf von Geburt und Puerperium bei Sauen /." Hannover : [s.n.], 1999. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=009223834&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Haertel, Julia [Verfasser]. "Untersuchungen zum Zusammenhang zwischen der Konzentration von Insulin-like growth factor 1 im Puerperium und der Fruchtbarkeit und Milchleistung beim Milchrind / Julia Haertel." Berlin : Freie Universität Berlin, 2009. http://d-nb.info/1023784939/34.
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Stefanello, Juliana. ""A vivência do cuidado no puerpério: as mulheres construindo-se como mães"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-07122005-110838/.
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Na fase pós-parto, o cuidado destaca-se no contexto familiar como uma prática permeada de particularidades. Assim, este estudo buscou compreender como se estabelece o cuidado na fase puerperal, no contexto familiar. Trata-se de uma pesquisa qualitativa, desenvolvida com 12 mulheres puérperas e 11 familiares destas, que as auxiliam no cuidado pós-parto. Utilizaram-se, como procedimento metodológico para a coleta de dados, entrevistas semi-estruturadas gravadas e transcritas na íntegra, após consentimento livre e esclarecido dos sujeitos. As entrevistas foram realizadas no domicílio do informante. Os dados foram analisados com base na técnica de análise de conteúdo, modalidade temática. Os resultados revelaram quatro temas: 1) O ideário de maternidade como base na construção de cuidado do bebê e do cuidado puerperal; 2) Cuidando com cuidado do bebê; 3) Cuidando da mãe para que ela cuide do bebê e 4) Os agentes tomados como referência nas práticas de cuidado. As práticas de cuidado pós-parto estão muito ligadas ao ideário de maternidade, algo intrinsecamente feminino, permeado de idealizações e fundamentado nas concepções de gênero. O bebê, foco primeiro de todas as ações de cuidado, traz inúmeras mudanças na rotina da família e principalmente da mãe. A mulher-mãe também necessita de cuidados, entretanto grande parte deles visam indiretamente à criança. O cuidado na fase puerperal, permeado de crenças e tabus ligados ao feminino, outorga às mulheres um poder de agentes nesse processo, já que trazem consigo conhecimentos de muitas gerações. Assim, entende-se o cuidado pós-parto como uma prática feminina, na qual as mulheres buscam abastecer-se em sistemas de representações já incorporados socialmente, ao mesmo tempo em que atuam como sujeitos e reinventam sistemas estabelecidos, construindo-se como mães.The care given during the phase after delivery is pointed out, within the family context, as being replete with particularities. Hence, this study sought to comprehend how the care in the puerperal phase is established, within the family context. It is a qualitative research, developed with 12 puerperal women and 11 of their relatives, who help them with the care after delivery. Data collection was performed by the methodological procedure of semi-structured interviews, which were taped and integrally transcribed, after receiving free and clarified consent from the subjects. Interviews were performed at the informants home. The data were analyzed based on the technique of thematic content analysis. The results revealed four themes: 1) The idea of maternity as being the basis for the construction of the babys care and puerperal care; 2) Taking care of the baby carefully; 3) Taking care of the mother so she can take care of the baby; and 4) The agents taken as reference in the practices of care giving. The practices of care after delivery are much linked to the idea of maternity, something intrinsically feminine, full of idealizations and founded on gender conceptions. The baby, primary focus of all care actions, brings numerous changes to the familys routines, mainly the mothers. The mother-woman also needs to be cared for; however, a great deal of this care involves, indirectly, the child. The care in the puerperal phase, permeated of beliefs and taboos linked to the feminine, grants the women with a power of agents in this process, since she bears the knowledge of many generations. Thus, the care after delivery is understood as a feminine practice, in which women base themselves on representation systems that have already been socially incorporated, at the same time that they act as subjects and reinvent the previously established systems, constructing themselves as mothers.
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Viana, Rinaldo Batista. "Influência da gestação, da parição e do puerpério sobre o hemograma de caprinos (Capra hircus) da raça Saanen, criados no Estado de São Paulo." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/10/10136/tde-22072011-145155/.
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Com o objetivo de avaliar a influência da gestação, da parição e do puerpério sobre o quadro hemático de caprinos (Capra hircus) da raça Saanen foram colhidas amostras de sangue de animais criados em sistema intensivo, de acordo com o manejo tradicional empregado nas propriedades produtoras de leite do Estado de São Paulo. Nas amostras de sangue, colhidas em frascos contendo EDTA como anticoagulante, foram realizadas as seguintes provas: contagem do numero de hemácias, em câmara de Neubauer modificada, utilizando-se líquido de Gower como diluidor; determinação do volume globular, pelo método do microematócrito; dosagem de hemoglobina, pelo método da cianometaemoglobina; cálculo dos índices hematimétricos (VCM volume corpuscular médio; HCM hemoglobina corpuscular média; CHCM concentração de hemoglobina corpuscular média), contagem do número total de leucócitos, em câmara de Neubauer modificada, utilizando-se o líquido de Thoma como diluidor; e a contagem diferencial de leucócitos, efetuada em esfregaços sanguíneos, corados pelo método de Rosenfeld. No primeiro experimento, delineado para avaliar a influência da gestação e do puerpério foram colhidas amostras de sangue de 150 cabras, divididas em 5 grupos experimentais, conforme a seguir discriminado: G1 composto por 30 cabras não prenhes; G2 - composto por 30 cabras na fase inicial da gestação, (entre 30 e 60 dias de gestação); G3 composto por 30 cabras na fase média da gestação (entre 60 e 120 dias de gestação); G4 composto 30 cabras na fase final da gestação, (com mais de 120 dias de gestação) e G5 composto por 30 cabras recém-paridas (com até 30 dias pós-parto). No segundo experimento, delineado para avaliar a influência da parição e do puerpério sobre o quadro hemático foram colhidas 198 amostras de sangue de 11 cabras, sendo os resultados apresentados em 18 grupos experimentais, conforme a seguir discriminado: 32, 16, 8, 4, 3, 2, 1 e ½ dias antes do parto, imediatamente após o parto, e ½, 1, 2, 3, 4, 8, 16, 32 e 64 dias após o parto. No primeiro experimento, a avaliação dos resultados demonstrou que o eritrograma sofreu influência da gestação, sendo o quadro eritrocitário caracterizado, na fase final da gestação, por uma diminuição do número de hemácias e um aumento nos valores do VCM e do HCM. Também se observou a influência da gestação sobre o leucograma, pois o quadro leucocitário foi caracterizado por uma diminuição gradual do número de leucócitos com o avançar da gestação, atingindo seus menores valores no final da gestação e no puerpério. Essa diminuição ocorreu devido ao comportamento observado para o número absoluto de linfócitos que também diminuiu com a evolução da gestação. Dessa forma, o quadro leucocitário tornou-se, predominantemente, neutrofílico na fase final da gestação e no puerpério. No segundo experimento, a avaliação dos resultados obtidos demonstrou que somente o leucograma sofreu influência da parição e da evolução do puerpério. Nos últimos três dias de gestação observou-se um gradual aumento do número de leucócitos, em decorrência das variações observadas no número total de neutrófilos, sendo o quadro leucocitário, no momento do parto, caracterizado por uma leucocitose por neutrofilia sem desvio à esquerda. Nas primeiras 24 horas após o parto, ainda foi possível ser observado essa leucocitose por neutrofilia que desapareceu nos dias subseqüentes, passando o quadro leucocitário a assemelhar-se, até o final do puerpério, àquele observado na fase final da gestação.With the intention of evaluating the influence of pregnancy, parturition and puerperium in the hemogram of Saanen goats (Capra hircus), blood samples were taken from goats bred in feedlots on the State of São Paulo. The blood samples were collected with EDTA and submitted to the following tests: erythrocyte counts (in the modified Neubauer hemocytometer, using Gowers liquid as a dilute); packed cell volume (using the microhematocrit method); hemoglobin concentration (using cyanmethemoglobin method); calculated blood indices: MCV mean corpuscular volume; MCH mean corpuscular hemoglobin; MCHC mean corpuscular hemoglobin concentration; total leukocyte counts (in the modified Neubauer hemocytometer, using Thomas liquid as a dilute); and differential leukocyte count (made up with blood smears and stained with Rosenfeld method). The first experiment was designed to evaluate the influence of pregnancy and puerperium. 150 blood samples were collected from five experimental groups of 30 goats each. These were the groups: G1 non-pregnant; G2 initial pregnancy (30 to 60 days of pregnancy); G3 middle pregnancy (60 to 120 days of pregnancy); G4 late pregnancy (more than 120 days of pregnancy); G5 kidding goats (until 30 days after parturition). In the second experiment, the influence of parturition and puerperium was evaluated in the hemogram. 198 blood samples were collected from 11 goats at different moments during pregnancy or puerperium and were allotted into 18 experimental groups as described: 32, 16, 8, 4, 3, 2, 1, ½ days before parturition, immediately after parturition and ½, 1, 2, 3, 4, 8, 16, 32, 64 days after parturition. In the 1st experiment, the evaluation of the results showed that the erythrogram was influenced by the pregnancy, characterizing the hemogram by a decrease on the number of erythrocytes and a raise on the values of the MVC and the MCH. The influence of pregnancy in the leukogram was also studied, showing a gradual decrease on the number of leukocytes further on in pregnancy reaching lower values at the end of pregnancy and puerperium. This happened due to changes observed on the absolute number of lymphocytes that lowered further on in pregnancy, becoming the leukogram mostly neutrophilic at the end of pregnancy and puerperium. In the 2nd experiment, an evaluation of the results concerning the influence of parturition and puerperium in the hemogram demonstrated that only the leukogram was under the influence of these factors. On the last three days of pregnancy, a gradual raise on the number of leukocytes was observed due to same changes on the total number of neutrophils. At the moment of parturition the leukogram was characterized by a leukocytosis due to neutrophilia with no shift to the left. On the first 24 hours after parturition, it was still possible to observe this leukocytosis due to neutrophilia that disappeared on the subsequent days making the leukogram look similar to that observed at the late pregnancy until the end of puerperium.
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Santos, Carine Valéria Mendes dos. "Um novo pai, novas funções? Considerações sobre a relação pai-bebê no período da dependência absoluta." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-02062014-160149/.
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Nas configurações familiares ao longo da história os lugares do pai, da mãe e da criança estiveram e ainda estão em constantes transformações. Durante muito tempo, o pai esteve distante dos aspectos referentes aos cuidados com os filhos e aos afazeres domésticos. A inserção do pai nesse contexto é um fenômeno atual e vem redefinindo novas formas de ser família. Em vista do surgimento de novos arranjos e funcionamentos familiares, nos quais o pai tem se permitido ser também um cuidador, foi possível pôr a relação pai-bebê em evidência. A partir de correlações entre a teoria do amadurecimento pessoal desenvolvida por Winnicott e a construção de um novo modelo de paternidade, pensou-se nas novidades trazidas por um pai mais participativo no que diz respeito às interações afetivas estabelecidas com o bebê. Esta pesquisa teve como objetivo investigar as formas de interação do pai como cuidador na provisão ambiental do bebê no período da dependência absoluta. Para tal finalidade, alguns pais foram acompanhados na maternidade do Hospital Universitário da Universidade de São Paulo e em seus ambientes familiares. Através do método clínico-qualitativo, este estudo baseou seus achados nos dados construídos a partir dos seguintes instrumentos: transcrições das entrevistas pré e pós-nascimento (realizadas no último mês de gestação e no 3º mês de vida do bebê, respectivamente) e anotações em diários de campo provenientes das observações dos pais em momentos pré-natais no hospital e pós-natais em suas casas. A partir do que foi encontrado, a relação entre os pais participantes e seus respectivos bebês foi analisada no intuito de compreender: os referencias familiares anteriores provenientes das figuras parentais desses pais; a atualização e/ou transformação desses referenciais no exercício parental atual; a construção parental dos novos pais, bem como os processos de vinculação afetiva com o bebê ainda na barriga; os significados atribuídos a experiência de ser pai antes e depois do nascimento; as formas de interação entre o pai e o bebê na rotina de cuidados; a capacidade de reconhecimento das necessidades do bebê por parte dos pais; a constituição de novas funções paternas no período da dependência absoluta e a caracterização de um holding no qual os cuidados paternos estivessem incluídos. Desta forma, pôde-se discutir a construção de uma paternidade afetivamente inscrita na subjetividade do bebê desde os primeiros momentos de vida. Esta inscrição seria possibilitada pela disponibilidade dos pais em se adaptar à rotina de cuidados do bebê e estabelecer especificidades de holding ao longo das interações singulares e dos cuidados adaptados. Partindo das elaborações construídas ao final desse estudo, atentou-se para a importância de desenvolver: estudos voltados para a inserção do pai, como cuidador, em momentos iniciais do desenvolvimento infantil; para o estudo das implicações dos cuidados paternos na flexibilização de papeis e funções masculinas e femininas nas configurações familiares; assim como, para as implicações dessa flexibilização no posicionamento das instituições, voltadas para a atenção humanizada ao pré-natal e ao puerpério, perante a demanda de inclusão do pai no ciclo gravídico-puerperalIn family settings along history, the functions assigned to the father, the mother and the child were, and still are, in constant transformation. For a long time, the father was absent when it concerned to child care and housework. His inclusion in this context is a current phenomenon and has been redefining new ways of being a family. The emergence of new family arrangements, in which the father has also be allowed to take part as a caregiver, made possible to put in evidence the father-baby relationship. Correlations between the theory of personal maturit, developed by Winnicott , and the construction of a new model of fatherhood, allowed us to think about the novelties brought by a father who participates more in affective interactions with the baby . This research aimed to investigate the forms of interaction between the father as caregiver and environmental provider and the baby in the period of absolute dependence. For this purpose, some parents were followed at the Maternity Hospital of the University of São Paulo and in their family environment. Through clinical-qualitative method this study based its findings on data constructed from the following instruments: transcriptions of pre-birth interviews and post-birth interviews (held on the last month of pregnancy and 3 month old baby, respectively) and observations recorded on field notes about parents in prenatal moments at the hospital and after the baby birth, at their homes. From what has been found, the relationship between the fathers and their respective babies was analyzed in order to understand: previous references of the fathers familiar parental figures; upgrade and/or processing of these references in the current parental exercise; the parental construction of the new fathers as well as the processes of affective bonding with the baby still in the belly; the meanings attributed to the experience of being a father before and after birth; forms of interaction between fathers and babies in daily care; the fathers ability to recognize the needs of their babies; the establishment of new fathers\' functions during the period of absolute dependence and the characterization of a holding company in which father care was included . Thus, we discussed the construction of an affectively fatherhood inclusion on the baby subjectivity since the first moments of life. This entry would be made possible by the fathers availability to adapt to the baby care routine and establish holding specificities along the natural and appropriate care interactions. The results of this study showed the importance to develop studies: facing the insertion of the father in daily baby care, as a caregiver in early stages of child development; the implications of parental care in flexible roles, men and women functions in family settings; as well as the implications of flexibility in the positioning of institutions dedicated to prenatal and postpartum care in front of the demand for inclusion of fathers in pregnancy and childbirth
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Costa, Maria Cristina Guimarães da. "Puerpério: a ambivalência das estratégias para o cuidado." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-28082006-163012/.
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Trata-se de um estudo qualitativo que buscou identificar as condutas sobre o cuidado de si utilizadas no cotidiano de puérperas, compreender as manifestações das mesmas frente as orientações da equipe de enfermagem sobre os cuidados e identificar a relação de significados, crenças e valores da mulher sobre o cuidado pós-parto, com a cultura e o saber científico. O referencial teórico adotado foi a antropologia cultural. Os dados foram obtidos através das observações realizadas e de entrevistas semi-estruturadas com puérperas internadas no alojamento conjunto da Unidade Materno-Infantil do Hospital das Clínicas de Marília, que durante a internação realizavam cuidados que divergiam das orientações ou prescrições realizadas e que gerou algum conflito, preocupação ou comentário por parte da mulher ou equipe que ali trabalha. A análise dos dados foi feita mediante o conteúdo das falas das puérperas mais as observações realizadas em campo, das quais emergiram três unidades temáticas: o puerpério com período especial, as estratégias para o cuidado de si no período pós-parto, decidindo-se por estratégia de cuidado no puerpério: uma relação de poder?. As puérperas consideram o período pós-parto como um período especial, por isso, utilizam- se de práticas para se cuidarem e buscam formas de não adoecer. Muitas vezes não conhecem o seu significado, mas as realizam porque são conceitos e regras compartilhadas, que se modelaram em seu cotidiano, através de informações e experiências de suas mães, sogras, avós, vizinhas. Essa cultura do cuidado de si difere da cultura do saber científico e gera conflitos.The present research its about a qualitative study which was searching to identify the conducts in the care itself used day by day in purperium, understand the manifestations of it, before orientations of the nursing goup about the care and identify the sign relationship, belief and womans value about the puerperium care, with the culture and the scientist knowledge. The teory concerning used was the culture antropology. The datas were obteined during the observatios realized and the interviews, with the woman in the puerperal period interned in the Maternity Unit of the Clinic Hospital in Marília, which during the internation realized cares that disagree of the orientations and prescription realized producing some problems, preocupation or coments by the women or the work group there. The data analysed was done because the explanation that the women in the pueperal period and the obsevations realized there that produced three theme units: the puerperium like a special period, the estrategies for the puerperium care, she decide on strategies of the care: area relation of power?. They consider the puerperium as a special period, then they used some ways to care and dont be sick. Many times they dont know the meaning but realize because they are ideas and rules shared which was done day by day cause the informations and experiences from their mothers, mothers-in-law, grandmothers and neighbors. This culture for the is difeferent from the scientst knowledge culture adn bring up conflicts.
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Gonzalez, Beltran Erika. "Prenatal physical activity patterns and determinants in an urban Ecuadorian population." To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2009. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.
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Serranito, Maria Ângela Baleizão. "Visita domiciliária no puerpério." Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/15869.
Full textAbstract:
A Visita Domiciliária é encarada como uma estratégia de intervenção às famílias no seu ambiente de conforto. O puerpério é uma fase da vida da mulher onde ocorrem inúmeras alterações no seu contexto social, relacional, emocional e físico. A Visita Domiciliária no Puerpério pode assim ser vista como de extrema importância, pois é no regresso a casa que as responsabilidades e competências têm que ser desempenhadas pelas figuras parentais. Contextualizado no Serviço de Obstetrícia/Ginecologia do Hospital do Espírito Santo de Évora-Entidade Pública Empresarial, apresenta-se o Relatório de um Projeto desenhado na perspetiva da oferta da visita domiciliária no puerpério. Surge, face à realidade de curtos internamentos hospitalares pós-parto e por ocorrer uma procura da instituição em dias posteriores à alta. Em termos metodológicos, considerando-se como grupos-alvo as enfermeiras e as puérperas, definiram-se objetivos e cumpriram-se as consequentes atividades dirigidas aos prestadores e beneficiárias dos cuidados. Junto das enfermeiras, partindo da atividade de sensibilização para o assunto, seguiu-se a conceção de documentos, tais como uma Norma de Atuação, uma Check List e um documento para comunicação Inter-Institucional entre os Cuidados de Saúde Diferenciados e os Cuidados de Saúde Primários. Junto das beneficiárias, recolheu-se informação à data da alta e cerca de uma a duas semanas pós-parto, tendo-se ainda realizado uma intervenção-piloto, aplicando a vinte destas puérperas a Visita Domiciliária. Em resumo, no que respeita aos resultados, através deste projeto, reconhecem-se ganhos pessoais enquanto Enfermeira Especialista em Saúde Materna, Obstétrica e Ginecológica com desenvolvimento de competências, registam-se ganhos para as utentes beneficiárias da intervenção e na presumida aplicação real deste projeto, prevêem-se ganhos tanto para os prestadores em termos individuais como para a instituição, na representatividade que tem para a população da área de abrangência. Em termos conclusivos, sugere o atual Relatório que a Visita Domiciliária no Puerpério pode ser um recurso e um apoio a oferecer pelo HESE-EPE; ABSTRACT: The Puerperium Home Visit is seen as a intervention strategy for families at their comfort environment. The postnatal period is a phase in a woman's life in which several changes occur in her social, relational, emotional and physical context. The Puerperium Home Visit can thus be seen as extremely important, because it is with the homecoming that the responsibilities and skills must be performed by the parental figures. Contextualized in the obstetric/gynecology service at Hospital Espírito Santo in Évora - Entidade Pública Empresarial, the report of a project drawn in the perspective of home visit supply during puerperium period is presented. It arises given the reality of short post-partum hospital stays and due the request for the institution services during the days after the hospital discharge. In methodological terms, considering the nurses and puerperal staff as target groups, some objectives were defined and the consequent activities, directed to the providers and care beneficiaries, were accomplished. With nurses, starting from the sensitization for the subject, I followed for the document creation, like a Standard of Performance, a Check List and a document for the inter-institutional communication between the Differentiated Health Care and the Primary Health Care. With the beneficiaries, information was collected during the hospital discharge and one or two weeks after the parturition. A pilot intervention was also performed applying home visits to twenty of these puerperal. In short, regarding the results, through this project, personal earnings with skill development are recognized while being a Specialized Nurse in Maternal Health, Obstetrics and Gynecology. Earnings for the intervention beneficiaries are registered and, in the presumed real application of this project, earnings are predicted both for the providers in individual terms and for the institution, in the representativeness that it has for the population in the coverage area. In conclusive terms, the current report suggests that the Puerperium Home Visit can be a resource and a support to be offered by Hospital do Espírito Santo - Entidade Pública Empresarial.
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Barthmann, Jens. "Einfluss von Propylenglycol und Huminsäuren auf klinische und klinisch-chemische Daten von Milchkühen im peripartalen Zeitraum." Doctoral thesis, Universitätsbibliothek Leipzig, 2004. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-37539.
Full textAbstract:
In vorliegender Arbeit wurde der Einfluss von Propylen-glycol als glucoplastische Verbindung im Präparat "Schaumann Energizer" sowie die Wirkung der den Mineral- und Energiestoffwechsel stabilisierenden, Toxine bindenden Huminsäuren (HS) im "Cellu-Ligno-Karbon-Isolat" in alleiniger Anwendung bzw. in Kombination beider Wirkstoffe beim Hochleistungsmilchrind im peripartalen Zeitraum untersucht. Zur Charakterisierung der Effekte der angewandten Präparate wurden folgende labordiagnostische und hämatologische Parameter bestimmt: Leukozytenzahl, Calcium, anorganisches Phosphat, Natrium, Kalium, Chlorid, Eisen, Glucose, BHB, Gesamtprotein sowie Albumin, Cholesterol, Bilirubin, GLDH, AST, GGT und CK. Des Weiteren wurden klinische Kriterien, wie die 100-Tage-Milchleistung sowie aufgetretene Erkrankungen, wie Mastitiden, Panaritien, Nachgeburtsverhaltungen und Stoffwechselkrankheiten, wie die Gebärparese, das Fettlebersyndrom und die Ketose erfasstThis paper investigated the effect of propylene glycol as a glycogenic compound in the preparation called "Schaumann Energizer". It was also looked into the effect of humic acids (HA), which stabilize the mineral metabolism and the energy metabolism and bind toxins, on the "Cellu-Ligno-Karbon-Isolat" in single and combinational administration of the active substances to high dairy yielding cows during the peripartal period. The following laboratory diagnostic parameters and haematological parameters were determined in order to characterize the consequences of the two preparations in use: number of leucocytes, calcium,inorganic phophate, sodium, potassium, chloride, iron, glucose, BHB, total protein as well as albumin, cholesterol, bilirubin, GLDH, AST, GGT and CK. Furthermore the following clinical criteria were recorded: 100-day-milk yield, resting time, occurred diseases, e.g. mastitis, paronychia, placental retention and metabolic diseases, such as milk fever, fat liver syndrome and ketosis
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Neutzling, Valéria Tejada. "CONTRACEPÇÃO E SAÚDE DA MULHER NO PUERPÉRIO." Universidade Catolica de Pelotas, 2005. http://tede.ucpel.edu.br:8080/jspui/handle/tede/421.
Full textAbstract:
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Previous issue date: 2005-03-01Despite the fact of many contraceptive methods are available, up to 89% of the puerpera do not make use of them. Gestations under 24 months interval are considered as high risk for the mother and the new born. Having in mind the goal of estimate the prevalence of pos-natal contraception, in the city of Pelotas, as well as the factors associated with the non-use of contraceptive 38 methods during this period, has been realized a nested cross-sectional study. 2471 mothers have been interviewed in the immediate pos-natal period and an random and representative sample of 34%, in home interviews six months after, in a total of 920 women. It came up with the evidence that 84% have used contraception up to the sixth month, been the combined oral contraceptive the most used (43%), followed by the progestin-only (13%) and for the condom (12%). The factors associated to anticonception in the sixth month of the puerperium have been: having a partner, have been attended pre and pos-natal professional medical orientation, previous use of contraception, not been breastfeeding in the sixth month pos-natal period, return to the sexual activity, have been cycled and medical orientation.
Apesar de existirem vários contraceptivos no mercado, até 89% das puérperas não faz uso de contracepção. Gestações com menos de 24 meses de intervalo são consideradas como de maior risco para mãe e bebê.Com o objetivo estimar a prevalência de contracepção no pós-parto, na cidade de Pelotas, bem como os fatores associados com o não-uso de contraceptivos nesse período, foi realizado um estudo transversal aninhado a uma coorte. Foram entrevistadas 2741 mulheres no período pós-parto imediato e uma amostra aleatória e representativa de 34%, no acompanhamento domiciliar seis meses depois, totalizando 920 puérperas. Evidenciou-se que 84% usou anticoncepção até o sexto mês puerperal, sendo o contraceptivo oral combinado o método mais utilizado (43%), seguido do progestágeno (13%) e pelo preservativo (12%). Os fatores associados à anticoncepção aos seis meses foram: presença de companheiro, ter realizado consultas pré e pós-natais, uso prévio de contracepção, não estar amamentando aos seis meses, retorno à atividade sexual, ter menstruado e orientação médica
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Damas, Fátima Alexandra Batista. "Nasceu uma mãe! viver o pós-parto a sorrir." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/25504.
Full textAbstract:
O 4.º trimestre da gestação ou puerpério inicia-se imediatamente a seguir ao parto
(dequitadura) e termina quando os órgãos reprodutores da mulher retornam ao seu estado
não gravídico. É neste período de recuperação física e psicológica, que a mulher vivência
muitas transformações, e emerge a necessidade de acompanhar as puérperas na sua nova
realidade, independentemente de serem primíparas ou multíparas, pois a cada nascimento
de um bebé nasce também uma mãe. A criação de uma metodologia de aulas de pós-parto
para a Maternidade do Hospital Doutor José Maria Grande, é o Objetivo. Utilizou-se um
questionário para obter as preocupações maternas e assim adequar as sessões às
necessidades/interesses da puérpera. Foram identificadas as preocupações ressentidas na
alta, em relação a si, ao bebé, ao companheiro, à família e à comunidade. O período de
internamento pós-parto revela-se insuficiente no que concerne a aquisição das
competências básicas para cuidar de si e do seu bebé. Foram criadas as bases para o curso
de aulas de pós-parto, no sentido de colmatar as dúvidas/preocupações e ajudar as
puérperas a viver a adaptação à maternidade de forma consciente e saudável; ABSTRACT:
A mother is born! Live postpartum to smile!
The 4º trimester of gestation or puerperium begins immediately after childbirth
and ends when the female reproductive organs return to their non-gravid state. It is during
this period of physical and psychological recovery that the woman experiences many
transformationsand emerges the need to accompany the puerperas in their new reality,
regardless of whether they are primiparous or multiparous, because every birth of a baby
is also a birth of a mother. The creation of a methodology of postpartum classes for the
Maternity Hospital of Doctor José Maria Grandeis the goal. A questionnaire was used to
obtain the maternal concerns and thus to tailor the sessions to the needs and the interests
of the puerpera. Resentment concerns were identified on discharge from the baby, the
partner, the family, and the community. The period of hospitalization after childbirth
proves insufficient when it comes to acquiring basic skills to care for you and your baby.
The basics for the course of postpartum classes were created in order to fill the doubts /
concerns and help the puerperas to live the adaptation to the maternity in a conscious and
healthy way.