Germinação, desenvolvimento e colheita da semente na mulher-terra: orientação de gestantes do SUS de Rio Claro sobre gestão e parto

Ao viver uma gestação, a mulher passa por mudanças biológicas, somáticas, psicológicas e sociais. É de fundamental importância que as gestantes recebam apoio, sejam orientadas sobre tais mudanças e também sobre o parto, momento comumente temido por elas. A assistência pré-natal é oferecida em nível nacional pelo Ministério da Saúde, que propõem a realização de ações educativas e a criação de grupos de apoio, que visam complementar o atendimento realizado nas consultas médicas. Porém, apesar de serem preconizadas, tais ações ainda são insuficientes ou insatisfatórias. O presente estudo visa contribuir com a área de Educação em Saúde buscando, a partir do conhecimento da realidade de gestantes, realizar uma ação de orientação, com a intenção de complementar o pré-natal realizado em Unidades de Saúde da Família (USFs). Para tanto, o objetivo geral da pesquisa foi investigar aspectos do conhecimento e dos sentimentos de gestantes usuárias do SUS de Rio Claro a respeito da gestação e parto, orientando-as sobre tais assuntos. A pesquisa, com abordagem Qualitativa, objetivo Descritivo e que usou como procedimento técnico a Pesquisa-ação, ocorreu no município de Rio Claro e teve como sujeitos 15 gestantes. A coleta de dados se deu através de entrevistas semi-estruturadas, que foram gravadas e de um diário de campo. Foi elaborado um material contendo 16 imagens coloridas, que foram utilizadas nas orientações individuais com o intuito de esclarecer os processos da gestação e parto. Os dados foram analisados através da técnica de Análise de Conteúdo. A maioria das entrevistadas afirmou que não planejava engravidar e, ainda assim, mais da metade delas não fazia uso de nenhum método contraceptivo, mostrando que não houve um planejamento familiar efetivo. As fontes de informação mais citadas foram as pessoas mais velhas e/ou experientes... (Resumo completo, clicar acesso eletrônico abaixo)

Fatores que podem influenciar o sexo da cria em bovinos

To assess the possibility of shifting the sex ratio at birth, since this can contribute to enhancing the genetic gain and producity in cattle, this work is aimed at raising the factors that may influence sex determination of creates. This study is based on research conducted in the area of reproduction and production of beef and dairy cattle, some quotes in humans, mouse, dogs and a study in pigs. This was due to back of data and studies in the bovine species. It was noted that stress during pregnancy, intake of vitamin C or others substances and the time of artificial insemination are the factors that may influence the determination of the type of product. Human studies, concluded that woman more stressed are more likely to produce female children of the quietest. Furthermore, sows that received ascorbic a ad orally for seven days and were inseminated during this period, produce more female then those who did not receive the vitamin. These studies may suggest that cows can also suffer influence of stress and food for the determination of sex of calf. There are also studies suggesting that cows inseminated at the earliest time of ovulation ted to produce more male calves than those inseminated a few hours before that time. Some scholars considers the hypothesis... (Complete abstract click electronic access below)

Determinação de fatores angiogênicos e anti-angiogênicos em plasma de gestantes portadoras de pré-eclâmpsia precoce e tardia

Changes in circulating angiogenic factors have been implicated in the pathogenesis of preeclampsia. Thus, evaluation of angiogenesis agonist and antagonist factors is of greater importance to understand the mechanisms responsible for this disorder. The objective of the present study was to evaluate whether circulating angiogenic and anti-angiogenic factors may differentiate early-onset from late-onset preeclampsia. The study was conducted in 86 women with preeclampsia diagnosed in the third trimester of pregnancy. Preeclampsia was classified according to the onset of clinical manifestation in early-onset (before 34 weeks of gestation; n=31) or in late-onset (from 34 weeks of gestation on; n=55) preeclampsia. Serum was obtained from the patients in the moment of the diagnosis and assayed for placental growth factor (PlGF), vascular endothelial growth factor (VEGF), soluble Endoglin (sEng) and soluble form of vascular endothelial growth factor receptor (sVEGFR-1) determination by enzyme-linked immunosorbent assay. The results showed that early-onset preeclampsia was characterized by significant lower levels of PlGF (median 38.3 vs 123.5 pg/mL) and VEGF (median 23.1 vs 35.3 pg/mL) in serum as well as by higher serum levels of sEng (median 54.7 vs 42.1 pg/mL) and sVEGFR-1 (median 5211.0 vs 4657.6 pg/mL) compared with late-onset preeclampsia. In this study serum levels of angiogenic and anti-angiogenic factors prove useful in differentiating early-onset from late-onset preeclampsia in the third trimester of pregnancy. Therefore, these findings suggest that angiogenic factors determination may indicate that early- and late-onset preeclampsia have different pathophysiology

Condutas de risco em jovens mulheres: álcool e sexo não seguro, temas necessários na formação de professores

The youth has been calling attention due to the large number of social problems resulting from the risky behaviors. One of the behaviors that stand out is the use of alcohol because, besides being the first drug to be used by children and adolescents, this population begins to use increasingly early. Another behavior that is becoming concern in that particular group, also with early start, is the unprotected sex, causing problems as the unplanned pregnancy, abortions and sexually transmitted diseases. However, one factor is becoming relevant and requiring further study, the number of young women developing sexually transmitted diseases and becoming risk drinkers. In this direction, this study has as objective to discuss the high number of alcohol use among young women, the vulnerability that this use causes for the unprotected sex and the importance of these subjects teachers training. It should be noted, finally, the lack of training of teachers to work with the thematic ones, and mainly, the need to deconstruct gender stereotypes, an obstacle in preventing the use of alcohol, other drugs and sexually transmitted diseases.

Resultado perinatal de gestantes submetidos à busca ativa de infecção genital

Pós-graduação em Saúde Coletiva - FMB

Impacto da saúde bucal na qualidade de vida de adolescentes grávidas

Pós-graduação em Odontologia Preventiva e Social - FOA

Condições de saúde bucal das gestantes atendidas na atenção primária do município de Botucatu-SP e seu conhecimento sobre a inportãncia da saúde bucal na gestação

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Índice de contaminação: novo parâmetro para análise de metais e de pesticidas no sangue materno e do cordão umbilical

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Eficácia da haptoglobina como marcador de hemólise no diagnóstico da síndrome HELLP

Introduction: The HELLP syndrome is a severe complication of pregnant women with preeclampsia (PE), characterized by association of hemolysis, changes in liver enzymes and thrombocytopenia. Hemolysis, defined by the presence of microangiopathic hemolytic anemia, is one of the characteristics in this syndrome. However, as hemolysis occurs in a short time there is some difficulty in its laboratory diagnosis. Therefore, the search for a more sensitive and specific method for hemolysis determination may help in the early diagnosis of the HELLP syndrome. Objectives: a) To determine the plasma concentration of haptoglobin in normotensive pregnant women and in pregnant women with PE, classified into mild PE, severe PE and HELLP/partial HELLP syndrome; b) To compare the efficacy of haptoglobin plasma concentration and serum total bilirubin as criteria for hemolysis diagnosis in HELLP/partial HELLP syndrome. Methods: We conducted a cross-sectional analytical and comparative study involving 66 pregnant women diagnosed with PE, being 25 cases with mild PE, 28 with severe PE, and 13 with HELLP/partial HELLP syndrome. Twenty-one normotensive pregnant women were included for comparison of haptoglobin plasma concentration between the groups and to determine the normal values for pregnant women. The variables studied were: maternal age, gestational age, systolic and diastolic blood pressure, proteinuria, hematocrit and hemoglobin values, platelet count, serum total bilirubin, lactate dehydrogenase (LDH), glutamic oxaloacetic transaminase (AST) and glutamic-pyruvic transaminase (ALT), urea, creatinine and uric acid, and also plasma concentrations of haptoglobin. The results were analyzed by nonparametric tests, with a significance level of 5%. Results: The values of urea, uric acid, AST, ALT and LDH were significantly higher, while the number of platelets was lower in pregnant women with HELLP/partial HELLP syndrome compared to pregnant women with mild PE and ...

Frequência e perfil de gestantes com toxoplasmose em uma unidade de saúde de Matão - SP

Congenital toxoplasmosis is a serious public health case, for it causes irreversible damage to the embryo/fetus, which may cause its death. The identification and the care to pregnant women with suspect acute toxoplasmosis (IgM+) is performed in prenatal monitoring. This study aimed to measure the incidence and know the profile of positive pregnant women for toxoplasmosis in a Basic Health Unit (BHU) in Matão - SP, between the years 2011 to 2013. This is a retrospective descriptive study, from the medical records of pregnant women attended. The project was approved by the Municipal Departament of Health and BHU was chosen along the Municipal Epidemiological Surveillance. From 2011 to 2013, 189 women began prenatal care in the unit, an annual median of 71(±26.91), of which 17 (8.99%) were positive for the serological test indicative of acute phase (IgM+). The distribution over the trial period was: four cases in 2011, twelve cases in 2012 and one in 2013. Pregnant women IgM positive for toxoplasmosis attend by BHU were: age 24(±5.47) years; color: equally distributed among white, black and brown; as the number of pregnancies: multiparous (2±0.97), most of them with a cesarean delivery as obstetric history and possessed no other risk factors associated with pregnancy (94.12%); gave entrance at BHU with 13.65(±7.35) weeks of gestation and had a median of 5(±2.36) consultation on their prenatal care. The examination for toxoplasmosis was requested as recommended by the Health Ministry (HM) and the medication prescribed was Roxamicina® - spiramycin, as soon as the test results (IgM+) arrived. Of the 17 pregnant women, only 10 completed the pre-natal at BHU - attendance at the postpartum consult (58.8%). Of these, the deliveries were vaginal (55.55%), made preterm with 36.5 weeks of gestation at the Municipal Hospital. The babies were born alive (100%) with the weight of 2.68(±0.77) Kg and required special care hospital scope. From the ...

Influência da restrição calórica materna moderada sobre o metabolismo energético em ratos Wistar

Estudos em humanos e animais têm demonstrado que a nutrição inadequada em fase crítica de desenvolvimento, como na gestação, pode causar alterações da prole na vida adulta. Tais estudos levaram à proposição da hipótese de programação fetal, segundo a qual o risco para desenvolver certas doenças é função não apenas da carga genética ou dos hábitos de vida do indivíduo adulto, como também da atuação de fatores ambientais em períodos críticos. O objetivo deste trabalho foi avaliar o efeito tardio da restrição calórica materna moderada (30%), na gestação e/ou lactação sobre o metabolismo energético da prole. Foram utilizados ratos Wistar, sendo os grupos experimentais divididos da seguinte forma: NN (filhotes nascidos de mães normais e colocados em gaiolas com mães do grupo normal na lactação), NR (filhotes nascidos de mães do grupo normal e colocados em gaiolas com mães restritas na lactação), RN (filhotes nascidos de mães restritas na gestação e colocados em gaiolas com mães normais na lactação) e RR (filhotes nascidos de mães restritas na gestação e colocados em gaiolas com mães restritas na lactação). Foram avaliados o peso corporal, a ingestão de alimentos, os depósitos de gordura, o índice de adiposidade, lipídios plasmáticos, gordura hepática e gordura da carcaça.. A restrição nutricional materna provocou alterações significativas tanto em machos quanto em fêmeas no período do desmame, entretanto no início da idade adulta somente os machos apresentaram mudanças mais expressivas no metabolismo energético e no desenvolvimento corpóreo. Houve uma redução no peso corpóreo dos animais machos dos grupos NR, RN e RR (8,9%, 9,0% e 14,2%, respectivamente). No entanto, somente os grupos NR e RR apresentaram diminuição nos teores de gordura hepática e triglicerídeos plasmáticos. O fornecimento de dieta ad libitum na lactação às mães com ...

Oficinas sobre sexualidade com adolescentes: um estudo de caso

Adolescents are commonly seen in a “sexless” way so that when the first sexual expressions appear in our young people they are permeated by worry and fear. In this context, the school spread the vision of sex and sexuality, as hazardous due to risks of sexually transmitted diseases and unwanted pregnancy. Thus, seeking to encourage reflection on the part of adolescents with regard to sexual life, workshops were developed with 15 students in a seventh grade student at a state school in the city of Jaboticabal, São Paulo. The findings of this research indicate that adolescents have conceptions of sexuality marked by repression, including the maintenance of sex roles traditionally established. The implementation of interventions in the form of workshops revealed that the group has become an area that favors the reconstruction and rebuilding of meanings through the questions and judgment of values and attitudes socially imposed.

Escola e o diálogo sobre corporeidade e educação sexual

The purpose of this work and to provide education professionals regarding the way a reflection of how the body has been seen and treated at school. In view of embodiment and sexuality education body and movement performed by him has received a new treatment in our time, overcoming the dichotomy inherited from the mechanistic paradigm and structured by Newton and Descartes and predominant in recent centuries. We know that these changes are consequences of the emergence of AIDS and the advancement of the incidence of unwanted pregnancies among young people of school age. Therefore, this discussion reinforces the need for training of teachers in promoting discussions about sexuality and corporeality with broader focus, dialogues, be traced paths to address the biopsychosocial aspects from a sociohistorical context of gender equity, respect for sexual diversity, the reduction of prejudice and violence against the so-called “minorities” sex.

Sexualidade na adolescência: dúvidas de alunos de uma escola pública

Although having a large access to information during adolescence, many teenagers are still uninformed on this subject. The aim of this study was verifying which and how are clarified the doubts that students have about Human Sexuality. In this study, 20 students from both genders, from 11 to 15 years old and from the 7th grade attended and answered a questionnaire with 9 questions. The doubts have been categorized in themes: pregnancy, sexually transmitted diseases, contraceptive methods and sexual response. The themes of interest were: the usage of contraceptive methods, puberty, sex and masturbation, pregnancy and virginity. The young reported that is important to talk about sexuality and they have their doubts explained with their parents, mainly the mother, with their friends and also with the internet. It is concluded that the adolescent students revealed doubts about the biological sexuality and did not receive an intentional sexual education at school. It is expected that the school can assume a role of promoting an adequate Sexual Education attending to the demand from these teenagers.

Retardo na procura do tratamento odontológico e percepção da saúde bucal em mulheres grávidas

The objective was to assess in women with children under 5 years old what happened to your pregnancy in relation to dental care, coupled with a probable correlation between the level of their knowledge on dental health and possible reasons which lead or have led to a late seeking such treatment. The interviews were conducted in an environment of health center in the city center and the Odontoly Faculty in Araraquara. Among the interviews mothers, 57% refused the dental treatment during pregnancy. It appears on mothers that are afraid to perform a dental treatment during pregnancy. The misinformation on this issue often associated with this belief in the medical field that dental care during the first three months of pregnancy is harmful to the baby. Such information passed on to mothers leads to a hesitancy with dental treatment during this period. The educational level of mothers did not interfere in this pursuit, and 24.5% of them avoid treatment during pregnancy. The difference, however, is between those mothers of high educational level, performing oral prevention before pregnancy.