Cleusa Alves Martins

Triagem pré-natal para toxoplasmose e fatores associados à soropositividade de gestantes em Goiânia, Goiás

PURPOSE to estimate the prevalence and risk factors associated with seropositivity for Toxoplasma gondii in pregnant women. METHODS a cross-sectional retrospective study based on the records of women screened for toxoplasmosis by the Pregnancy Protection Program in 2008, living in Goiânia (GO). These records were connected to records from the database of the National Information System on Live Births from the State of Goiás. The process occurred in three phases, with 10,316 records being paired for analysis, among the 12,846 initial records. The following variables were evaluated in this process: womans name, age, date of birth, estimated date of delivery, date of infant birth and household information. Anti-Toxoplasma gondii antibodies were detected with the Q-Preven Toxo IgG and IgMin tests in dried blood samples collected on filter paper. The χ2 test and χ2 test for trend were used for data analysis, and the odds ratio (OR) was used to estimate the chance of association between exposure and outcome. RESULTS the prevalence of infection was 67.7%, with 0.7% of the samples presenting anti-Toxoplasma gondii IgM and IgG reagents. Out of these, only three did not undergo confirmatory testing in venous blood. The median interval between the screening and the new collection of venous blood was of 12.5 days, and from screening to confirmatory test and avidity it was of 20 days. The variables associated with exposure were: age 20-30 years, OR=1.6 and ≥31 years, OR=1.8; brown skin color, OR=1.4, and black skin color, OR=1.6; and education of 8-11 years, OR=0.7, and ≥12 years of education, OR=0.6. CONCLUSION a high prevalence of infection was estimated among the studied pregnant women. The associated factors that were found found should be considered during prenatal care, along with educational activities for the prevention of infection and assessment of serological status of seronegative pregnant women.

Quality care of the bank of human milk: the perception of users

Objective: to describe the role of the Human Milk Bank of Antonio Pedro University Hospital in assisting users. Method: a descriptive exploratory study with a qualitative approach, with 13 of the Human Milk Bank who experienced some complications during breastfeeding. Data were collected through individual semi-structured interviews, analyzed according to the method proposed by Bardin content. The research project was approved by the Research Ethics in the opinion paragraph 0175.0.258.000-09. Results: data analysis revealed the importance of implementing the line of care for women with breastfeeding problems and the existence of inadequate structure factors can be detrimental to care. Conclusion: problems in lactation may be reflections of a line not set properly care and quality of care Human Milk Bank satisfactorily shown to the users. Descriptors: Breastfeeding; Nursing; Human Milk.

Parto domiciliario planeado: asistido por enfermero obstetra

Este artigo objetiva refletir acerca da atuacao do enfermeiro obstetra no parto domiciliar planejado. Neste sentido, reflete os desafios e tendencias para a provisao e promocao do cuidado a parturiente e ao recem-nascido. Aponta o papel do enfermeiro obstetra na assistencia planejada e a provisao e promocao da qualidade, efetividade e seguranca as parturientes e ao recem-nascido como tripe da humanizacao da assistencia ao parto e nascimento.

Estrategias no farmacológicas para aliviar el dolor durante el proceso del parto

The aim of this review of the literature is to show the efficiency of non pharmacological strategies in alleviating pain during labour. A descriptive, exploratory bibliographical research work is used. Scientific publications with an evidence level of II, indexed between 1997 and February 2009 were searched in the LILACS and Medline databases under the descriptors “Dolor de parto”, “Dolor del parto” and “Trabajo de parto” assoociated with “Dolor” (Pain). The six selected articles from the 615 publications searched, were characterized and grouped in two categories: Alleviation of pain during labour and evidence following the application of non pharmacological strategies. The articles published between 2003 and 2007 in six different journals, presented non pharmacological strategies such as acupuncture, trans dermal electric stimulation, breathing techniques and relaxation. Acupuncture and trans skin electric stimulation were efficient in alleviating labour pains. Other findings were a decrease in painkillers, oxitocics and in duration of the birth. The use of non pharmacological strategies in obstetrics remains to be specified. Although alleviation of pain has not been confirmed in all the studies, there is proof of other benefitsd.