Danila Cristina Paquier Sala

Ambiguidades e contradições no atendimento de mulheres que sofrem violência

Este artigo discute o atendimento a mulheres em situacoes de violencia por servicos de saude e de seguranca publica. Tem como pressuposto que as atuais politicas de enfrentamento da violencia contra as mulheres preveem acoes dessas duas instituicoes. Baseia-se na analise de tres elementos que compoem a pratica: o espaco fisico, o fluxo dos servicos e a percepcao dos profissionais em relacao as usuarias. Seus dados foram obtidos em estudo qualitativo realizado em unidades basicas de saude, servicos de emergencia de hospitais publicos, delegacias especializadas no atendimento a mulheres e distritos policiais de uma regiao da cidade de Sao Paulo. A coleta de dados incluiu observacao nao participante e entrevistas com profissionais. Os resultados apontam que o atendimento as mulheres que sofrem violencia e marcado por ambiguidades e contradicoes; os espacos e fluxos de trabalho sao pouco adequados a tarefa tao sensivel e a percepcao dos profissionais e permeada por estereotipos de genero. Isso sugere que o enfrentamento da violencia contra as mulheres exige a reconfiguracao das praticas de trabalho, com educacao permanente para os profissionais e mudancas nos processos de trabalho.

Os rituais de passagem segundo adolescentes

OBJETIVO: Identificar las impresiones de adolescentes respecto a lo que podria representar un ritual de pasaje. METODOS: Estudio descriptivo realizado con 751 adolescentes de ambos sexos, entre 12 y 20 anos, que frecuentaban tres escuelas publicas de ensenanza primaria y secundaria de la region de San Eduardo del municipio de Embu, Sao Paulo. RESULTADOS: Despues del analisis de contenido develamos las categorias: cambios fisicos; cambios psicologicos (subcategorias: responsabilidad, experiencias, conflictos); cambios sociales (subcategorias: identidad social, cuerpo social, interrelaciones); comportamiento sexual (subcategorias: interes sexual, intercurso sexual); hechos traumaticos (subcategorias: sentimiento de perdida, duelo por la infancia perdida); independencia. CONCLUSION: Los rituales de pasaje se relacionan directamente con el cambio corporal, producto del adolecer, siendo ocurrencias que dejan huellas y que son significativas en la vida del individuo.

Complicações obstétricas em gestações com feto portador de anomalia incompatível com a sobrevida neonatal

Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, in pregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medical charts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the same institution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid (68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intrauterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus with severe anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counselingABSTRACT Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, inpregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medicalcharts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the sameinstitution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid(68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intra-uterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus withsevere anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counseling

Violence in health care settings: rethinking actions

OBJECTIVE To present a reflection on the forms of violence in health care settings and on preventive actions. METHOD This is a theoretical reflection about the phenomenon of violence and its possible coping actions. RESULTS Nurses and other professionals working in health care environments may experience situations of aggression and disrespect through institutional or managerial violence, horizontal violence and patient violence. FINAL CONSIDERATIONS Violent practices are not applicable in any workplace, especially in care settings. Actions or measures of control should be taken in pursuit of healthier environments and in harmony with the culture of peace.

Obstetric complications in pregnancies with fetal anomalies incompatible with neonatal survival

Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, in pregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medical charts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the same institution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid (68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intrauterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus with severe anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counselingABSTRACT Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, inpregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medicalcharts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the sameinstitution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid(68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intra-uterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus withsevere anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counseling

Complicaciones obstétricas en gestaciones con feto portador de anomalía incompatible con la sobrevivencia neonatal

Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, in pregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medical charts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the same institution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid (68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intrauterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus with severe anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counselingABSTRACT Objective: To describe the most common obstetric complications encountered during periods of pregnancy, childbirth and puerperium, inpregnancies with fetuses that presented anomalies incompatible with life. Methods: This is a descriptive study, which assessed 78 medicalcharts of patients in the Prenatal Fetal Medicine Division of the Federal University of Sao Paulo; the women gave birth at the sameinstitution, between 2000 and 2006. Results: The major obstetric complications identified were: variation in the volume of amniotic fluid(68%), miscarriage, pre-term labor and prolonged pregnancy were present in 6.4%, 55.1% and 3.8% of pregnancies, respectively; intra-uterine fetal death, 17.9%, abruptio placenta occurred in 6.4% and hysterectomy in 2.6%. Conclusion: These results suggest that fetus withsevere anomalies presented an increase of the risk for pregnancies, which demonstrates the need for expert evaluation in each case. Descriptors: Pregnancy complications; Pregnancy, high-risk; Congenital abnormalities; Genetic counseling

Passage rituals according to adolescents

OBJETIVO: Identificar las impresiones de adolescentes respecto a lo que podria representar un ritual de pasaje. METODOS: Estudio descriptivo realizado con 751 adolescentes de ambos sexos, entre 12 y 20 anos, que frecuentaban tres escuelas publicas de ensenanza primaria y secundaria de la region de San Eduardo del municipio de Embu, Sao Paulo. RESULTADOS: Despues del analisis de contenido develamos las categorias: cambios fisicos; cambios psicologicos (subcategorias: responsabilidad, experiencias, conflictos); cambios sociales (subcategorias: identidad social, cuerpo social, interrelaciones); comportamiento sexual (subcategorias: interes sexual, intercurso sexual); hechos traumaticos (subcategorias: sentimiento de perdida, duelo por la infancia perdida); independencia. CONCLUSION: Los rituales de pasaje se relacionan directamente con el cambio corporal, producto del adolecer, siendo ocurrencias que dejan huellas y que son significativas en la vida del individuo.

Los rituales de pasaje según adolescentes

OBJETIVO: Identificar las impresiones de adolescentes respecto a lo que podria representar un ritual de pasaje. METODOS: Estudio descriptivo realizado con 751 adolescentes de ambos sexos, entre 12 y 20 anos, que frecuentaban tres escuelas publicas de ensenanza primaria y secundaria de la region de San Eduardo del municipio de Embu, Sao Paulo. RESULTADOS: Despues del analisis de contenido develamos las categorias: cambios fisicos; cambios psicologicos (subcategorias: responsabilidad, experiencias, conflictos); cambios sociales (subcategorias: identidad social, cuerpo social, interrelaciones); comportamiento sexual (subcategorias: interes sexual, intercurso sexual); hechos traumaticos (subcategorias: sentimiento de perdida, duelo por la infancia perdida); independencia. CONCLUSION: Los rituales de pasaje se relacionan directamente con el cambio corporal, producto del adolecer, siendo ocurrencias que dejan huellas y que son significativas en la vida del individuo.