Maria Cristina Gabrielloni

Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto

OBJECTIVE: To evaluate, in an isolated and combined manner, the use of warm aspersion bath and perineal exercises performed with Swiss ball during labor, facing pain perception. METHODS: This is a clinical or intervention study. We recruited 15 pregnant women at low obstetric risk who accepted the use of non-pharmacological interventions for pain relief and who also accepted being questioned about their perception of pain using a visual analogue scale. RESULTS: When the interventions studied were associated, pain reduction was significant. There was no significant difference in pain scores, when interventions were isolated. CONCLUSION: The results indicate that the associated use of non-pharmacological methods for pain relief, warm aspersion bath and perineal exercises with the Swiss ball during the dilation phase is related to the reduction of pain and promotion of the parturients comfort when associated.

Perinatal outcome in women suffering from chronic hypertension: literature integrative review

The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension,The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension, showing no trend during the two decades studied on perinatal outcome.

Resultado perinatal em mulheres portadoras de hipertensão arterial crônica: revisão integrativa da literatura

The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension,The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension, showing no trend during the two decades studied on perinatal outcome.

Nursing Education: conceptualizing a pedagogical project from the view of professors

Objective: To understand the pedagogical project concept of the professors of the Paulista School of Nursing, and to identify the challenges and the limits faced by them during its development. Methods: Qualitative study, in the oral history thematic modality. Using semi-structured interviews, the narratives of six professors who participated in, at least, half of the meetings for the pedagogical development were obtained. The statements were recorded, interpreted text transcribed, recreated and analyzed, respecting the methodological steps and ethical precepts. The Social World Theory of Pierre Bourdieu was used as a reference for analysis. Results: The concept of the pedagogical project was limited to the curriculum frameworks; training of the professors is the main difficulty for the planning phase of the paradigmatic change. Conclusion: Professors value the pedagogical project development, but do not advance the proposition because they are steeped in previous models that support workload and organization according to specialty. Descritores Educação em enfermagem, Ensino superior, Curso de enfermagem,Resumo Objetivo Apreender o conceito de Projeto Pedagogico dos professores da Escola Paulista de Enfermagem e identificar os desafios e os limites enfrentados por eles durante sua elaboracao. Metodos Estudo qualitativo, na modalidade Historia Oral Tematica. Por meio de entrevistas semiestruturadas obtiveram-se as narrativas de seis professores que participaram de, no minimo, metade dos encontros para essa construcao. Os depoimentos foram gravados, transcritos, transcriados e analisados, respeitando-se as etapas do metodo e os preceitos eticos. Foi utilizada a Teoria de [...]

Hydrotherapy and the Swiss ball in labor: randomized clinical trial

Objetivo Conhecer a influencia do banho quente e exercicio perineal com bola suica, de forma isolada e combinada, sobre a progressao do trabalho de parto. Metodos Ensaio clinico randomizado e controlado, realizado em dois hospitais publicos, no periodo de 2013 a 2014 com 128 mulheres internadas para assistencia ao parto. A randomizacao aleatoria alocou 44 parturientes no Grupo Banho Quente, 45 no Grupo Bola Suica e 39 no Grupo Banho Quente e Bola Suica associados. Resultados A pesquisa mostrou aumento estatisticamente significante na frequencia da contracao uterina com uso isolado (p=0,025) e associado da bola suica (p<0,001), um aumento tambem significante na frequencia cardiaca fetal com uso isolado e associado do banho quente (p< 0,001). Conclusao Associacao do banho quente e bola suica foi mais efetiva para a progressao do trabalho de parto e desfecho para o parto normal quando comparado com o seu uso isolado.Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil. Conflicts of interest: there are no conflicts of interest to declare. Abstract Objective: To understand the influence of a warm bath and perineal exercise with the Swiss ball, in an isolated and combined manner, on the progression of labor. Methods: Randomized and controlled clinical trial, conducted from 2013 to 2014 in two public hospitals, with 128 women hospitalized for labor and delivery. The randomization allocated 44 parturients into the warm bath group, 45 into the Swiss ball group, and 39 into the warm bath with Swiss ball group. Results: The study showed a statistically significant increase in the frequency of uterine contractions with the isolated technique (p = 0.025) and associated Swiss ball use (p <0.001), and a significant increase in fetal heart rate with isolated and associated warm bath use (p <0.001). Conclusion: The association of the warm bath and Swiss ball was more effective for the progression of labor and vaginal delivery outcome when compared to the isolated use.

Análise da hemorragia no parto vaginal pelos índices de eritrócitos e hematócrito

Objective: To analyze hemorrhage at vaginal delivery using hemoglobin and hematocrit indices. Methods: This was a cross-sectional study of 328 vaginal deliveries divided into spontaneous delivery with or without episiotomy and forceps delivery. The sample was randomly stratified by type of vaginal delivery. Data were collected at admission for delivery, hospital discharge and postpartum return visit. Results: There were 122 (37.2%) deliveries without episiotomy, 147 (44.8%) with episiotomy, and 59 (18.0%) with forceps delivery and episiotomy. Hemoglobin values between admission for delivery and discharge ranged from -5.9 g/dl to 0.7 g/dl. Hemoglobin reduction was significantly higher in women having forceps delivery than in those with spontaneous deliveries, with and without episiotomy (p=0.0133 and p<0.0001, respectively). Hemorrhage was greater in the forceps delivery group than in the other groups. Conclusion: The analysis of hemorrhage at vaginal delivery by using hemoglobin and hematocrit indices showed variation among the three types of vaginal delivery studied. There was greater hemorrhage with forceps delivery and less hemorrhage with spontaneous delivery. In women with forceps delivery, postpartum indices were lower than those at hospital admission.

Resultado perinatal en mujeres que sufren de hipertensión crónica: revisión integradora de la literatura

The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension,The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension, showing no trend during the two decades studied on perinatal outcome.