Cross-Cultural Adaptation and Validation of the Portuguese Version of the Multidimensional Scale of Dating Violence 2.0 in Young University Students.

BACKGROUND: Dating violence has become a problem of social relevance with short- and long-term health consequences. Nurses are in a privileged position to detect and address this problem in health facilities and as school nurses in schools, providing health education and detecting this violence correctly. AIM: The aim of this study was to evaluate the cross-cultural validation of the Portuguese version of the Multidimensional Scale of Dating Violence-Short (MSDV 2.0). METHODS: A validation investigation was carried out in two phases: (1) cross-cultural adaptation of the items and content validation of the Portuguese version of MSDV 2.0 and (2) psychometric validation. RESULTS: Phase (1): The items of the original version include a cross-cultural translation from Spanish to Portuguese and analysed by a group of experts in gender violence and by the authors of the original scale, then a back translation was made and again reviewed by the experts. Young university students also participated for face validity, and a pilot test was carried out. Phase (2): Confirmatory factor analysis was performed using the robust maximum-likelihood estimation method, which confirmed the five-dimensional structure, obtaining good fit rates (chi-square significance (χ2) = 187.860 (p < 0.0001); root mean square error of approximation (RMSEA) = 0.049; comparative fit index (CFI) = 0.937; Tucker-Lewis index (TLI) = 0.923). Reliability analysis indicated adequate internal consistency (Cronbach's alpha (α) = 0.88 to 0.70). Finally, scores of the Portuguese versions MSDV 2.0 were correlated, as expected, positively with the Depression, Anxiety, and Stress Scale (DASS-21) (r = 0.36 to 0.16) and negatively with the Medical Outcomes Study Questionnaire Short Form 36, Health Survey (SF-36) (r = -0.30 to -0.14). CONCLUSIONS: To date, it is the only instrument that measures dating violence in a multidimensional way validated in the Portuguese university context.

Perceptions, Beliefs, and Experiences about the Menstrual Cycle and Menstruation among Young Women: A Qualitative Approach.

The experience of menstruation is often associated with negative connotations and gender stereotypes, which results in making it invisible. This research aimed to explore the perceptions, beliefs, and knowledge of young Spanish women regarding the menstrual cycle and menstruation and their impact on their lives. The study delves into their understanding, menstrual management practices, the types of menstrual products employed, and their experiences related to menstrual health. Qualitative methodology was used with discussion groups as a data collection technique. The participants comprised 45 young Spanish women, aged between 18 and 23, hailing from both rural and urban areas. The majority were university students, with some engaged in part-time work, and one participant working full-time. While many experienced menstrual pain ranging from mild to debilitating, a normalization of this pain often led them to forego seeking specialist assistance. Disposable menstrual products (DMPs) are the most used by participants, despite limited awareness of their absorption capacity. Regarding reusable menstrual products (RMPs), menstrual cup users emphasized comfort but expressed a need for proper training. Negative menstruation experiences could evoke fear and difficulties, underscoring the importance of providing comprehensive menstrual health education encompassing both theoretical and practical components.

Cuidados críticos en gestantes COVID-19 con síndrome de distrés respiratorio agudo. ¿Posición prona como opción? / Critical care in COVID-19 pregnant women with acute respiratory distress syndrome. Prone position as an option?

Objetivos: Identificar la efectividad de la Posición prona (PP) en el cuidado de Gestantes diagnosticadas de Covid-19 con Síndrome distrés respiratorio agudo (SDRA) Los objetivos específicos fueron: estudiar la idoneidad de la PP en este grupo de Gestantes, definir los efectos y complicaciones de la PP en la madre y el feto, así como, identificar la técnica de posicionamiento prono más adecuada. Métodos: Se realizó una búsqueda bibliográfica entre los meses julio 2021-enero 2022, en las bases de datos: Embase, UpToDate, Scopus, Pubmed y WoS. Además, de una búsqueda manual en las revistas Medicina Crítica e Intensive Care Medicine, archivos de Protocolos del HUVR, y archivos del Ministerio de Sanidad Argentina, incluyendo trabajos publicados entre 2017-2022. Resultados: Se seleccionaron 15 estudios. Todos los documentos y casos revisados recomiendan/aplican la pronación en gestantes en caso de SDRA grave. El 75% de los casos afirman una mejora en el intercambio gaseoso materno tras la pronación, mientras que en el 100% de los casos consiguió prevenir la prematuridad tras la técnica. Como complicaciones principales: salida del tubo endotraqueal, vías y/o drenajes, y edema facial. Conclusiones: Actualmente, no podemos recoger una recomendación concisa sobre si la posición prona en Gestantes Covid- 19 con Síndrome de distrés respiratorio agudo es una alternativa de cuidado, en todo caso se deberían tomar otras medidas terapéuticas en la pronación. No obstante, el algoritmo de posición prona en Gestantes publicado en la revista del Colegio Americano de Obstetras es quizás el documento más útil para tomar decisiones respecto al tema. El estudio individual de cada caso y la experiencia del equipo multidisciplinar son clave en la decisión. (AU)

Objectives: To identify the effectiveness of the Prone Position (PP) in the care of Pregnant Women diagnosed with Covid-19 with Acute Respiratory Distress Syndrome (ARDS). The specific objectives were: to study the suitability of PP in this group of pregnant women, to define the effects and complications of PP in the mother and fetus, as well as identifying the most appropriate prone positioning technique. Methods: A bibliographic search was carried out between the months of July 2021-January 2022, in the databases: Embase, UpToDate, Scopus, Pubmed and WoS. In addition, from a manual search in Medicina Crítica and Intensive Care Medicine journals, the HUVR Protocols archives, and the Argentine Ministry of Health archives, including papers published between 2017-2022. Results: 15 studies were selected. All the documents and cases reviewed recommend/apply pronation in pregnant women in the case of severe ARDS. 75% of the cases affirmed an improvement in maternal gas exchange after pronation, while in 100% of the cases it was possible to prevent prematurity after the technique. As main complications: exit of the endotracheal tube, routes and/or drains, and facial edema. Conclusions: Currently, we cannot collect a concise recommendation on whether the prone position in Covid-19 pregnant women with acute respiratory distress syndrome is a care alternative, in any case, other therapeutic measures should be taken in pronation. However, the prone position algorithm for pregnant women published in the Journal of the American College of Obstetricians is perhaps the most useful document for making decisions on the subject. The individual study of each case and the experience of the multidisciplinary team are key in the decision. (AU)

Unhealthy gestational weight gain: Are we neglecting inadequate gestational weight gain?

OBJECTIVE: To evaluate the prevalence of unhealthy gestational weight gain and analyze the role of women´s knowledge about the recommendations, expectations, beliefs, counseling, and information provided by midwives as potential factors contributing to failure to meet recommendations. RESEARCH DESIGN/SETTING: A retrospective cross-sectional study was performed in a tertiary Hospital in Seville (Spain) between March and September 2019. A sample of 500 singleton pregnant women at or over 37 weeks of gestation completed a self-administered questionnaire during a prenatal visit. Gestational weight gain was categorized as healthy/excessive/inadequate, according to the Institute of Medicine, for 409 women. Descriptive, bivariate, and multivariate analysis was performed. FINDINGS: Inadequate and excessive gestational weight gain were 33.4% and 33.9%, respectively. A multivariate model for excessive gestational weight gain showed pre-gestational body mass index was a risk factor, while exercise and believing the weight gain was healthy were protective factors. The model for inadequate gestational weight gain showed knowledge of recommendations was a protective factor while believing gestational weight was healthy was a risk factor. KEY CONCLUSIONS: Unhealthy gestational weight gain is common. Inadequate gain from women with healthy pre-pregnancy body mass index who believed their gain was healthy, was almost as common as excessive gestational weight gain. As shown by our predictive model beliefs regarding healthy gestational weight gain may act either as a protective factor, in the excessive gain model, or as a risk factor, in the inadequate gain model, depending on women´s pre-pregnancy body mass index and despite knowledge of the recommendations. IMPLICATIONS FOR PRACTICE: Inadequate weight gain, and not only excessive gain, should be properly addressed during pregnancy. Healthy gestational weight gain should be approached by midwives with a combination of one-to-one and group antenatal care, where believes regarding healthy gestational weight gain should be addressed. Midwives should remain alert as we may be facing a new trend: increasing numbers of women presenting with inadequate gestational weight gain; with negative health implications for a healthy population. We recommend that midwives pay attention to women with a healthy pre-pregnancy Body Mass Index and who believe that their weight gain is correct because this profile frequently had an inadequate gestational weight gain.

Female employees' perception of breastfeeding-friendly support in a public university in Spain.

OBJECTIVE: To explore women's experience with continuing breastfeeding when they returned to work. DESIGN AND SAMPLE: A cross-sectional study was conducted. Participants were female employees at the University of Seville who gave birth in the last 10 years while working at University. MEASURES: A questionnaire in Spanish was used to collect information on sociodemographic variables, employment characteristics, continued breastfeeding behavior after returning to work and the dimensions of the validated scale the Workplace Breastfeeding Support Scale (WBSS). RESULTS: A total of 197 women responded, consisting of 53.8% faculty and 46.2% administrative staff. Almost all the women had breastfed their children (92.9%). The proportion of women who continued to breastfeed after they returned to work was 51.3%. The main reason given for interrupting lactation was the challenge of reconciling family and work (53.1%). Faculty members took more breaks for breastfeeding (p = 0.002) and were able to arrange their breaks more easily (p < 0.001). Since it was easier for them to find a quiet place to pump breast milk (p = 0.025), they were more likely to continue breastfeeding after returning to work than were administrative staff (59.8% vs. 41.1%, p < 0.009). CONCLUSION: A designated lactation space and amenities should be provided in order to extend the duration of breastfeeding.

Influencia de la humanización de la atención perinatal en las tasas de inducción del parto / The influence of the humanization of perinatal care in labour induction rates

OBJETIVOS: conocer la evolución de la frecuencia de las inducciones del parto desde la adhesión al Convenio de Colaboración entre el Ministerio de Sanidad y Consumo y la Consejería de Salud de la Junta de Andalucía para la Estrategia de Atención al Parto Normal, así como describir los porcentajes de los distintos tipos de partos de las inducciones realizadas durante el periodo de estudio y estudiar la posible relación entre el número de inducciones y el tipo de parto de las mismas y la adhesión al Convenio para la Estrategia de Atención al Parto Normal. MÉTODO: estudio observacional, descriptivo, transversal de las gestantes atendidas en un hospital durante los años 2007 y 2011. La fuente de información utilizada ha sido el Conjunto Mínimo Básico de Datos (CMBD) al alta hospitalaria de los años 2007-2011.RESULTADOS: en el porcentaje de inducciones se constata que existen diferencias estadísticamente significativas tanto en el porcentaje de inducciones como en el porcentaje de partos eutócicos inducidos, siendo en 2011 dicho porcentaje inferior al 50% respecto a 2007. La instrumentación de los partos y la tasa de cesáreas en los partos inducidos han aumentado en 2011.CONCLUSIONES: la tasa de inducción del parto se ha reducido significativamente en el periodo de tiempo estudiado, adecuándose a las tasas recomendadas por la Organización Mundial de la Salud (OMS), posiblemente debido a la adhesión del hospital al Proyecto de Humanización en la Atención al Parto y Nacimiento de Andalucía

OBJECTIVES: to learn about the evolution of the frequency of labour inductions since joining the Collaboration Agreement between the Ministry of Health and Consumer Affairs and the Regional Ministry of Health from the Junta de Andalucía in terms of the Strategy for Normal Childbirth Care, as well as to describe the percentages of the different types of labours from the inductions conducted during the period under study, and to assess the potential relationship between the number of inductions and the type of labour, and the adherence to the Agreement for the Strategy for Normal Childbirth Care. METHOD: observational, descriptive, transversal study of those pregnant mothers seen at a hospital during 2007 and 2011. The source of information used has been the Minimum Basic Data Set (MBDS) at hospital discharge during the years 2007-2011. RESULTS: within the induction percentage, statistically significant differences were confirmed both in the induction percentage as in the percentage of induced normal labours; in 2011, said percentage was under 50% compared with 2007. Labour instrumentation and caesarean rate in induced childbirth have increased in 2011.CONCLUSIONS: the childbirth induction rate has been significantly reduced in the period of time under study, adapting to the rates recommended by the World Health Organization (WHO), possibly due to the adherence of the hospital to the Project for Humanization in Delivery and Childbirth in Andalusia

Efectividad de una intervención educativa y asistencial en la prevalencia de la lactancia materna en el Área Sanitaria del Hospital de Valme / Effectiveness of an educational and health care intervention in the prevalence of breastfeeding in the Health Area of the University Hospital of Valme, in Seville, (Spain)

Objetivo. Valorar la efectividad de un programa de intervención asistencial hospitalaria respecto al procedimiento habitual sobre la evolución de la lactancia materna. Diseño. Experimental, con asignación aleatoria, paralelo y controlado. Sujetos y métodos. Mujeres que parieron en el Área Sanitaria del Hospital Universitario de Valme (Sevilla) entre noviembre de 2003 y 2005. Criterios de inclusión: primíparas con parto eutócico, sin patología, edad entre los 20 y los 35 años, recién nacidos (RN) a término y con peso superior a 2.500 g, Apgar a los 10 minutos >8. Las mujeres se dividieron en 4 grupos: grupo A: mujeres con educación maternal (EM) e intervención asistencial (lA); Grupo B: mujeres sin EM e lA; grupo C: mujeres con EM y procedimiento habitual (PH) , y grupo o: mujeres sin EM y PH. Resultados. La prevalencia al inicio y la duración media de algún tipo de lactancia materna fue mayor en el grupo A, y se encontraron diferencias estadísticamente significativas entre este grupo y el grupo D. Conclusiones. Las mujeres que recibieron la asociación de apoyo en los periodos prenatal y posnatal mostraron una mayor prevalencia y duración de lactancia materna que aquellas que no la recibieron. El programa por sí mismo también aumentó con diferencias significativas la lactancia materna exclusiva de inicio y la mixta a los 3 meses

Objective. To assess the effects of a hospital-based program involving a health care intervention, versus the usual procedure on the evaluation of breastfeeding. Design. A randomized, controlled, parallel, experimental study. Population and methods. Women who gave birth in the Health Area of the University Hospital of Valme, in Seville, between November 2003 and 2005. The inclusion criteria were: healthy, primiparous women between 20 and 35 years of age, with normal delivery of a full-term infant weighing over 2500 g, with a 1 O-minute Apgar score >8. The women were divided into four groups: group A, women with parenthood education (PE) and health care intervention (HCI); group B, women without PE and with HCI; group C, women with PE and the usual procedure; and group O, women without PE with the usual procedure. Results. The prevalence of the initiation of breastfeeding and the mean duration of some form of breastfeeding was greater in group A, and there were statistically significant differences between this group and group D. Conclusions. The prevalence and duration of breastfeeding was greater among the women who received prenatal and postnatal support than among those who did not. The program also significantly increased the practice of exclusive breastfeeding at the beginning and mixed feeding at 3 months

[Promoting breastfeeding]. / Promocionando la lactancia materna.

The World Health Organization considers maternal breast feeding to be the ideal manner to feed a newborn child, as well as being a unique biological and emotional base, and recommends breast feeding to be the exclusive feeding method until the age of six months. After a period of massive abandonment caused by multiple socio-cultural causes beginning about a half century ago, breast feeding is now starting to make a slow recuperation. In Spain, there is an initial predisposition to breast feed of about 80%. However, in spite of the initiatives carried out by organizations and professional groups, the admission of mother and child into a hospital has a negative effect on breast feeding. Therefore, the authors have designed an program to use in a health education course to promote breast feeding while under hospital care.

Promocionando la lactancia materna / Promoting maternal breast feeding an educational program

La OMS considera la lactancia materna la forma ideal de alimentar al recién nacido y una base biológica y emocional única, recomendando lactar de manera exclusiva hasta los seis meses de vida. Tras un período de abandono masivo mediado por múltiples causas socioculturales que se inició hace medio siglo, nos encontramos ante una lenta recuperación. España se encuentra con una prevalencia inicial que supera el 80 por ciento. Sin embargo, a pesar de las iniciativas llevadas a cabo por entidades y colectivos de profesionales en el medio hospitalario para fomento y promoción de la lactancia materna, el ingreso hospitalario de ma-dre e hijo ejerce un efecto negativo para la lactancia materna. Por ello se ha diseñado un programa de intervención en educación para la salud para el fomento de la lactancia materna en el medio hospitalario (AU)