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1.
Prax Kinderpsychol Kinderpsychiatr ; 69(1): 22-39, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31918644

RESUMO

The Emotional Competence of Mothers and the Clinical Quality of Mother-Child Relationship in a Preschool Psychiatric Population The quality of mother-child interaction and relationship is an essential risk factor for the development of mental disorders at preschool age. We examine maternal emotional competence and maternal level of psychopathology as predictors for the quality of mother-child relationship. At the beginning of their treatment a clinical sample of mother-child-dyads at the Child Psychiatric Family Day Hospital in Münster was assessed concerning the emotional competence of mothers (EKF), the maternal psychopathology (SCL) and the mother-child relationship quality, the latter with three different instruments reflecting the mother's, the child's and the therapist's perspective (PIR-GAS, SKEI, M-PCR). The mothers showed decreased results in the EKF scales emotional regulation, recognition of emotions and in the EKF-overall-score and presented a higher level of maternal psychopathology compared to the normal population. There is a direct relation between emotional regulation and the M-PCR scales affective bond and functional-conflict. Besides the direct influence of the maternal psychopathology, the expected moderator effect of emotional expressiveness and the M-PCR scale functional-conflict, reported by mothers, was apparent. Certain aspects of the emotional competence of mothers and their psychopathology show an influence on mother-child relationship quality. The method and the perspective of assessment are crucial to the results.


Assuntos
Emoções , Transtornos Mentais , Relações Mãe-Filho , Mães , Pré-Escolar , Feminino , Humanos , Mães/psicologia , Psicopatologia
4.
Sci Total Environ ; 699: 134385, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31678881

RESUMO

The aim of the present study was to assess the exposure to pesticides in urine from Spanish lactating mothers (n = 116). Six nonspecific (dialkyl phosphates) and 20 specific metabolites of organophosphate pesticides (OPs), herbicides and pyrethroids were analyzed. The most frequently detected biomarkers were diethyl phosphate, p-nitrophenol, 3,5,6-trichloro-2-pyridinol and 3-phenoxybenzoic acid, whose geometric means were 1.9 ng·mL-1, 0.8 ng·mL-1, 1.5 ng·mL-1 and 1.4 ng·mL-1, respectively. Herbicide metabolites were the least frequently detected biomarkers with detection frequencies between 0% (2,4,5-Trichlorophenoxyacetic acid) and 22% (2,4-Dichlorophenoxyacetic acid). Multiple regression analyses showed that the closeness to a farming activity, the place of residence and the presence of garden/plants at home were some of the most important contributors to urinary levels of pesticide metabolites. Estimated daily intake (EDI), hazard quotient (HQ) and hazard index (HI) were obtained in order to interpret urinary levels of the most frequently detected pesticide metabolites in a risk assessment context. The highest EDIs were obtained for chlorpyrifos (0.40-1.14 µg·kg bw-1·day-1) and deltamethrin (0.34-4.73 µg·kg bw-1·day-1). The calculated HQ for chlorpyrifos, dimethoate, parathion and deltamethrin ranged from 0.01 to 0.47, and HI for OPs ranged from 0.09 to 0.33 showing that apparently there were low health risks due to the exposure to these pesticides in this group of Spanish breastfeeding women.


Assuntos
Monitoramento Ambiental , Poluentes Ambientais/urina , Exposição Materna/estatística & dados numéricos , Praguicidas/urina , Adulto , Feminino , Humanos , Lactação , Mães
5.
RECIIS (Online) ; 13(4): 911-921, out.-dez. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1047676

RESUMO

Uma vez que a internet assumiu o papel de fonte preferencial e espontânea de acesso à informação, o objetivo deste estudo é sintetizar o que as mães brasileiras buscam e encontram na internet sobre aleitamento materno, por meio de revisão crítica da literatura científica dos últimos 10 anos. Os estudos selecionados permitiram a categorização de três tópicos de discussão: qualidade das informações disponíveis; desenvolvimento de facilitadores para acesso a informações sobre aleitamento materno; e grupos virtuais de apoio à amamentação como espaço de educação em saúde. A internet é uma área com grande potencial para o desenvolvimento de ações de educação em saúde e promoção do aleitamento materno. Apesar de pertinente e atual, a literatura científica carece de pesquisas que explorem o tema do aleitamento materno sob o ponto de vista da interação on-line das mães, sendo este um campo muito rico para estudos futuros.


Since the internet has assumed the role of a preferential and spontaneous source of access to information, this work intends to synthesize what Brazilian mothers search and find on the internet about breastfeeding through a Critical Review of Literature in the last 10 years. The selected studies have allowed for the categorization of three discussion topics: quality of information available, development of facilitators for access to information on breastfeeding and virtual groups supporting breastfeeding as a space for health education. The internet is an area with great potential for the development of actions of health education and promotion of breastfeeding. Although pertinent and current, the scientific literature lacks research that explores the topic of breastfeeding from the perspective of the online interaction of mothers, which is a very rich field for future studies.


El objetivo de este estudio es sintetizar lo que las madres brasileñas buscan y encuentran en internet sobre lactancia materna, por medio de una revisión crítica de la literatura científica de los últimos 10 años. Los estudios seleccionados permitieron la categorización de tres temas de discusión: calidad de la información disponible; desarrollo de facilitadores para acceso a informaciones sobre lactancia materna y grupos virtuales de apoyo a la lactancia como espacio de educación en salud. La internet es un área con gran potencial para el desarrollo de acciones de educación en salud y promoción de la lactancia materna. A pesar de pertinente y actual, la literatura científica carece de investigaciones que exploren el tema de la lactancia materna desde el punto de vista de la interacción online de las madres, siendo este un campo muy rico para estudios futuros.


Assuntos
Humanos , Aleitamento Materno , Saúde Materno-Infantil , Internet , Tecnologia Biomédica , Promoção da Saúde , Socialização , Mulheres , Revisão , Poder Familiar , Nutrição do Lactente , Mídias Sociais , Mães
6.
Rev. Esc. Enferm. USP ; 53: e03491, Jan.-Dez. 2019. graf
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1020389

RESUMO

RESUMO Objetivo Relatar as experiências educativas das mães ou cuidadoras de crianças com microcefalia, desenvolvidas por equipe acadêmica na temática da promoção da saúde dessas crianças. Método Trata-se de relato de experiência vivenciado por alunos do curso de graduação em enfermagem, discentes e docentes do programa de Pós-Graduação em Saúde e Ambiente da Universidade Tiradentes sobre intervenções educativas realizadas em três unidades de referência no atendimento à criança com microcefalia no estado de Sergipe. A amostra do estudo foi de conveniência. Resultados Participaram da pesquisa 70 mães ou cuidadoras principais de crianças com diagnóstico confirmado de microcefalia, durante os meses de setembro a dezembro. Os eixos temáticos-teóricos selecionados para descrever as atividades foram promoção da alimentação saudável, importância do vínculo mãe e filho e estimulação precoce de crianças com microcefalia. Conclusão A experiência relatada demostrou a importância das estratégias educativas na promoção da saúde de crianças com microcefalia, proporcionando capacitação adicional às mães/cuidadoras para que estas ofereçam um cuidado holístico e humanizado a essas crianças.


RESUMEN Objetivo Relatar las experiencias educativas de las madres o cuidadoras de niños con microcefalia, desarrolladas por equipo académico en la temática de la promoción de la salud de esos niños. Método Se trata de relato de experiencia vivida por alumnos de la carrera universitaria de enfermería, discentes y docentes del programa de Posgrado en Salud y Ambiente de la Universidad Tiradentes acerca de intervenciones educativas realizadas en tres unidades de referencia en la atención al niño con microcefalia en el Estado de Sergipe. La muestra del estudio fue de conveniencia. Resultados Participaron en la investigación 70 madres o cuidadoras principales de niños con diagnóstico de microcefalia, durante los meses de septiembre a diciembre. Los ejes temáticos-teóricos seleccionados para describir las actividades fueron promoción de la alimentación sana, importancia del vínculo madre e hijo y estimulación precoz de niños con microcefalia. Conclusión La experiencia relatada demostró la importancia de las estrategias educativas en la promoción de la salud de niños con microcefalia, proporcionando capacitación adicional a las madres/cuidadoras a fin de que estas proporcionen un cuidado holístico y humanizado a esos niños.


ABSTRACT Objective To report the educational experiences of mothers or caregivers of children with microcephaly, as developed by an academic team with the theme of promoting these children's health. Method This is an experience report by undergraduate nursing students and Health and Environment Post-Graduation students and professors of Tiradentes University on educational interventions carried out in three reference units for the care of children with microcephaly in the state of Sergipe. The study sample was taken by convenience. Results A total of 70 mothers or primary caregivers of children with a confirmed diagnosis of microcephaly during the months of September to December participated in the study. The thematic-theoretical axes selected to describe the activities were promotion of healthy eating, importance of the mother and child bond, and early stimulation of children with microcephaly. Conclusion The experience reported demonstrates the importance of educational strategies in promoting the health of children with microcephaly, providing additional training to mothers/caregivers to provide holistic and humanized care to these children.


Assuntos
Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Educação em Saúde , Cuidadores , Promoção da Saúde , Microcefalia/terapia , Mães , Entrevista , Enfermagem Familiar , Pesquisa Qualitativa
7.
Eur J Paediatr Dent ; 20(4): 257, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31850766

RESUMO

Activation of taste buds starts during the 30th week of gestation, when the amniotic liquid and its composition variations caused by the maternal diet may stimulate foetal taste receptors. This early activation appears as a first step in the development of gustatory sensory memory, which will shape the preference for sweet, sour or salty taste, thus affecting the food choices of the future newborn and child. Individual sensitivity and the subsequent preference for the sweet taste are also determined by the presence of specific receptors and genetic factors (tasirR gene polymorphism). The development of individual preferences for some food over others is a complex process that entails both motivational and behavioural factors along with specific genetic aspects. From an evolutionary standpoint, the preference for the sweet or umami taste is due to the need to be attracted by energy-rich foods. Nowadays this need no longer exists, however the "affinity" for energy-rich foods goes back to this evolutionary advantage. In practical terms, the first stimulations of taste buds start in the womb through the amniotic liquid and then continue through the maternal milk which, as stated, changes composition as a consequence of the mother's diet. Therefore, mothers should eat a balanced diet that includes all the major classes of nutrients in order to stimulate the foetus' taste. This would promote the future baby's curiosity for all types of foods, favouring healthy food choices with regard to sweet and salty taste. The paediatric dentist can spread and promote a healthy food lifestyle from the gestation period. We will then be able to counteract a possible innate preference for sweet (and salty) taste, which can be reinforced or modified by the offering and availability of food, as well as family and cultural influences even before infancy. When parents eat healthy they set a good example for the child, thus fulfilling the aims of primary prevention, while still contributing to the success of prenatal prevention alongside the paediatric dentist.


Assuntos
Preferências Alimentares , Paladar , Doces , Criança , Dieta , Feminino , Humanos , Recém-Nascido , Mães , Gravidez
8.
Zhongguo Dang Dai Er Ke Za Zhi ; 21(12): 1212-1217, 2019 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-31874662

RESUMO

OBJECTIVE: To investigate the influence of genetic and environmental factors on aggressive behavior in twin children, and to provide clues for further exploring the causal relationship between such factors and aggressive behavior. METHODS: A questionnaire was used to investigate aggressive behavior, temperament type and parenting style among 261 twin children aged 4-12.8 years. The Holzinger method and the maximum likelihood method were used to construct a structural equation model for the estimation of heritability. Binary logistic regression analysis, multivariate linear regression analysis and general linear model analysis were used to analyze the association between aggressive behavior and environmental factors in twin children. RESULTS: The heritability of aggressive behavior was 44.4% in twin children and the score of aggressive behavior showed moderate heritability (60.9% in boys and 65.6% in girls). The multivariate analysis showed that the score of aggressive behavior in twin children was affected by the mother's emotional warmth/understanding, the mother's punishment/severity and the father's overprotection (P<0.05). There was an interaction between the mother's emotional warmth/understanding and the father's overprotection (P<0.05). CONCLUSIONS: Both genetic and environmental factors have influence on children's aggressive behavior, and parenting style is the main environmental factor affecting the aggressive behavior of twin children.


Assuntos
Comportamento Infantil , Criança , Pré-Escolar , Pai , Feminino , Humanos , Masculino , Mães , Poder Familiar , Inquéritos e Questionários , Gêmeos
9.
Acta colomb. psicol ; 22(2): 148-177, July-Dec. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1019280

RESUMO

Abstract The objective of the present study was to design, validate and obtain the reliability of the Maternal Attitudes Towards Overweight and Childhood Obesity Scale. The validation of this instrument was carried out in four stages: a) Study 1: Exploratory, with N= 95 mothers and grandmothers aged 20 to 46 years (M age = 32.43, SD = 7.9) which used the semantic networks technique to inquire about the psychological meaning of overweight and obesity; b) Study 2: Content Validity, where 33 items were written and the content validity was obtained through five judges; c) Study 3: First Validation, which included 346 mothers aged 18 to 62 (M age = 33.08, SD = 6.8) with preschool children; 11 items were obtained distributed in three factors denominated: negative attitude (α = .72), meaning (α = .63) and importance (α = .56), with α = .77 of the total scale and an explained variance of 54.50%; d) Study 4: Second Validation, in which 369 mothers and grandmothers (3 %) aged between17 and 63 years (M age = 32.43, SD = 7.9) participated. The final scale was two-dimensional, composed of 11 items with an α =.85 and an explained variance of 46%, which evaluates the negative attitudes perceived towards obesity and its consequences.


Resumo O objetivo do presente estudo foi desenhar e validar a Escala de atitudes maternas com respeito ao sobrepeso e à obesidade infantil. Em particular, a validação consistiu de quatro etapas: (a) um estudo exploratório (Estudo 1) com 95 mães e avós de 20 a 46 anos (M idade = 32.43, DP = 7.9), no qual se utilizou a técnica de redes semânticas para conhecer o significado psicológico do sobrepeso e da obesidade; (b) um estudo de validade de conteúdo (Estudo 2), no qual 33 reativos foram escritos e a validade de conteúdo foi obtida por meio do conceito de cinco juizes; (c) um estudo para uma primeira validação (Estudo 3) com 346 mães de 18 a 62 anos (M idade = 33.08, DP = 6.8) com filhos em idade pré-escolar, com a qual foram obtidos 11 reativos distribuidos em três fatores, denominados atitude negativa (α = .72), significado (α = .63) e importância (α = .56), com um α = .77 na escala total e uma variância explicada de 54,50%, e (d) um estudo para uma segunda validação (Estudo 4), no qual participaram 369 mães e avós (3 %) de 17 a 63 anos (M idade = 32.43, DE = 7.9). Como resultado, a escala foi bidimensional, composta por 11 reativos, com um α = .85 e uma variância explicada de 46%, que avalia as atitudes negativas percebidas com respeito à obesidade e suas consequências.


Resumen El objetivo del presente estudio fue diseñar y validar la escala de actitudes maternas hacia el sobrepeso y la obesidad infantil. En particular, la validación consistió en cuatro etapas: (a) un estudio exploratorio (Estudio 1) con 95 madres y abuelas de 20 a 46 años (M edad = 32.43, DE = 7.9), en el que se utilizó la técnica de redes semánticas para conocer el significado psicológico del sobrepeso y la obesidad; (b) un estudio de validez de contenido (Estudio 2), en el que se redactaron 33 reactivos, y la validez de contenido se obtuvo mediante el concepto de cinco jueces; (c) un estudio para una primera validación (Estudio 3) con 346 madres de 18 a 62 años (M edad = 33.08, DE = 6.8), con hijos en edad preescolar, con el cual se obtuvieron 11 reactivos distribuidos en tres factores, denominados actitud negativa (α = .72), significado (α = .63) e importancia (α = .56), con un α = .77 en la escala total y una varianza explicada del 54.50 %; y (d) un estudio para una segunda validación (Estudio 4), en el que participaron 369 madres y abuelas (3 %) de 17 a 63 años (M edad = 32.43, DE = 7.9). Como resultado, la escala fue bidimensional, compuesta por 11 reactivos, con un α = .85 y una varianza explicada del 46 %, que evalúa las actitudes negativas percibidas hacia la obesidad y las consecuencias de esta.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Sobrepeso , Mães , Obesidade
10.
J Indian Soc Pedod Prev Dent ; 37(4): 360-364, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31710010

RESUMO

Background: Smartphone is proved to be reliable in teledentistry model. The aim of the study was to assess the mother's ability in caries diagnosis, utilizing the smartphone-based photographic method. Hypothesis: Mothers have the ability for caries diagnosis utilizing the smartphone photographic method. Methods: A cohort of 100 mothers was given health education regarding dental caries diagnosis. Then, their children from the preschools were screened by the dentist for dental caries using visual examination, followed by clicking intraoral photographs using Motorola 3G phone. The photographs were sent through WhatsApp to respective mothers, and they were asked to diagnose their child's dental status. Accuracy and reliability measures of mother's diagnosis were estimated by calculating the sensitivity, specificity, predictive values, and kappa value. Results: The calculated value for sensitivity was 88.3%, specificity was 98.3%, positive predictive value was 92%, negative predictive value was 97%, and accuracy was 96%. There was a strong agreement between mother's and dentist's diagnosis (kappa value of 0.87). Conclusion: Following the dental health education, it can be concluded that mothers are in a better position to diagnose their child's dental status through smartphone-based photographs.


Assuntos
Cárie Dentária , Smartphone , Criança , Pré-Escolar , Feminino , Humanos , Mães , Fotografia Dentária , Reprodutibilidade dos Testes
11.
Artigo em Inglês | MEDLINE | ID: mdl-31738867

RESUMO

Introduction: Maternal influenza vaccination was introduced in 2010 due to the high morbidity and mortality associated with influenza in pregnancy. The aim of this study was to assess the maternal influenza vaccination uptake in Northern Territory public hospitals and identify gaps to improve uptake. Methods: Birth data from Northern Territory (NT) public hospitals obtained from the Perinatal Register for deliveries in 2016 were merged with vaccination records from the NT immunisation register. Results: There were 3,392 viable pregnancies in NT public hospitals in 2016 with 45.6% vaccination coverage against influenza. There was a statistically significant difference in coverage with 68.5% in Indigenous vs 31.7% in non-Indigenous deliveries (p < 0.001), yielding an odds ratio of 4.67 (95% CI 4.02, 5.42) for maternal influenza vaccination across Indigenous status. Influenza vaccination coverage for preterm births (< 37 weeks) was low especially in non-Indigenous mothers at 27.2% vs 65.05% in Indigenous mothers (p < 0.001). A distinct immunisation administration pattern was noted for 2016 with 58.9% of vaccinations occurring between April and June regardless of Indigenous status and maternal gestational age. This correlated with the annual influenza immunisation campaign by the NT and Commonwealth. Conclusion: A year-round maternal influenza vaccination campaign is crucial to avoid missed opportunities and increase vaccination protection for mother and baby. Antenatal influenza vaccination campaign with health care workers education and increasing patient awareness should continue throughout the year.


Assuntos
Programas de Imunização , Vacinas contra Influenza/administração & dosagem , Influenza Humana/prevenção & controle , Cobertura Vacinal , Vacinação , Adolescente , Adulto , Feminino , Humanos , Influenza Humana/virologia , Pessoa de Meia-Idade , Mães , Northern Territory , Grupo com Ancestrais Oceânicos , Gravidez , Sistema de Registros , Estudos Retrospectivos , Adulto Jovem
12.
Zhongguo Dang Dai Er Ke Za Zhi ; 21(11): 1099-1104, 2019 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-31753092

RESUMO

OBJECTIVE: To investigate the current status of neglect in children aged 3-6 years in the rural areas of Urumqi, China and risk factors for neglect. METHODS: Stratified random cluster sampling was performed to select 1 326 children, aged 3-6 years, from 6 kindergartens in the rural areas of Urumqi. A self-designed questionnaire and "Chinese Neglect Evaluation Questionnaire for Rural Children Aged 3-6 Years" were used for investigation. RESULTS: Of the 1 326 children, the neglect rate was 51.89% (688 cases), and the degree of neglect was 49±6. There were significant differences in the neglect rate and the degree of neglect between the children in different age groups (P<0.01). The single-parent families and the remarried families had significantly higher child neglect rate and degree of neglect than the families of three generations under one roof and the core families (P<0.01). The children in left-behind status had a significantly higher degree of neglect (P<0.01). The multivariate logistic regression analysis showed that younger children, mothers with low education level, employment status of the mother as a migrant worker, single-parent and remarried families, low-income families, and left-behind status were risk factors for child neglect (P<0.05). CONCLUSIONS: The neglect of children aged 3-6 years in the rural areas of Urumqi is serious, and more attention should be paid to younger children, children whose mothers with low education level, left-behind children, and children from single-parent families, remarried families and low-income families.


Assuntos
Maus-Tratos Infantis , Criança , Pré-Escolar , China , Feminino , Humanos , Mães , Fatores de Risco , População Rural , Inquéritos e Questionários
15.
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(11): 1170-1173, 2019 Nov 06.
Artigo em Chinês | MEDLINE | ID: mdl-31683408

RESUMO

From August 1(st) to 7(th), 2017, the breastfeeding knowledge of medical staff were collected from 52 medical health institutions in 29 provinces through a network system. A total of 35 243 questionnaires were included in the study to analyze the current status of breastfeeding knowledge and related factors. The qualified rate of breastfeeding knowledge questionnaires for medical staff in this study was 75.3% (26 546/35 243). Compared with those in the eastern region and those who were mothers, the qualified rate of breastfeeding knowledge of medical staff in the central region or the western region and medical staff who were fathers or expectant parents was lower, with OR (95%CI) values about 0.71 (0.67-0.75), 0.66 (0.61-0.72), 0.63 (0.55-0.72) and 0.87 (0.80-0.95), respectively. Compared with those attaining high school education or below and those with children aged<1 month, the qualified rate of breastfeeding knowledge was higher in medical staff with bachelor's degree, graduate degree or above, and with children aged 1-5, 6-23 and ≥24 months, with OR (95%CI) values about 1.92 (1.80-2.05), 2.16 (1.94-2.42), 2.28 (1.93-2.70), 2.41 (2.06-2.83) and 1.99 (1.72-2.32), respectively.


Assuntos
Aleitamento Materno , Conhecimentos, Atitudes e Prática em Saúde , Corpo Clínico/psicologia , Mães/psicologia , Adulto , China , Feminino , Humanos , Lactente , Recém-Nascido , Pessoa de Meia-Idade , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
16.
Medicine (Baltimore) ; 98(44): e17737, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689820

RESUMO

The World Health Organization and United Nations Children's Fund's Baby-Friendly Hospital Initiative is aimed at the global promotion, protection and support of breastfeeding. In this study, we compared breastfeeding-related information received, knowledge and behaviours among postpartum women in Baby-Friendly Hospital Initiative accredited and non-accredited hospitals. We selected 10 hospitals: 9 non-accredited hospitals in the Campania region in southern Italy and one accredited hospital in the Piedmont region in northern Italy. In total, 786 women (580 (73.8%) in Campania and 206 (26.2%) in Piedmont) in the hospitals' maternity wards completed a questionnaire comprising 5 sections within 24 to 72hours after giving birth. The questionnaire investigated breastfeeding activities in the days immediately following childbirth, as well as the information provided by health personnel, knowledge about breastfeeding before and during hospitalisation, and participation in antenatal classes. To evaluate the comparison between the 2 regions, we performed at first a bivariate analysis and then a multinomial and a multivariate logistic regression. Compared with Piedmont, in Campania hospitals there was a rate of breastfeeding of 44.3% vs 89.3%, a skin-to-skin contact between mother and child of 74.5% vs 90.7% and first milk feed within 2hours of 15.0% vs 87.2%. The Campania group had fewer problems with child latching. The Campania group reported receiving less information about breastfeeding in general compared with the Piedmont group. In general, both groups showed good basic knowledge about different aspects of breastfeeding. In both regions, about 90% reported that the information received during the antenatal classes simplified the breastfeeding experience. Our study confirms the importance of systematic promotion of breastfeeding and subsequent delivery of adequate support to maternity departments, in accordance with international guidelines.


Assuntos
Aleitamento Materno/estatística & dados numéricos , Fidelidade a Diretrizes/estatística & dados numéricos , Promoção da Saúde/normas , Mães/estatística & dados numéricos , Unidade Hospitalar de Ginecologia e Obstetrícia/estatística & dados numéricos , Adulto , Aleitamento Materno/psicologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Humanos , Recém-Nascido , Itália , Modelos Logísticos , Mães/psicologia , Análise Multivariada , Unidade Hospitalar de Ginecologia e Obstetrícia/normas , Gravidez , Avaliação de Programas e Projetos de Saúde , Nações Unidas , Organização Mundial da Saúde
17.
West Afr J Med ; 36(3): 199-204, 2019.
Artigo em Inglês, Francês | MEDLINE | ID: mdl-31622480

RESUMO

BACKGROUND: HIV infection in pregnant women is a known cause of low birth weight (LBW) and small for gestational age (SGA). This study compared the birth weight for gestational age (GA) of HIV exposed and non-exposed babies in Nnamdi Azikiwe University Teaching Hospital, (NAUTH) Nnewi, Nigeria. SUBJECTS AND METHODS: A retrospective comparative appraisal of birth weights for GA of babies born to HIV- positive and negative women, over a 7-year period (January 2009-December 2015), was conducted. Data were abstracted from PMTCT database, ANC and Labor ward registers of NAUTH. RESULTS: A total of 3459 babies (1782 males, 1677 females) were enrolled, out of which 1829 were HIV- exposed and 1630 were not. GA spanned from 26-42 weeks (mean 38.7 ± 2.2 weeks) and birth weights (BW) from 400-5300g (mean 3072.5 ± 630g). The mean BW of exposed babies was significantly lower than the unexposed babies (p=0.048). LBW occurred in 12.0% of exposed and 13.5% of non-exposed babies (p<0.001). Using either percentile or Z-score cut-offs, HIV-exposed babies had twice the proportion of SGA compared to their non-exposed counterparts. Using Z-score, maternal antiretroviral use for >5 years was significantly associated with the lowest proportion of SGA compared to shorter duration of use. CONCLUSION: Maternal HIV infection is associated with SGA. However, maternal ARV use in excess of 5 years is associated with better BW outcome. Targeted enhancement of maternal nutrition and strict adherence to ARV therapy prior to and during pregnancy will improve birth outcome.


Assuntos
Peso ao Nascer , Retardo do Crescimento Fetal/etiologia , Infecções por HIV/complicações , Soronegatividade para HIV , Transmissão Vertical de Doença Infecciosa , Complicações Infecciosas na Gravidez/epidemiologia , Adulto , Feminino , Retardo do Crescimento Fetal/epidemiologia , Idade Gestacional , Infecções por HIV/epidemiologia , Soropositividade para HIV , Humanos , Recém-Nascido , Masculino , Mães , Nigéria/epidemiologia , Gravidez , Estudos Retrospectivos , Centros de Atenção Terciária
18.
Lakartidningen ; 1162019 Oct 07.
Artigo em Sueco | MEDLINE | ID: mdl-31593289

RESUMO

The medical and nursing care of preterm infants has improved over the last decades, including the involvement of parents in the daily care. Previously parents could only visit a few scheduled hours per day but today most neonatal units in Sweden strive to let the parents be the primary caregivers, with the right to stay at the unit during the entire hospitalization period. Despite this development, there is still need for a number of improvements, not only in the neonatal care but also during the complicated pregnancy.


Assuntos
Terapia Intensiva Neonatal/organização & administração , Poder Familiar , Nascimento Prematuro , Papel (figurativo) , Aleitamento Materno , Continuidade da Assistência ao Paciente , Pai , Feminino , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Serviços de Saúde Materna/organização & administração , Mães , Alta do Paciente , Educação de Pacientes como Assunto , Gravidez , Apoio Social , Suécia
19.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(9): 1130-1133, 2019 Sep 10.
Artigo em Chinês | MEDLINE | ID: mdl-31594159

RESUMO

Objective: To investigate the relationship between maternal disease in early pregnancy of women of childbearing age and congenital heart disease of neonates. Methods: A cross-sectional design was used in this study and stratified multistage random sampling method was used. A questionnaire survey was conducted in the childbearing-aged women during 2010-2013 in Shaanxi province. Propensity score (PS) matched (1∶1) analysis was used to match participants with diseases to those without disease in early pregnancy. Through the control of the confounders step by step, a logistic regression model was established to evaluate the ORs of congenital heart disease according to the independent variable of maternal disease. Results: A total of 28 680 pairs of mothers and infants were included in this study, the proportion of the women with disease in early pregnancy was 20.25% (5 807). After PS matching, 5 436 pairs were matched. After adjusting all confounding factors, the multivariable logistic regression analysis results showed that maternal disease (OR=1.86, 95%CI: 1.23-2.81), especially cold (OR=2.19, 95%CI: 1.46-3.28), gynecological disease (OR=4.74, 95%CI: 2.03-11.09) and diabetes (OR=14.00, 95%CI: 1.64-119.21), in early pregnancy were the risk factors for congenital heart disease of neonate. Conclusion: In women of childbearing age, disease in early pregnancy, especially cold, gynecological disease and diabetes, can increase the risk of congenital heart disease in neonates.


Assuntos
Cardiopatias/epidemiologia , Mães , Estudos Transversais , Feminino , Cardiopatias/congênito , Humanos , Lactente , Recém-Nascido , Gravidez , Fatores de Risco , Inquéritos e Questionários
20.
Rev Lat Am Enfermagem ; 27: e3176, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31596411

RESUMO

OBJECTIVE: to measure the effect of an infant stimulation therapy (auditory, tactile, visual and vestibular) on the adaptation to postnatal life of the mother-child dyad. METHOD: an experimental and blind study composed of 120 dyads of first-time mothers and full-term newborns, who practiced breastfeeding. The follow-up was conducted during the first five weeks of life and the evaluation was carried at two different times. RESULTS: the adaptive capacity was measured in two modes. The physiological adaptive mode (activity and exercise and neonatal nutrition) and the interdependence adaptive mode (appropriate affection and proper development); and statistically significant differences were found in favor of the experimental group. Regression models that show the collaborative relationship between mother and child, and their reciprocity in the process of adaptation were proposed. CONCLUSION: the early stimulation is a therapy with bidirectional effect, because it has favorable effects on the person who administers it; promotes health and prevents illness in the process of adaptation to birth; especially in contexts of vulnerability. It is recommended its teaching to mothers and its application in the home environment. This study was registered in the Australian New Zealand Clinical Trial Registry (ANZCTR) under protocol number: ACTRN12617000449336.


Assuntos
Relações Mãe-Filho/psicologia , Mães/psicologia , Estimulação Física/métodos , Cuidado Pós-Natal/normas , Aleitamento Materno , Feminino , Humanos , Lactente , Recém-Nascido , Estresse Psicológico
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