Navegando por Palavras-chave "Vaginal delivery"

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    O desenvolvimento da taquipnéia transitória do recém-nascido e desconforto respiratório precoce: associação à via de parto
    (Universidade Federal de São Paulo (UNIFESP), 2010) Minozzi, Andrea Simões [UNIFESP]; Scudeller, Tânia Terezinha [UNIFESP]; http://lattes.cnpq.br/8631669167306600; http://lattes.cnpq.br/5395611302717505; Universidade Federal de São Paulo (UNIFESP)
    Introdução: Um dos distúrbios respiratórios mais frequentes do período neonatal é a Taquipnéia Transitória do Recém-nascido (TTRN) e o Desconforto Respiratório Precoce (DRP). Acredita-se que um dos principais fatores de risco para esses distúrbios seja a via de parto, indicando o parto cesáreo como possível causador dessa morbidade perinatal pela. ausência de compressão do canal de parto no tórax do feto e consequente acúmulo de líquido pulmonar no neonato. Objetivo: Correlacionar o desenvolvimento da TTRN e DRP com a via de parto. Desenho do estudo: Tratou-se de um estudo clínico observacional com descrição retrospectiva de casos e amostra constituída de 412 neonatos, sendo que 206 nascidos de cesárea (PC) e 206 de parto vaginal (PV), na maternidade da Irmandade da Santa Casa de Santos. Entre os grupos (PC x PV) foram comparadas a idade gestacional do parto (IG), índice de Apgar de primeiro e quinto minuto, peso do neonato, freqüência respiratória (FR), necessidade de oxigenoterapia, ventilação mecânica invasiva (VMI) ou não-invasiva (VMNI), internação na Unidade de Terapia Intensiva Neonatal (UTIN), e presença de DRP e/ou TTRN. As médias foram avaliadas pelo teste Mann-Whitney e as proporções, pelo teste do qui-quadrado (X 2 ), com p< 0,05. Resultados: Na amostra estudada encontrou-se 26,41% de ocorrência de DRP ou TTRN sem diferença significativa entre as vias de parto. As variáveis de Apgar de 5 0 minuto, IG, VMI, VMNI e Oxigenoterapia, foram estatisticamente iguais entre os grupos PC e PV. No entanto, os valores médios do peso dos neonatos foi significativamente menor nos nascidos de PV enquanto que a média do Apgar de 1 o minuto foi maior nesse mesmo grupo (p=0,004). Os neonatos que apresentaram DRP/TTRN, nascidos por PC demonstraram FR maior quando comparados ao grupo PV. Conclusão: O PC não foi precursor de DRP/TTRN, como também não apresentou relação causal com o uso de oxigenioterapia, VMI, VMNI e internação em UTIN. O PV favoreceu melhor vitalidade neonatal e valores de peso de recém-nascidos (RN) menores, comparados ao PC. A cesárea foi fator determinante nos índices de FR neonatal mais elevados, em RN diagnosticados com DRP ou TTRN, sugerindo maior sofrimento neonatal. Não há critérios estabelecidos para uso de oxigenioterapia, confirmado pela freqüência significativa desta intervenção terapêutica mesmo em recém-nascidos saudáveis (80,42%)
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    Morbidade febril puerperal em pacientes infectadas pelo HIV
    (Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2003-04-01) De Marcos, Andrea [UNIFESP]; Lunardi, Luciana [UNIFESP]; Lindsey, Prescilla Chow [UNIFESP]; Amed, Abes Mahmed [UNIFESP]; Castelo Filho, Adauto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: the morbidity in HIV-positive patients due to puerperal fever was studied and correlated to the method and duration of labor, the duration of premature rupture of the membranes, CD4+ cell count and the viral load (VL) at peridelivery. METHODS: a total of 207 HIV-positive women with prenatal examinations and deliveries between May 1997 and December 2001 were enrolled. Of these, 32 had natural childbirth and 175 had a cesarean section. Of the total of enrolled patients, 62.8% were submitted to elective cesarean section. The average age of the group was 27.4 years, and 25.6% were nulliparous and 26% were primiparous. At the moment of the delivery the average gestational age was 37.8 weeks. At the end of pregnancy the average of the CD4+ cell count was approximately 481 cells/mm³ and the viral load 49,100 copies/mL. RESULTS: puerperal morbidity occurred in 34 patients, with 33 after cesarean section and one after natural childbirth. The most usual intercurrent post-cesarean infection was that of the surgical wound (13% of the infection cases). Analyzed factors, such as delivery duration, duration of rupture of the membranes, number of CD4+ cells or the viral load at peridelivery, did not interfere in puerperal morbidity. CONCLUSIONS: puerperal morbidity was 16.8% and occurred more frequently after cesarean sections (18.9%) than after vaginal deliveries (3.1%). The other factors did not present a significant effect on puerperal morbidity.
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    Percepção das mulheres sobre a utilização do EPI-NO como preparação para o parto
    (Universidade Federal de São Paulo, 2023-06-26) Oliveira, Sofia Vilanova de [UNIFESP]; Zanetti, Míriam Raquel Diniz [UNIFESP]; Amaral, Maria Teresa Pace do [UNIFESP]; http://lattes.cnpq.br/2305678329011722; http://lattes.cnpq.br/9708331128224695; http://lattes.cnpq.br/2702625550995849; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Women's perception should be better understood, especially with regard to what they consider essential to prepare for the moment of vaginal delivery. Among the strategies used for physical preparation, those referring to the pelvic region stand out. Some of these techniques do not have solid scientific evidence, such as the use of vaginal dilators (Epi No ®). Objective: to know and understand what women think about preparing for childbirth with the use of Epi No ®. Methods: this is a clinicalqualitative study with 18 women who used the Epi No ® device during pregnancy. The inclusion criteria were: women who had a pregnancy with a single fetus, aged over 19 years, who wanted to participate in the study, and with easy access to the computer and the internet. Those with cognitive impairment, with hearing or speech impairment that would affect the interview, and those who had pathologies during pregnancy were excluded. After virtually answering a questionnaire containing anamnesis and obstetric records, a meeting was scheduled through the Google Meet platform. At this meeting, a semi-structured interview was held, which was recorded after the thematic script was acculturated. For data analysis, the content analysis technique was used. Results: fourteen women were analyzed, most of whom were married, with an average age of 33 years and complete higher education. Most of them used the Epi No ® seven to 14 times before giving birth and considered the importance of the equipment as a preparation for the birth to be high. The importance of using Epi No ® as a preparation for vaginal delivery was highlighted as the main themes of the interviews: the psychological help it offers was mentioned mainly, providing greater proprioception and increasing women's safety. The barriers of Epi No ® stand out the difficulty of handling without a specialized professional and the pain they felt during its use. Conclusion: the women reported satisfaction with the experience of using Epi No ® as a preparation resource for vaginal delivery. They noticed that the equipment favors the body's proprioception and allows them to experience a simulation of the expulsive period