Cesarean section on demand: a population-based study in Southern Brazil
Conclusions: the PR obtained show that the probability of occurrence of cesarean section on demand was substantially higher among the mothers who presented the lowest risk of complications during pregnancy and childbirth.Resumo Objetivos: medir a preval ência e identificar fatores associados a ocorrência de cesarianas a pedido no município de Rio Grande, RS. Métodos: para todos os nascimentos ocorridos nas duas maternidades do município entre 01/01 a 31/12/2007, cujas mães residiam no município, foram investigadas características demográf icas e reprodutivas maternas, socioeconômicas da família e assistência ...
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Kyphosis index obtained in X-ray and with flexicurve assessment in children and young people
Conclusions: the KIX and KIX angle presented as an accurate method and valid to be used in the thoracic kyphosis assessment, although KIFint, KIFT12, KIFint angle and KIFT12 angle showed no correlation to the gold standard and not being indicated to assess the thoracic kyphosis in children and young people.Resumo Objetivos: avaliar a validade concorrente do índice de cifose mensurado no flexicurva a partir da correlação com exames de Raios-X, identificando sua acurácia, para avaliação da coluna torácica de crianças e jovens. Métodos: 31 jovens com idade média de 11,1±3,4 anos foram avaliados em radiografias di...
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Prevalence and associated factors for early interruption of exclusive breastfeeding: meta-analysis on Brazilian epidemiological studies
Conclusions: the meta-analysis of Brazilian epidemiological studies demonstrated evidences to conclude that below the age of twenty, low schooling, primiparity, maternal employment in the postpartum period and low family income are associated to the interruption of exclusive breastfeeding until 6 months of age. Children with low birth weight, female gender and used a pacifier had greater vulnerability to not be exclusively breastfed. In conclusion, most of these factors can be modified through appropriate public policies throughout the adequate prenatal period to promote exclusive breastfeeding.Resumo Objetivos: sumarizar...
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Factors associated to nipple trauma in lactation period: a systematic review
Conclusions: in the theoretical model explaining the factors associated to nipple trauma in hierarchical levels, the variables classified at the proximal level were the most investigated and were identified as r isk factors in selected studies, indicating that in the postpartum care period is an important protective factor against nipple trauma.Resumo Objetivos: identificar as caracter ísticas associadas ao trauma mamilar em nutrizes e propor um modelo teórico explicativo, em níveis hierarquizados, dos seus fatores determinantes. Métodos: revisão sistemática da literatura fundamentada na busca de estudos epidemiolÃ...
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Maternal folic acid consumption during gestation and its long-term effects on offspring's liver: a systematic review
Conclusions: supplementation with FA at recommended doses did not cause toxic effects and is very likely to avoid deleterious effects in the liver of the offspring regarding the epigenetic level.Resumo Objetivos: descrever os efeitos da suplementa ção materna com ácido fólico (AF) exclusivamente durante a gestação no fígado da prole em fases tardias da vida. A suplementação com ácido fólico durante a gestação tem sido recomendada pela sociedade médica em todo o mundo. O fígado tem papel central no metabolismo de substâncias e alguns estudos mostraram que o consumo de altas doses de ácido fólico em outros...
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Brazilian Journal of Mother and Child Health - young but already with a history
(Source: Revista Brasileira de Saude Materno Infantil)
Source: Revista Brasileira de Saude Materno Infantil - April 27, 2017 Category: Midwifery Source Type: research

Actions developed at the Instituto de Medicina Integral Prof. Fernando Figueira to confront microcephaly by Zika virus
Conclusions: the impact by notifying microcephaly cases caused mobilization of services at IMIP, reorganization of work processes and research developments.Resumo Objetivos: publicizar a inser ção institucional no contexto da atenção à microcefalia pelo vírus Zika na Região Nordeste do Brasil e descrever as atividades desenvolvidas durante o surto epidêmico ocorrido no país em 2015. Métodos: realizada análise de documentos técnicos e de divulgação institucionais e de regist ros da mídia impressa, televisiva e de rádio no período de agosto de 2015 a julho de 2016. Resultados: instituído o Núcleo Centra...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Protocols on prenatal care for pregnant women with Zika infection and children with microcephaly: nutritional approach
Abstract This summary aimed to synthesize the protocol guidelines of Pernambuco, the Ministry of Health and the Centers for Disease Control and Prevention which deal with health care related to Zika virus infection during pregnancy and the preliminary procedures for surveillance on microcephaly cases including nutritional care. With the increase of number of cases on this event since August, 2015, it was necessary to reorganize the prenatal care which is offered to pregnant women, including the protocols in order to reduce the chances of a possible contamination of the virus, to detect previously suspected cases as well as...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Association of arthrogryposis in neonates with microcephaly due to Zika virus - a case serie
Discussion: the neurological result found in patients with Congenital Zika Syndrome seems to be associated to the maternal infection period. During the early stages of embryogenesis, in addition to microcephaly, could be related to the peripheral motor nerves leading to fetal akinesia, joint stiffness and arthrogryposis. These neonates tend to present greater morbimortality with the worst prognosis.Resumo Introdu ção: em 2015 observou-se um crescente número de casos de microcefalia congênita associada à infecção materna pelo Zika vírus. Em alguns destes pacientes outras alterações foram encontradas, sendo a mais...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Chikungunya infection in infants
Discussion: the study shows evident multi-systemic involvement of chikungunya infection in infants. The treatment is supportive, giving special attention to hydration, analgesia, skin care, and rational use of antibiotic therapy.Resumo Introdu ção: a infecção pelo vírus chikungunya apresenta manifestações clínicas variáveis, particularmente em lactentes, nos quais parece haver uma multiplicidade de manifestações cutâneas. Descrição: foi feito um estudo tipo de série de casos de caráter analítico com 14 lactentes (>28 dias a< 2 anos) internados entre novembro de 2015 e janeiro de 2016 como caso susp...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Physiotherapeutic approach on the late phase of chikungunya: a case report
Discussion: the use of ultrasound and low intensity laser are performed on the signs of chronic articular treatment in order to reduce inflammation, pain and joint stiffness. Therefore, a remarkable reduction of the algic state and the improvement of the patient's life along the r ten consecutive sessions of a proposed protocol in this study, thus there is a need for further researches on this issue so it is possible to perform a medical handling based on evidences on the theme.Resumo Introdu ção: o boletim epidemiológico de abril de 2016 informou 39.017 casos prováveis de febre de chikungunya no país. Na fase aguda ...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Presumed congenital infection by Zika virus: findings on psychomotor development - a case report
Discussion: the children evaluated presented atypical motor performance, muscle tone and spontaneous motricity which encompass the symmetry and the motion range of the upper and lower limbs proven to be altered. The functional vision showed alterations which can cause limitations in the performance of functional activities and the learning process. Regarding to the speech articulator's functions observed that the maturation and coordination of sucking, swallowing and breathing did not yet encounter the appropriate age maturity level.Resumo Introdu ção: a identificação do Zika vírus (ZikaV) no fluido amniótico, na pl...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Epileptic seizures in children with congenital Zika virus syndrome
Conclusions: children with congenital Zika virus syndrome presented a high incidence of epileptic seizures before the end of the first semester of life, and spasm was the epileptic seizure mostly observed.Resumo Objetivos: descrever dados preliminares referentes às crises epilépticas e à probabilidade de ocorrência dessas crises nos primeiros meses de vida em crianças com síndrome congênita do Zika vírus (ZIKV). Métodos: estudo de coorte concorrente incluindo recém-nascidos e lactentes com síndrome congênita do Zika vírus, atendidos no ambulat ório especializado do IMIP, Recife, Pernambuco durante o períod...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Altered intrauterine ultrasound, fetal head circumference growth and neonatal outcomes among suspected cases of congenital Zika syndrome in Brazil
Conclusions: Fetal's main morphological alteration was microcephaly, observing an increase in the head circumference according to gestational age in a non-linear form and the variation decreased with gestational age.Resumo Objetivos: descrever altera ções ultrassonográficas intraútero, analisar o crescimento da circunferência cefálica (CC) fetal e desfechos neonatais entre casos presumíveis de síndrome da Zika congênita no Brasil. Métodos: foram incluídas 30 mulheres com história sugestiva de infecção por Zikavirus (ZIKV) na gesta ção e diagnóstico ultrassonográfico de alteração cerebral fetal. Foram ...
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research

Facing a severe epidemic outbreak: a fight against arboviruses
(Source: Revista Brasileira de Saude Materno Infantil)
Source: Revista Brasileira de Saude Materno Infantil - November 28, 2016 Category: Midwifery Source Type: research