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Gravidez na adolescência: a construção discursiva de uma condição desviante?; Teen pregnancy: the discursive construction of a deviating condition?

Correia, Vanessa Aparecida Araújo
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 21/03/2014 PT
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Este estudo tem como objeto de investigação os discursos especializados e os discursos de mães adolescentes a respeito da gravidez na adolescência e pretende contribuir com o campo das ciências humanas na sua abordagem sobre o tema, de modo especial, com os estudos sobre adolescência e juventude. Uma das principais hipóteses iniciais era a de que a gravidez na adolescência é uma formação discursiva recente, por isso, buscou-se compreender as condições históricas que contribuíram para a sua consolidação como uma condição desviante, relacionadas a expectativas contemporâneas sobre as maneiras mais apropriadas de se vivenciar a maternidade e a adolescência. A partir da análise de documentos oficiais sobre o tema, de levantamento das pesquisas no campo das ciências biomédicas e de entrevistas individuais com adolescentes que engravidaram, procurou-se caracterizar os discursos sobre a gravidez na adolescência e a relação que as adolescentes estabelecem com os enunciados recorrentes que constituem a gravidez nesse período da vida como um problema social. Ao final da análise, subsidiada pelos aportes dos Estudos Culturais e dos estudos foucaultianos, observou-se que a interdição contemporânea da gravidez na adolescência é resultado de sua construção discursiva como um problema social e que as adolescentes entrevistadas estabelecem uma relação de sujeição apenas parcial aos discursos especializados sobre a gravidez na adolescência. Elas tendem a reproduzir mais os discursos relativos aos percursos da vida...

Effect of pregnancy on the genetic evaluation of dairy cattle

Pereira, R. J.; Santana, M. L.; Bignardi, A. B.; Verneque, R. S.; El Faro, L.; Albuquerque, Lucia Galvão de
Fonte: Funpec-editora Publicador: Funpec-editora
Tipo: Artigo de Revista Científica Formato: 2190-2201
ENG
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq); We investigated the effect of stage of pregnancy on estimates of breeding values for milk yield and milk persistency in Gyr and Holstein dairy cattle in Brazil. Test-day milk yield records were analyzed using random regression models with or without the effect of pregnancy. Models were compared using residual variances, heritabilities, rank correlations of estimated breeding values of bulls and cows, and number of nonpregnant cows in the top 200 for milk yield and milk persistency. The estimates of residual variance and heritabilities obtained with the models with or without the effect of pregnancy were similar for the two breeds. Inclusion of the effect of pregnancy in genetic evaluation models for these populations did not affect the ranking of cows and sires based on their predicted breeding values for 305-day cumulative milk yield. In contrast, when we examined persistency of milk yield, lack of adjustment for the effect of pregnancy overestimated breeding values of nonpregnant cows and cows with a long days open period and underestimated breeding values of cows with a short days open period. We recommend that models include the effect of days of pregnancy for estimation of adjustment factors for the effect of pregnancy in genetic evaluations of Dairy Gyr and Holstein cattle.

Effect of physiological overload on pregnancy in women with mitral regurgitation

Borges, Vera Therezinha Medeiros; Matsubara, Beatriz B.; Magalhaes, Claudia G.; Peraçoli, José Carlos; Rudge, Marilza Vieira Cunha
Fonte: Universidade de São Paulo (USP), Hospital das Clínicas Publicador: Universidade de São Paulo (USP), Hospital das Clínicas
Tipo: Artigo de Revista Científica Formato: 47-50
ENG
Relevância na Pesquisa
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq); OBJECTIVES: to evaluate the structural and functional heart abnormalities in women with mitral regurgitation during pregnancy.INTRODUCTION: Women with mitral regurgitation progress well during pregnancy. However, the effects on the heart of the association between pregnancy and mitral regurgitation are not well established.METHODS: This is a case-control, longitudinal prospective study. Echocardiograms were performed in 18 women with mitral regurgitation at the 12th and 36th week of pregnancy and on the 45th day of the puerperium. Twelve age-matched healthy and pregnant women were included as controls and underwent the same evaluation as the study group.RESULTS: Compared with controls, women with mitral regurgitation presented increased left cardiac chambers in all evaluations. Increasing left atrium during pregnancy occurred only in the mitral regurgitation group. At the end of the puerperium, women with mitral regurgitation showed persistent enlargement of the left atrium compared with the beginning of pregnancy (5.0 +/- 1.1 cm vs 4.6 +/- 0.9 cm; p < 0.05). Reduced left ventricular relative wall thickness (0.13 +/- 0.02 vs 0.16 +/- 0.02; p < 0.05) and an increased peak of afterload (278 +/- 55 g/cm(2) vs 207 +/- 28 g/cm(2); p < 0.05) was still observed on the 45th day after delivery in the mitral regurgitation group compared with controls.CONCLUSIONS: Pregnancy causes unfavorable structural alterations in women with mitral regurgitation that are associated with an aggravation of the hemodynamic overload.

Effects of exposure to cigarette smoke prior to pregnancy in diabetic rats

Damasceno, Débora Cristina; Sinzato, Yuri K.; Lima, Paula H.; Souza, Maricelma S. de; Campos, Kleber Eduardo de; Dallaqua, Bruna; Calderon, Iracema de Mattos Paranhos; Rudge, Marilza Vieira Cunha; Volpato, Gustavo Tadeu
Fonte: Biomed Central Ltd. Publicador: Biomed Central Ltd.
Tipo: Artigo de Revista Científica Formato: 8
ENG
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Processo FAPESP: 04/01077-8; Background: The purpose of this study was to evaluate the effects of cigarette smoke exposure before pregnancy on diabetic rats and their offspring development.Methods: Diabetes was induced by streptozotocin and cigarette smoke exposure was conducted by mainstream smoke generated by a mechanical smoking device and delivered into a chamber. Diabetic female Wistar rats were randomly distributed in four experimental groups (n minimum = 13/group): nondiabetic (ND) and diabetic rats exposed to filtered air (D), diabetic rats exposed to cigarette smoke prior to and into the pregnancy period (DS) and diabetic rats exposed to cigarette smoke prior to pregnancy period (DSPP). At day 21 of pregnancy, rats were killed for maternal biochemical determination and reproductive outcomes.Results: The association of diabetes and cigarette smoke in DSPP group caused altered glycemia at term, reduced number of implantation and live fetuses, decreased litter and maternal weight, increased pre and postimplantation loss rates, reduced triglyceride and VLDL-c concentrations, increased levels of thiol groups and MDA. Besides, these dams presented increased SOD and GSH-Px activities. However...

Increasing length of an estradiol and progesterone timed artificial insemination protocol decreases pregnancy losses in lactating dairy cows

Pereira, M. H. C.; Rodrigues, A. D. P.; De Carvalho, R. J.; Wiltbank, M. C.; Vasconcelos, J. L. M.
Fonte: Elsevier B.V. Publicador: Elsevier B.V.
Tipo: Artigo de Revista Científica Formato: 1454-1464
ENG
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Our hypothesis was that increasing the length of an estradiol and progesterone (P4) timed artificial insemination (TAI) protocol would improve pregnancy per artificial insemination (P/AI). Lactating Holstein cows (n = 759) yielding 31 +/- 0.30 kg of milk/d with a detectable corpus luteum (CL) at d - 11 were randomly assigned to receive TAI (d 0) following 1 of 2 treatments: (8d) d - 10 controlled internal drug release (CIDR) and 2.0 mg of estradiol benzoate, d - 3 = PGF(2 alpha) (25 mg of dinoprost tromethamine), d - 2 = CIDR removal and 1.0 mg of estradiol cypionate, d 0 = TAI; or (9d) d - 11 = CIDR and estradiol benzoate, d -4 = PGF(2 alpha), d -2 CIDR removal and estradiol cypionate, d 0 TAI. Cows were considered to have their estrous cycle synchronized in response to the protocol by the absence of a CL at artificial insemination (d 0) and presence of a CL on d 7. Pregnancy diagnoses were performed on d 32 and 60. The ovulatory follicle diameter at TAI (d 0) did not differ between treatments (14.7 +/- 0.39 vs. 15.0 +/- 0.40 mm for 8 and 9 d, respectively). The 9d cows tended to have greater P4 concentrations on d 7 in synchronized cows (3.14 +/- 0.18 ng/mL) than the 8d cows (3.05 +/- 0.18 ng/mL). Although the P/AI at d 32 [45 (175/385) vs. 43.9% (166/374) for 8d and 9d...

O papel do óxido nítrico na remodelação do ligamento interpúbico ao final da gestação; The role of nitric oxide in remodeling of the interpubic ligament late pregnancy

Camila Fernandes Moro
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 16/02/2011 PT
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Ao final da gestação, a sínfise púbica de camundongo passa por um profundo relaxamento para favorecer a passagem dos fetos durante o parto. Este evento envolve a reabsorção dos ossos púbicos, a diferenciação celular e a remodelação da fibrocartilagem que culmina na formação e relaxamento do ligamento interpúbico. Estes acontecimentos estão sob a influência do estrógeno, da progesterona e da relaxina. A remodelação do ligamento interpúbico ocorre, principalmente, por ação das metaloproteinases, que podem ser ativadas por diversos indutores, como o óxido nítrico (NO). Ele é um dos agentes que contribuem para o amolecimento cervical no momento do parto. Tendo em vista tal fenômeno, este trabalho teve por objetivo investigar o papel do gás NO na remodelação da sínfise púbica durante a gestação. Este gás é produzido pela óxido nítrico sintase e de acordo com sua concentração no tecido, pode induzir a proliferação ou a morte celular programada. Para avaliar o efeito do NO na remodelação do ligamento interpúbico, foram utilizados camundongos fêmeas no 18° e 19° dias de gestação. Fêmeas virgens formaram o grupo controle. As sínfises e/ou ligamentos interpúbicos foram coletados, processados e caracterizados pela coloração do Tricrômico de Masson. Utilizou-se anticorpo monoclonal específico para a proteína iNOS (óxido nítrico sintase induzível) para evidenciar sua distribuição nos tecidos interpúbicos tanto pela imunoistoquímica (microscopia de luz) quanto pela imunocitoquímica (microscopia eletrônica). Para a quantificação do NO foi utilizada a reação calorimétrica de Griess. Nos ensaios de imunoistoquímica...

Pregnancy rates and predictors in women with HIV/AIDS in Rio de Janeiro, Southeastern Brazil

Friedman,Ruth Khalili; Bastos,Francisco I; Leite,Iuri Costa; Veloso,Valdiléa G; Moreira,Ronaldo I; Cardoso,Sandra W; Andrade,Ângela C Vasconcelos de; Sampaio,Michelle Cristina; Currier,Judith; Grinsztejn,Beatriz
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2011 EN
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OBJECTIVE: To assess incidence and predictors of first pregnancy among women with HIV/AIDS. METHODS: Prospective cohort study was conducted in Rio de Janeiro, southeastern Brazil, between 1996 and 2003. This study comprised 225 women with HIV/AIDS followed up until their first pregnancy or first censored event (hysterectomy, tubal ligation, menopause, 50 years of age, loss to follow-up, death or the end of December 2003). Pregnancy and abortion rates were estimated, and Cox proportional hazards models were used to identify baseline characteristics associated with pregnancy risk. RESULTS: The women were followed up for 565 person/years with a median follow-up of 3 years per women. The mean age was 32 years (SD: 7), and 54.7% were white. There were 60 pregnancies in 39 women, and 18 were terminated (induced abortions), accounting for a rate of 6.9% and 2.1% women/year, respectively. Repeated pregnancies occurred in 33.3% of the women (13/39). Higher pregnancy risk was seen among younger women (HR=3.42; 95%CI: 1.69;6.95) and those living with their partners (HR=1.89; 95%CI: 1.00;3.57). Lower pregnancy risk was associated with higher education level (HR=0.43; 95%CI: 0.19;0.99) and use of antiretroviral therapy (HR=061; 95%CI: 0.31;1.17). CONCLUSIONS: Lower pregnancy rates were found in our cohort than in the general population. Sociodemographic characteristics should be taken into consideration in the management of reproductive health in HIV-positive childbearing age women. Reproductive and family planning counseling must be incorporated into HIV/AIDS programs for women to help preventing HIV transmission to their partners and offspring.

Blood Pressure Variation Throughout Pregnancy According to Early Gestational BMI: A Brazilian Cohort

Rebelo,Fernanda; Farias,Dayana Rodrigues; Mendes,Roberta Hack; Schlüssel,Michael Maia; Kac,Gilberto
Fonte: Sociedade Brasileira de Cardiologia - SBC Publicador: Sociedade Brasileira de Cardiologia - SBC
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2015 EN
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Background: The maternal cardiovascular system undergoes progressive adaptations throughout pregnancy, causing blood pressure fluctuations. However, no consensus has been established on its normal variation in uncomplicated pregnancies. Objective: To describe the variation in systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels during pregnancy according to early pregnancy body mass index (BMI). Methods: SBP and DBP were measured during the first, second and third trimesters and at 30-45 days postpartum in a prospective cohort of 189 women aged 20-40 years. BMI (kg/m2) was measured up to the 13th gestational week and classified as normal-weight (<25.0) or excessive weight (≥25.0). Longitudinal linear mixed-effects models were used for statistical analysis. Results: A decrease in SBP and DBP was observed from the first to the second trimester (βSBP=-0.394; 95%CI: -0.600- -0.188 and βDBP=-0.617; 95%CI: -0.780- -0.454), as was an increase in SBP and DBP up to 30-45 postpartum days (βSBP=0.010; 95%CI: 0.006-0.014 and βDBP=0.015; 95%CI: 0.012-0.018). Women with excessive weight at early pregnancy showed higher mean SBP in all gestational trimesters, and higher mean DBP in the first and third trimesters. Excessive early pregnancy BMI was positively associated with prospective changes in SBP (βSBP=7.055; 95%CI: 4.499-9.610) and in DBP (βDBP=3.201; 95%CI: 1.136-5.266). Conclusion: SBP and DBP decreased from the first to the second trimester and then increased up to the postpartum period. Women with excessive early pregnancy BMI had higher SBP and DBP than their normal-weight counterparts throughout pregnancy...

Probability of pregnancy in beef heifers

Faria,D.P.; Costa,M.D. da; Raidan,F.S.S.; Ruas,J.R.M.; Júnior,V.R.R.; Toral,F.L.B.; Aspiazú,I.
Fonte: Universidade Federal de Minas Gerais, Escola de Veterinária Publicador: Universidade Federal de Minas Gerais, Escola de Veterinária
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
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This study aimed to evaluate the influence of initial weight, initial age, average daily gain in initial weight, average daily gain in total weight and genetic group on the probability of pregnancy in primiparous females of the Nellore, 1/2 Simmental + 1/2 Nellore, and 3/4 Nellore + 1/4 Simmental genetic groups. Data were collected from the livestock file of the Farpal Farm, located in the municipality of Jaíba, Minas Gerais State, Brazil. The pregnancy diagnosis results (success = 1 and failure = 0) were used to determine the probability of pregnancy that was modeled using logistic regression by the Proc Logistic procedure available on SAS (Statistical..., 2004) software, from the regressor variables initial weight, average daily gain in initial weight, average daily gain in total weight, and genetic group. Initial weight (IW) was the most important variable in the probability of pregnancy in heifers, and 1-kg increments in IW allowed for increases of 5.8, 9.8 and 3.4% in the probability of pregnancy in Nellore, 1/2 Simmental + 1/2 Nellore and, 3/4 Nellore + 1/4 Simmental heifers, respectively. The initial age influenced the probability of pregnancy in Nellore heifers. From the estimates of the effects of each variable it was possible to determine the minimum initial weights for each genetic group. This information can be used to monitor the development of heifers until the breeding season and increase the pregnancy rate.

Assessment of weight gain during pregnancy in general prenatal care services in Brazil

Nucci,Luciana Bertoldi; Duncan,Bruce Bartholow; Mengue,Sotero Serrate; Branchtein,Leandro; Schmidt,Maria Inês; Fleck,Eni Teresinha
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2001 EN
Relevância na Pesquisa
36.5%
Obesity is an emerging major health risk for women around the world. In this regard, little attention has been given to pregnancy, a moment of risk not only for major weight gain in these women, but also for macrosomia in their offspring. The objective of this study is to evaluate weight gain during pregnancy. Data pertains to a cohort of pregnant women attending general prenatal care clinics in six state capitals in Brazil, from 1991 to 1995. We studied women aged 20 years and over with singleton pregnancies and no diagnosis of diabetes outside pregnancy, enrolled at approximately 20 - 28 weeks of gestation. According to the Institute of Medicine criteria, 38% (95%CI: 36-40%) of the women studied gained less and 29% (95%CI: 28-31%) had more than the recommended total weight gain. These proportions vary according to pre-pregnancy nutritional status. Given the increasing epidemic of obesity, the high prevalence of overweight and obesity in Brazilian women prior to pregnancy, and the lack of achievement of recommended weight gain during pregnancy, more effective means of managing weight gain during pregnancy are necessary.

Pulmonary function in advanced uncomplicated singleton and twin pregnancy

Siddiqui,Anwar Hasan; Tauheed,Nazia; Ahmad,Aquil; Mohsin,Zehra
Fonte: Sociedade Brasileira de Pneumologia e Tisiologia Publicador: Sociedade Brasileira de Pneumologia e Tisiologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 EN
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Objective: Pregnancy brings about significant changes in respiratory function, as evidenced by alterations in lung volumes and capacities, which are attributable to the mechanical impediment caused by the growing foetus. This study was undertaken in order to identify changes in respiratory function during normal pregnancy and to determine whether such changes are more pronounced in twin pregnancy than in singleton pregnancy. Methods: Respiratory function was assessed in 50 women with twin pregnancies and in 50 women with singleton pregnancies (during the third trimester in both groups), as well as in 50 non-pregnant women. We measured the following pulmonary function test parameters: FVC; FEV1; PEF rate; FEV1/FVC ratio; FEF25-75%; and maximal voluntary ventilation. Results: All respiratory parameters except the FEV1/FVC ratio were found to be lower in the pregnant women than in the non-pregnant women. We found no significant differences between women with twin pregnancies and those with singleton pregnancies, in terms of respiratory function. Conclusions: Despite its higher physiological demands, twin pregnancy does not appear to impair respiratory function to any greater degree than does singleton pregnancy.

Effect of physiological overload on pregnancy in women with mitral regurgitation

Borges,Vera T. M; Matsubara,Beatriz B; Magalhães,Claudia G; Peraçoli,Jose C; Rudge,Marilza V. C
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
36.5%
OBJECTIVES: to evaluate the structural and functional heart abnormalities in women with mitral regurgitation during pregnancy. INTRODUCTION: Women with mitral regurgitation progress well during pregnancy. However, the effects on the heart of the association between pregnancy and mitral regurgitation are not well established. METHODS: This is a case-control, longitudinal prospective study. Echocardiograms were performed in 18 women with mitral regurgitation at the 12th and 36th week of pregnancy and on the 45th day of the puerperium. Twelve age-matched healthy and pregnant women were included as controls and underwent the same evaluation as the study group. RESULTS: Compared with controls, women with mitral regurgitation presented increased left cardiac chambers in all evaluations. Increasing left atrium during pregnancy occurred only in the mitral regurgitation group. At the end of the puerperium, women with mitral regurgitation showed persistent enlargement of the left atrium compared with the beginning of pregnancy (5.0 ± 1.1 cm vs 4.6 ± 0.9 cm; p<0.05). Reduced left ventricular relative wall thickness (0.13 ± 0.02 vs 0.16 ± 0.02; p<0.05) and an increased peak of afterload (278 ± 55 g/cm² vs 207 ± 28 g/cm²;p<0.05) was still observed on the 45th day after delivery in the mitral regurgitation group compared with controls. CONCLUSIONS: Pregnancy causes unfavorable structural alterations in women with mitral regurgitation that are associated with an aggravation of the hemodynamic overload.

Harnessing the Medicaid Analytic eXtract (MAX) to Evaluate Medications in Pregnancy: Design Considerations

Palmsten, Kristin; Huybrechts, Krista F.; Mogun, Helen; Kowal, Mary K.; Williams, Paige L.; Michels, Karin B.; Setoguchi, Soko; Hernández-Díaz, Sonia
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
EN_US
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Background: In the absence of clinical trial data, large post-marketing observational studies are essential to evaluate the safety and effectiveness of medications during pregnancy. We identified a cohort of pregnancies ending in live birth within the 2000–2007 Medicaid Analytic eXtract (MAX). Herein, we provide a blueprint to guide investigators who wish to create similar cohorts from healthcare utilization data and we describe the limitations in detail. Methods: Among females ages 12–55, we identified pregnancies using delivery-related codes from healthcare utilization claims. We linked women with pregnancies to their offspring by state, Medicaid Case Number (family identifier) and delivery/birth dates. Then we removed inaccurate linkages and duplicate records and implemented cohort eligibility criteria (i.e., continuous and appropriate enrollment type, no private insurance, no restricted benefits) for claim information completeness. Results: From 13,460,273 deliveries and 22,408,810 child observations, 6,107,572 pregnancies ending in live birth were available after linkage, cleaning, and removal of duplicate records. The percentage of linked deliveries varied greatly by state, from 0 to 96%. The cohort size was reduced to 1...

Pregnancy Spacing and Maternal Morbidity in Matlab, Bangladesh

Razzaque, Abdur; Da Vanzo, J; Rahman, Mohammad; Gausia, K; Hale, L; Khan, M A; Mustafa, A H M G
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
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Objective: The study examines the relationship between pregnancy spacing and seven measures of maternal morbidity in Matlab, Bangladesh. Method: The study analyzes maternal morbidity data on 11,122 women who visited a health center during their third trimester of pregnancy between 1996 and 2002. Adjusted odds ratios were obtained through logistic regression analysis to assess the effects of pregnancy intervals of differing lengths while holding constant other influences (six variables) on maternal morbidity. Results: After controlling these variables, pre-eclampsia and high blood pressure are significantly more likely for women with preceding inter-pregnancy intervals of less than 6 months or 75 months or more compared to those with intervals of 27-50 months. Premature rupture of membranes is significantly more likely following inter-pregnancy intervals of 6-14 months, and edema is significantly more likely following inter-pregnancy intervals over 50 months. Conclusion: Short and long inter-pregnancy intervals are associated with increased incidence of some maternal morbidities.

Understanding the meaning of pregnancy for pregnant diabetic women; Comprendiendo el significado del embarazo para las mujeres diabéticas embarazadas; Compreendendo o significado da gestação para grávidas diabéticas

Silva, Lucía; Santos, Renata Cerqueira; Parada, Cristina Maria Garcia de Lima
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/12/2004 POR
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This qualitative study intends to understand the meaning of pregnancy for diabetic women. Semi-structured interviews were carried out and data were analyzed by means of the Collective Subject Discourse, identifying the following central ideas: "happiness about a desired pregnancy", "preoccupation with pregnancy and renouncement", "my pregnancy was planned", "I had other plans", "I feel what pregnant women feel", "I had many problems during pregnancy", "a child was everything that he wanted", "he didn't feel the same emotions as a woman", "I am controlling, doing everything the doctor says", "I am trying to follow a diet, but it is hard". These central ideas demonstrate that, among the diabetic pregnant women, planning and wanting the pregnancy and counting on the support of the family and/or companion were also essential for the treatment to be faced naturally and for the pregnancy to be experienced in a pleasant way.; Este estudio cualitativo tuvo por objetivo comprender el significado del embarazo para las mujeres diabéticas embarazadas. Utilizamos la entrevista semi estructurada y, para el análisis de los datos, construimos el Discurso del Sujeto Colectivo tras la identificación de las ideas centrales: "felicidad delante de un embarazo planeado"...

Systemic lupus erythematosus diagnosed during pregnancy: a case report; Lúpus eritematoso sistêmico diagnosticado durante a gestação: relato de caso

Coelho Junior, Luilson Geraldo; Machado, Gabrielly Borges; Figueiredo, Estevão Tavares de; Faria, Talitha Araújo
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 22/12/2015 POR
Relevância na Pesquisa
36.52%
O lúpus eritematoso sistêmico (LES) é uma doença inflamatória crônica de etiologia autoimune, distribuição multissistêmica, cujas manifestações clínicas são bastante variáveis. Fatores genéticos, hormonais e ambientais estão correlacionados com o desenvolvimento da doença, a qual é caracterizada por períodos de remissão e exacerbação. No LES, os fenômenos imunológicos levam à produção de auto-anticorpos, os quais são dirigidos a antígenos nucleares do próprio organismo, resultando em diferentes manifestações clínicas, podendo acometer ossos, articulações, pulmões, fígado, rins e sistema nervoso central. Mulheres em período fértil têm alta prevalência, sendo que, na maior parte dos casos, não têm sua fertilidade comprometida. O início do quadro durante a gravidez é raro e indica pior prognóstico para mãe e feto. A gravidez está desaconselhada quando a doença está ativa durante a concepção, e quando se associa à nefrite lúpica. Mulheres portadoras de lúpus cursam com gestação de alto risco, haja vista, as gestantes lúpicas apresentarem maior taxa de abortamento espontâneo, restrição de crescimento intra-uterino e fetal, eclâmpsia, morte fetal, parto pré-termo. Há controvérsias sobre o efeito da gestação na atividade da doença...

Is safety infliximab during pregnancy in patients with inflammatory bowel disease?

Argüelles-Arias,Federico; Castro-Laria,Luisa; Barreiro-de-Acosta,Manuel; García-Sánchez,Mª Valle; Guerrero-Jiménez,Pedro; Gómez-García,Mª Rosa; Cordero-Ruiz,Patricia; Iglesias-Flores,Eva; Gómez-Camacho,Federico; Domínguez-Muñoz,Enrique J.; Herr
Fonte: Revista Española de Enfermedades Digestivas Publicador: Revista Española de Enfermedades Digestivas
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/02/2012 ENG
Relevância na Pesquisa
36.52%
Background: in most cases, inflammatory bowel disease (IBD) debuts at reproductive age. The data available in the literature show infliximab (IFX) to be a safe drug during pregnancy but there is very little evidence about the activity of the disease following drug withdrawal during pregnancy. Aims: determine the drug´s safety in pregnant women in our setting and assess its effect on the foetus, drawing on the experience of several hospitals. Secondly, observe the effect of treatment withdrawal on disease activity during pregnancy. Material and methods: a retrospective study was conducted of women with IBD who had received IFX treatment during pregnancy in five hospitals in Spain. Disease activity was assessed using Crohn´s Disease Activity Index, while UC was assessed using the Truelove-Witts Index in each trimester of pregnancy. Gestational age, weight and diseases in the foetus were determined at birth. Results: the study included 12 women with a mean age of 29 years; 4 had ulcerative colitis and 8 Crohn´s disease, with mean disease duration of 7 years. All but one, who was diagnosed during pregnancy, was receiving IFX treatment at conception. Six patients received uninterrupted treatment throughout the pregnancy, 2 requested voluntary interruption and in 3 cases treatment was interrupted in the third trimester as a precaution. They received a mean IFX dose of 400 mg every 8 weeks. Of the 6 patients who received continuous treatment...

Prevalence and socioeconomic correlates of unintented pregnancy among women in rural Bangladesh

Kamal,Mostafa; Islam,Aynul
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2011 EN
Relevância na Pesquisa
36.52%
OBJECTIVE: This paper examines the prevalence and socioeconomic correlates of unintended pregnancy among rural women in Bangladesh. MATERIAL AND METHODS: The study used data from the 2007 Bangladesh Demographic and Health Survey. Chi-square tests and binary logistic regression were performed using the data set. RESULTS: Overall, 30.0% of the most recent births were unplanned. Both bivariate and multivariate analyses confirm that age, ever use of contraceptive method, religion and wealth index were important determinants of unintended pregnancy. Pregnancy order appeared as the most single determinant of unplanned pregnancy. Women with fourth or higher order pregnancies were at higher risk (OR=4.31, 95%CI; 4.31-6.56) of unintended pregnancy than those who experienced pregnancy for the first time. CONCLUSION: Unintended pregnancy is common in rural Bangladesh. Intervention programs regarding reproductive health and services should be undertaken. Awareness should be created to continue the use of modern contraceptive methods to avoid unintended pregnancy.

Family Support and Pregnancy Behavior among Women in Two Border Mexican Cities

Fernández,Leticia E.; Newby,Alison
Fonte: El Colegio de la Frontera Norte Publicador: El Colegio de la Frontera Norte
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2010 EN
Relevância na Pesquisa
36.52%
Given that, on average, immigrant Mexican women in the United States have relatively low socioeconomic status, researchers have sought explanations for their favorable pregnancy outcomes. Strong family support in the Mexican culture has been proposed as a contributing factor that is protective of maternal and child health. However, family support may not be determined exogenously. Complex associations may exist between family support, the circumstances of a pregnancy, and whether the pregnancy was planned or welcomed. In this article, we present findings from a qualitative exploratory study among pregnant women in two Mexican border cities. The goals of this article are to examine the extent to which family and partner support are provided to pregnant women in the Mexican culture, whether such support appears to influence their health-promoting behaviors during pregnancy, and the circumstances under which such support is denied to women. Findings suggest that women who do not cohabit with the baby's father predating their pregnancy are less likely to welcome the pregnancy and to receive family support. The influence of family support on maternal behavior and health was stronger amongprimiparous women than among women who have had a previous pregnancy.

Prevalence and socioeconomic correlates of unintented pregnancy among women in rural Bangladesh

Kamal,Mostafa; Islam,Aynul
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2011 EN
Relevância na Pesquisa
36.52%
OBJECTIVE: This paper examines the prevalence and socioeconomic correlates of unintended pregnancy among rural women in Bangladesh. MATERIAL AND METHODS: The study used data from the 2007 Bangladesh Demographic and Health Survey. Chi-square tests and binary logistic regression were performed using the data set. RESULTS: Overall, 30.0% of the most recent births were unplanned. Both bivariate and multivariate analyses confirm that age, ever use of contraceptive method, religion and wealth index were important determinants of unintended pregnancy. Pregnancy order appeared as the most single determinant of unplanned pregnancy. Women with fourth or higher order pregnancies were at higher risk (OR=4.31, 95%CI; 4.31-6.56) of unintended pregnancy than those who experienced pregnancy for the first time. CONCLUSION: Unintended pregnancy is common in rural Bangladesh. Intervention programs regarding reproductive health and services should be undertaken. Awareness should be created to continue the use of modern contraceptive methods to avoid unintended pregnancy.