Prejudice, Stigma and the Refusal to Offer Health Services of an Obese Pregnant Woman – An Ethical Viewpoint

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Bianca De Oliveira Alves Welin ◽  
Ana Paula Lupo ◽  
Janaina Ouchi ◽  
Paula Monticelli

O aleitamento materno é um dos fatores primordiais tanto para o recém-nascido como para a mãe, de um lado se depreende a sua função de alimentação dos bebês, por outro lado o desmame precoce se torna um problema para órgãos oficiais de saúde. O presente estudo consiste em uma pesquisa bibliográfica, de natureza descritiva, com o objetivo de identificar os trabalhos publicados e relacionados em destacar a importância da amamentação e dos fatores, que determinam a atuação do enfermeiro na promoção dessa prática. A pesquisa reafirma a importância do aleitamento materno, e igualmente destaca os fatores que se interpõem à prática da amamentação, tais como: a atuação dos serviços de saúde, a educação materna, a classe sócio-econômica, as crenças, o apelo do comércio e da indústria de leite e de bicos artificiais e o retorno precoce das nutrizes ao trabalho. A ação educativa e assistencial do enfermeiro é imprescindível para a modificação de comportamento de gestantes e puérperas, para que frente às intercorrências, possam obter êxito, amamentando por um período suficiente, para o pleno desenvolvimento físico e psíquico do bebê.Palavras-chave: Aleitamento Materno. Educação. Papel do Profissional de Enfermagem.AbstractThe maternal lactation is one of the primordial factors not only for the newly-bron but also for the mother, on the one hand its function of feeding the babies, on the other . The present study consists of a bibliographical research, of descriptive nature, with the objective to identify the works already published and related to highlighting the importance of breast-feeding and the factors that determine the nurse’s performance in the promotion of this practice. It can be verified that all material collected reaffirms the importance of the maternal lactation, and equally highlights the factors that are interposed e to the practice one of breast-feeding, such as, the health services performance, the maternal education, the socio-economic class, the beliefs, the dairy industry commercial appeal and the artificial peaks and the precocious return of the breastfeeding mothers to work. The educative and assistance action of the nurse is essential for the modification of behavior of pregnant woman and parturient, so that before the intercurrent, they can reach success, suckling for a enough period, for the full physical and psychic development of the baby.Keywords: Maternal Lactation. Education. Nurse’s Role.


Author(s):  
Rohith Motappa ◽  
Mahabaleshwar Angadi

Background: One of the key components of national rural health mission was to create a band of female health volunteers, appropriately named “accredited social health activist” (ASHA) in each village within the identified States to act as a bridge between the rural people and health services outlets. They act as health activists in community who will create awareness on health and its determinants, counsel mothers on key healthy behaviors and mobilize the community towards local health planning and increased utilization and accountability of the existing health services. Objectives of the study was to describe the socio-demographic profile of ASHAs working in Vijayapur district and to evaluate the knowledge, attitude, practice of ASHAs towards the maternal care.Methods: A cross-sectional study on 617 ASHAs of Vijayapur district. A pre-designed, semi- structured questionnaire was prepared in English and the interview was conducted in Kannada by explaining them questions one by one.Results: Out of 617 ASHAs interviewed, 427 (69.2%) of them told a pregnant woman should have antenatal care (ANC) visits and 413 (65.3%) ASHAs opined that a minimum of four ANC visits are required. While 542 (87.2%) ASHAs told that they should accompany pregnant woman transport to health centre during labour pains and 570 (92.8%) told that they should stay with the pregnant lady until her delivery is over. Also, it was found that knowledge of ASHAs regarding maternal care was significantly associated with age and duration of service of ASHAs.Conclusions: On the whole, knowledge of ASHAs about care during pregnancy and care of new-born was considerably good.


2018 ◽  
Vol 5 (2) ◽  
pp. 103-112
Author(s):  
Ni Putu Wiwik Oktaviani ◽  
Ni Luh Putu Devhy ◽  
I Made Sudarma Adiputra ◽  
Dewa Ayu Putri Widiastuti

Pendahuluan: AIDS adalah penyakit yang disebabkan oleh infeksi dengan virus yang disebut Human Immunodeficiency Virus (HIV), yang dimana kasus HIV pada ibu rumah tangga menduduki peringkat kedua. Penularan melalui perinatal menyumbang 5,1%. Penularan tersebut dapat dicegah jika ibu hamil sejak dini diketahui statusnya dan mendapat pengobatan dengan tepat. Integrasi program pencegahan HIV dari ibu kebayi pada pelayanan antenatal care telah dilakukan, namun keikutsertaaan ibu hamil untuk VCT masih rendah. Dukungan keluarga sangat penting dalam mendukung keikutsertaaan ibu hamil untuk VCT. Tujuan dari penelitian ini adalah untuk mengetahui gambaran fungsi perawatan kesehatan dan dukungan keluarga dengan ibu hamil dalam pemanfaatan pelayanan kesehatan VCT. Metode: Desain penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional. Studi dilakukan di Puskesmas I Susut, Bangli dengan jumlah sampel sebanyak 93 reponden dengan teknik non-probabiliti sampling dengan purposive sampling. Data yang diperoleh dianalisis dengan program komputerisasi dengan menggunakan analisis univariat. Hasil: Hasil menunjukan sebagian besar responden memiliki fungsi perawatan kesehatan tidak efektif 54,8% dan sebagian besar responden memiliki dukungan keluarga cukup 46,2%. Diskusi: Hasil penelitian ini dapat direkomendasikan diterapkan pada keluarga melalui peran kader kesehatan dan pihak puskesmas untuk meningkatkan kembali pelayanan kesehatan VCT terhadap Ibu hamil.   Kata Kunci : Perawatan Kesehatan, Dukungan Keluarga, Ibu Hamil   ABSTRACT Introduction: AIDS is a disease caused by infection with a virus called Human Immunodeficiency Virus (HIV), and the number of women who infected with HIV has increased year by year. Through perinatal transmission contributed 5.1%. The transmission can be prevented if pregnant woman know their status and get treatment appropriately. Integration of maternal to infant HIV prevention programs on antenatal care hip services is done, but the participation of pregnant women for VCT is still low. The family supports are important to support adherence participation of pregnant women for VCT. Method: This research aimed to description of the function health care and family support with pregnant woman on utilization of VCT health services. This study of description with cross sectional design. Study was conducted at Puskesmas I Susut Bangli with 93 samples was taken by non-probability sampling with purposive sampling. Obtained data was processing SPSS and analyzing by univariate test. Result: Research of study showard most respondents have a not effective Function health care 54,8% and most respondents have a enough family support 46,2%. Discussion: The results of this study research can be recommended to be applied to the family and the health community center or clinics to improve again the health services VCT to wards pregnant women.   Keyword : Health care, Family support, Pregnant women


1986 ◽  
Vol 50 (11) ◽  
pp. 693-696
Author(s):  
CA Evans
Keyword(s):  

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