scholarly journals Depressive symptoms in postpartum women at Family Health Units

2018 ◽  
Vol 18 (1) ◽  
pp. 163-169
Author(s):  
Synara Barbosa de Melo ◽  
Rhayza Rhavênia Rodrigues Jordão ◽  
Fernanda Jorge Guimarães ◽  
Jaqueline Galdino Albuquerque Perrelli ◽  
Amaury Cantilino ◽  
...  

Abstract Objectives: to identify postpartum depression among women assisted by Family Health Units (FHU). Methods: this is a cross-sectional study with a quantitative approach carried out in FHUs at the city of Vitoria de Santo Antão - PE. Fifty eight mothers constituted the sample. We used the Portuguese version of the Postpartum Depression Screening Scale – PDSS for screening. We collected data from February to April 2011. Results: we were able to demonstrate that 8.6% of participants had scores above the PDSS cut-off point. We also found an association between postpartum depression and incomplete primary education. Conclusions: although the percentage of women with postpartum depression scores is lower than values found in other national studies, the early identification of these mothers in FHU is imperative, given the harmful repercussions that depression can cause in women, as well as in physical and psychic development of the baby.

2015 ◽  
Vol 133 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Rinailda de Cascia Santos Torres ◽  
Karine Sobral Marques ◽  
Kamila de Nazaré Ribas Leal ◽  
Pedro Augusto Sampaio Rocha-Filho

ABSTRACTCONTEXT AND OBJECTIVE: Only a few studies have focused on the main reasons for consultations at primary healthcare units within the Family Health Program. The aim here was to describe the reasons that led patients to seek assistance at four primary healthcare units in the city of Recife, Brazil.DESIGN AND SETTING: Cross-sectional study at primary healthcare units in the city of Recife.METHODS: Among adult patients who were consecutively attended at four primary healthcare units in the city of Recife, their two main reasons for going there were recorded by medical students. The students did not interfere in the consultation dynamics. The data were gathered between September 2010 and March 2011 and between November 2012 and August 2013. The reasons for the consultations were grouped into broader categories in accordance with the International Classification of Primary Care (ICPC-2).RESULTS: 478 patients were included. Their mean age was 45.9 years (± 16 years) and 71% were female. Pain was the main reason for seeking medical attention (34%), followed by evaluation of tests, prescription renewal and medical certificates (17.6%). The most frequent types of pain were musculoskeletal pain (15.7%), headache (10.4%) and abdominal pain (8%). The main reasons for consultation according to ICPC-2 were in the general and nonspecific, musculoskeletal, nervous system-related and digestive tract categories.CONCLUSION:Pain was the most frequent reason for seeking medical attendance at these primary healthcare units.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 836-836
Author(s):  
Jian Zhao

Abstract Objectives Postpartum depression (PPD), a major maternal health concern, gives negative effects on women health, child development and family well-being. Recently, diet quality has emerged as a possible preventative measure in ameliorating PPD, however the evidence-base exploring this association is immature. The aim of this study was to investigate the association between diet diversity and depression of postpartum women. Methods A cross-sectional study was conducted on 554 postpartum women who set up files after delivery within 2 years at 10 community health service centers in Beijing from July to September 2017. The Edinburgh Postnatal Depression Scale(EPDS) in Chinese version was used to access the status of depression. Dietary intake was determined using a semi-quantitative food frequency questionnairea (FFQ). Dietary diversity score (DDS) was calculated based on scoring to the eight-food groups with frequency according to the Chinese Dietary Guidelines (2016). DDS ranged from 0–32, and was classified into two groups: low (≤26.5) and high (>26.5). Logistic regression models were used to estimate relationships between DDS and PPD. Results A total of 163 women (29.4%) were depressed above the EPDS cut-off score (≥ 13 scores). Mean (±-s.d.) of DDS was 27.9 ± 3.4. 28.7% of the subjects (n = 159) had low DDS and 71.3% (n = 481) had high DDS. After statistical adjustment for age and society correlation factors, lower DDS was significantly associated with PPD ([aOR] = 1.81, 95% [CI] = 1.13 - 2.89). Conclusions The present study found that low DDS, which means poor dietary diversity was associated with PPD in Chinese women after delivery within 2 years. Funding Sources This study was funded by grants from Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences (2019-I2M-2-007).


Author(s):  
Nickolas Yugo Miyamura Namiuchi ◽  
João Italo Fortaleza de Melo ◽  
Luiz Dias Dutra ◽  
Raphael Oliveira Ramos Franco Netto ◽  
Victor Augusto Ramos Fernandes ◽  
...  

Objective: The objective of this study was to evaluate the incidence of placental abruption (PA) among nulliparous and multiparous women in the city of Dourados-MS Brazil. Materials and methods: Retrospective single-center cross-sectional study. 240 examinations of patients submitted to ultrasonography (USG) with medical indications for investigating PA were evaluated. Results: The average age was 28.6 ± 6.38, minimum 15 and maximum 43 years. The patients’ weeks of pregnancy showed an average of 7.8 ± 3.1 minimum 4 and maximum 27 weeks. PA occurred in 66 (27.7%) of the patients out of the 240 evaluated patients. Conclusion: The occurrence of PA in the studied population was high. There was no correlation between the occurrence of PA and the age of the patients. The relevance of family planning and adequate prenatal care in the early identification of risk factors for PA, as both contribute to reducing the incidence of unfavorable pregnancy outcomes.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Birye Dessalegn Mekonnen

Abstract Background Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and was not often discussed by healthcare providers during prenatal and postnatal care. Thus, this study was aimed to assess early resumption of sexual intercourse and associated factors among postpartum women in Gondar city, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from January 20 to February 20, 2020. A systematic random sampling technique was used to select 634 postpartum women. A pretested, structured and interviewer-administered questionnaire was used to collect data. Data were entered into Epi Info 7.2.2 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressions analysis were done. Variables with p- value of < 0.05 were considered as statistically significant. Results The magnitude of early resumption of sexual intercourse after childbirth was found to be 26.9% (95% CI: 23.2, 30.8). Urban resident (AOR = 6.12, 95% CI: 2.41, 15.66), parity of one (AOR = 2.26, 95% CI: 1.66, 7.78), husband demand (AOR = 2.66, 95% CI: 1.72, 4.11), postnatal care (AOR = 1.45, 95% CI: 1.06, 2.18) and use of family planning (AOR = 2.72, 95% CI: 1.51, 3.43) were factors significantly associated with early resumption of sexual intercourse. Conclusion The study found that more than one fourth of women had resumed sexual intercourse within six weeks of following childbirth. The finding of this study suggests the need of integrating discussions of postpartum sexual activity into routine prenatal, intrapartum and postnatal care with collaborative effort of policy makers, program planners, health care providers and other stakeholders. Moreover, spousal communication on postpartum sexual activity should be encouraged.


2013 ◽  
Vol 22 (1) ◽  
pp. 141-148 ◽  
Author(s):  
Fabiana de Souza Orlandi ◽  
Neide de Souza Praça

This descriptive cross-sectional study had the objective to evaluate the level of hope in women aged 50 or older suffering from HIV/AIDS, utilizing the Herth Hope Scale. The study involved 200 HIV- positive women, within the age bracket of interest, enrolled in three STI/AIDS specialized healthcare services in the city of São Paulo. The rules of the 196/96 Resolution were met and the study was approved by the Research and Ethics Committee. Data were collected in 2010 using two instruments: subjects' characterization and the Herth Hope Scale. Results demonstrated an average score of 36.75 (±4.52) on the Herth Hope Scale, with an interval of 12 to 48. This score is below the score obtained with the same scale for various pathologies, indicating a reduced perception of hope by the sample. Nurses should provide interventions to improve hope for these people, establishing realistic goals and strengthening social support.


2016 ◽  
Vol 26 (4) ◽  
pp. 24934
Author(s):  
Cristiane Olinda Coradi ◽  
Jussara Dos Santos Cardoso ◽  
Ronara Camila de Souza Groia ◽  
Karina Cristina Lima Silva ◽  
Maria das Graças Braga Ceccato ◽  
...  

Aims: To evaluate the understanding of drug prescriptions by patients, comparing the user self-report with the researcher assessment.Methods: A cross-sectional study was conducted from November 2013 to February 2014 at a Basic Health Unit in the city of Belo Horizonte, Minas Gerais, Brazil. Users 18 years of age or older who sought medicines in the unit's pharmacy, for themselves or for minors under their care, were interviewed. The selection of the sample was non-probabilistic, for convenience. During the interview, the users informed if they had understood the following data of the prescriptions: drug name, dose and frequency of administration. Participants then repeated the data for researchers, being allowed to check the prescriptions at the same time. After the interviews, the answers to the questions were interpreted by the researchers, who evaluated the agreement between the information provided by the users and the actual instructions of the recipes, using the Kappa test.Results: Data were collected from 69 users of the unit's pharmacy (corresponding to 69 delivered prescriptions). Fifty-nine (85.5%) users reported having understood all the prescriptions data (self-report), while according to the measurement of the researchers, 23 (33.3%) were the respondents who simultaneously understood all data, relating to the name of the drug, number of daily doses and schedule. Kappa test indicated a degree of agreement between self-report and measurement of researchers of 0.138 (slight) considering all items of the prescription, and specifically on the number of doses the agreement was -0.055 (poor).Conclusions: Self-reported rate of patient's understanding of drug prescriptions was higher than the assessed by the researchers. This result suggests that self-report of patients with respect to the understanding of prescriptions has limitations and should be interpreted with caution both in research and in clinical practice. It is recommended to enhance the means of providing information to patients, in order to contribute to the proper understanding of drug prescriptions.


2017 ◽  
Vol 27 (4) ◽  
pp. 28114
Author(s):  
Karenn Haubricht Lemos ◽  
Thays Caroline Patek ◽  
Thais Regina Mezzomo

***Determination of glycemic index and glycemic load of hospital diets served for diabetics***   AIMS: To determine the glycemic index and the glycemic load of diets usually offered by hospitals to patients with diabetes mellitus.   METHODS: A cross-sectional study evaluated menus served to diabetic inpatients of hospitals in the city of Curitiba, Parana, Brazil. Analyzing the menus, we determined the energy content, macronutrients, glycemic index and glycemic load of the meals offered to the patients.    RESULTS: Five general hospitals of the city participated in the study and 10 menus for diabetes were evaluated. The structure of the menus was different mainly in the quantitative supply of fruits and milk. Diets ranged from 1317.6 to 2013.2 kcal, with 18.9 to 27.6% of proteins, 21.9 to 29.4% of lipids, 48.2 to 53.3% of carbohydrates and 24.7 to 33.6 g of fibers. Daily glycemic index ranged from 47 to 57% and daily glycemic load from 81 to 109%.   CONCLUSIONS: All offered diets were hyperproteic, normolipid and normoglicidic. However, inadequate levels of glycemic load were observed in all the evaluated menus, although with adequate levels of glycemic index. It is necessary to review the diet plans elaborated for diabetics, aiming at the best dietary treatment for this population.


Sign in / Sign up

Export Citation Format

Share Document