Período Puerperal e Atuação do Enfermeiro: uma Revisão Integrativa

Author(s):  
Eduardo Brandão Azevedo ◽  
Fernanda Savoi Mendes ◽  
Maione Motta Teixeira ◽  
Poliana Luftfala Sousa Freitas ◽  
Pollyanna Oliveira Barros Cardoso

Embora a maioria das alterações no pós-parto seja de âmbito fisiológico, as puérperas convivem com mudanças, medos, desafios, anseios e situações de risco que podem afetar, negativamente, a relação mãe-filho. Somam-se a estes riscos os problemas somáticos já instalados, que indicam a necessidade de atuação da enfermagem através da assistência à puérpera. O presente estudo é uma revisão integrativa, que tem como objetivo identificar quais as complicações mais frequentes na puérpera, além de verificar a atuação do enfermeiro perante o puerpério. Foram pré-selecionados dos portais científicos: Biblioteca Virtual de Saúde (BVS) e Pubmed, 423 periódicos que contemplavam a temática pesquisada. Entretanto, foram utilizados 22 destes, pois estavam dentro dos critérios preestabelecidos para sua inclusão. Das complicações puerperais mais frequentes identificadas nos periódicos analisados se destacam a dificuldade da puérpera em amamentar o recém-nascido em 59,1%, seguida de infecções puerperais, sendo esta com frequência de 22,7%, seguida de alterações psíquicas com 13,6%. Por outro lado, incontinência urinária, sangramento aumentado e morte materna foram referenciados em 9%  dos periódicos analisados. Conclui-se que há inúmeras complicações psicossomáticas na puérpera, que devem ser abordadas também pelo enfermeiro. Sem este profissional capacitado, atuante e observador, o início de um novo ciclo de vida pode estar comprometido, caso ocorram complicações. Por outro lado, sua ausência pode aumentar, substancialmente, a probabilidade de agravos durante as fases do puerpério, incluindo o pós-parto imediato. Palavras-chave: Período Pós-Parto. Aleitamento Materno. Enfermagem. AbstractAlthough most postpartum changes are physiological, puerperal women coexist with changes, fears, challenges, longings, and risk situations that may negatively affect the mother-child relationship. Added to these risks are the already installed somatic problems that indicate the need for nursing care through the care of the puerperal woman. The present study is an integrative review that aims to identify the most frequent complications in the puerperium, as well as to verify the nurses' performance before and after puerperium. The scientific portals were pre-selected from the Virtual Health Library (VHL) and Pubmed 423 journals that covered the researched topic. However, 22 of these were used, as they were within the pre-established criteria for inclusion. Of the most frequent puerperal complications in the analyzed journals, the difficulties of the puerperal women in breast-feeding the newborn were observed in 59.1%, followed by puerperal infections, this being a frequency of 22.7%, followed by psychic alterations with 13.6 %. On the other hand, urinary incontinence, increased bleeding and maternal death were referenced in 9% in each of the analyzed periodicals. It is concluded that there are numerous psychosomatic complications in the puerperium that should be addressed by the nurse. Without this skilled, active and observant professional, the beginning of a new life cycle may be compromised in the event of complications. On the other hand, their absence may substantially increase the likelihood of injuries during the puerperium stages, including immediate postpartum. Keywords: Postpartum Period. Breastfeeding. Nursing.

1972 ◽  
Vol 121 (564) ◽  
pp. 525-528 ◽  
Author(s):  
Graham Robertson

A review of some of the literature concerned with the aetiology of homosexuality shows that certain variables, in particular those involving the relationship between the homosexual and his parents, differ between studies involving populations of neurotic homosexuals and those concerned with non-psychiatric populations. Investigators concerned with the former group (Bieber et al., 1962; O'Connor, 1964; West, 1955), have placed emphasis on the importance of the mother-child relationship, having found this to be abnormally intense in the case of many homosexuals. On the other hand, a well controlled study by Bene (1965), involving a non-psychiatric population of homosexuals, revealed no difference between her homosexual and heterosexual groups as regards maternal overprotection. Her findings caused her to place more emphasis on the father-child relationship.


1976 ◽  
Vol 38 (3) ◽  
pp. 807-810 ◽  
Author(s):  
Charles R. Jillings ◽  
Carol A. Adamson ◽  
Terry Russell

The Mother-Child Relationship Evaluation has been described by Roth (1961) as establishing “a frame of reference of attitudes by which mothers relate to their children” (p. 1). Four scales are provided, one measuring acceptance and three purporting to measure forms of non-acceptance. How appropriate is it to utilize such an instrument in a clinical setting where many of the mothers have enrolled clearly handicapped children in programs designed to produce change? Data from 56 such mothers showed a pattern of scale intercorrelations similar to that cited by Roth (1961) as indicating construct validity. On the other hand, 8 of 48 items did not correlate significantly with total scale scores.


1971 ◽  
Vol 1 (4) ◽  
pp. 343-347 ◽  
Author(s):  
Ian Berg ◽  
Ralph McGuire ◽  
Edward Whelan

SYNOPSISA questionnaire concerned with dependency, mainly in the mother–child relationship, and intended for use in child psychiatry, is described. It was administered to the mothers of 116 randomly selected junior and secondary school children in the general population, stratified into age, sex, social class, and school groupings. Two meaningful dimensions were revealed by principal component factor analyses: one concerned with reliance on mother and the other reflecting sociability. Reliability and validity were found to be satisfactory.


2017 ◽  
Vol 7 (2) ◽  
pp. 67 ◽  
Author(s):  
Mehmet Fatih Ocal

Integrating the properties of computer algebra systems and dynamic geometry environments, Geogebra became an effective and powerful tool for teaching and learning mathematics. One of the reasons that teachers use Geogebra in mathematics classrooms is to make students learn mathematics meaningfully and conceptually. From this perspective, the purpose of this study was to investigate whether instruction with Geogebra has effect on students’ achievements regarding their conceptual and procedural knowledge on the applications of derivative subject. This study adopted the quantitative approach with pre-test post-test control group true experimental design. The participants were composed of two calculus classrooms involving 31 and 24 students, respectively. The experimental group with 31 students received instruction with Geogebra while the control group received traditional instruction in learning the applications of derivative. Independent samples t-test was used in the analysis of the data gathered from students’ responses to Applications of Derivative Test which was subjected to them before and after teaching processes. The findings indicated that instruction with Geogebra had positive effect on students’ scores regarding conceptual knowledge and their overall scores. On the other hand, there was no significant difference between experimental and control group students’ scores regarding procedural knowledge. It could be concluded that students in both groups were focused on procedural knowledge to be successful in learning calculus subjects including applications of derivative in both groups. On the other hand, instruction with Geogebra supported students’ learning these subjects meaningfully and conceptually.


1982 ◽  
Vol 60 (10) ◽  
pp. 1241-1246 ◽  
Author(s):  
T. Trippenbach ◽  
C. Gaultier ◽  
L. Cooper

Effects of chest compressions on the pattern of breathing were studied in pentobarbital anaesthetized 9- to 11-day-old kittens before and after vagotomy. The chest was compressed by means of a micrometer at three levels (T1–4, T6–8, T9–11). In intact and vagotomized kittens, the group mean values of inspiratory time (tI), expiratory (tE) time, peak amplitude of the integrated phrenic activity (PHR) and its rate of rise (PHR/tI) during compressions were not different from those of the control breaths. On the other hand, in intact kittens during chest compressions variability of all the measured variables significantly increased. In the vagotomized kittens, variability of parameters other than inspiratory time was unaffected. Nevertheless we cannot exclude contribution of extravagal receptors in control of tE. The tE effects could be masked by the increased variability of the control value in vagotomized kittens. The effects of chest compression on the integrated phrenic activity were mostly dependent on the intact vagal feedback.


1992 ◽  
Vol 82 (2) ◽  
pp. 185-190 ◽  
Author(s):  
Roland Foulkes ◽  
Romana G. Ferrario ◽  
Patricia Salvati ◽  
Giuseppe Bianchi

1. Several observations support the hypothesis that in rats of the Milan hypertensive strain elevated levels of a circulating ouabain-like factor might normalize the elevated Na+ reabsorption, but, on the other hand, might contribute to the development of hypertension. 2. As the receptor occupancy of this endogenous factor seems to be reversible, the aim of our study was to test, in vitro, the hypothesis of its presence in isolated kidneys from Milan hypertensive rats by studying the response to exogenous ouabain before and after prolonged washing. 3. The kidneys were isolated from adult Milan hypertensive rats and from age-matched normotensive controls and ouabain was given at two different experimental time intervals: shortly (15 min) after washout or after a further 60 min of washout (75 min in total). Comparative experiments with the diuretic hydrochlorothiazide were performed using the same protocol. 4. Ouabain given after 15 min of perfusion caused an increase in renal vascular resistance, diuresis and natriuresis; these haemodynamic and tubular responses were similar in kidneys from both Milan hypertensive and Milan normotensive rats. If given after the washout period, ouabain caused a comparable increase in renal vascular resistance, but a significantly greater natriuresis in kidneys from Milan hypertensive rats as compared with kidneys from Milan normotensive rats. On the other hand, hydrochlorothiazide caused similar natriuresis in kidneys from both strains after washout. 5. These results support the hypothesis that a factor, capable of interacting with the ouabain receptor on the Na+/K+−ATPase of tubular cells, is present in the kidney of adult Milan hypertensive rats and that it can be removed by prolonged washout.


2014 ◽  
Vol 2 (5) ◽  
pp. 178-181
Author(s):  
Nur Agustini

Kehamilan pada seorang ibu dengan diabetes sangat mempengaruhi kondisi bayi yang akan dilahirkannya. Kondisi tersebut dapat timbul karena selama janin dalam kandungan kadar gula darah ibu senantiasa mempengaruhi kadar gula darah janin, sedangkan kadar insulin ibu tidak. Hal ini mengakibatkan hiperinsulinisme pada janin, yang kemudian meyebabkan timbulnya berbagai komplikasi yang berbahaya pada janin ataupun pada bayi setelah dilahirkan. Masalah utama yang timbul akibat hiperinsulinisme adalah hipoglikemia dan ditres pernapasan. Pemahaman yang baik tentang bayi dengan ibu diabetes harus dimiliki oleh seorang perawat, agar kelak dapat memberikan perawatan yang tepat untuk mendukung tumbuh kembang anak secara optimal. AbstractA pregnancy in a woman with diabetes mellitus can affect the health status of her fetus. This is because the level of blood sugar in a fetus will be affected by the level of blood sugar in the mother, which on the other hand the level of insulin of a mother does not affect the level; of insulin of her fetus. This condition may produce a hyperinsulinism that leads to hypoglycemia and respiratory distress in a newborn. A well understanding on a baby of diabetic mother is required for a nurse to deliver a comprehensive nursing care as an effort to assist a growth and development process of a baby optimally.Keywords: A level of blood sugar, hyperinsulinism.


1974 ◽  
Vol 16 (2) ◽  
pp. 285-296 ◽  
Author(s):  
Gilbert L. Schroeter ◽  
Godfrey M. Hewitt

The chiasma frequencies in males of three species of grasshopper with and without B-chromosomes and supernumerary segments were scored at diplotene. The partially heterochromatic B's found in some individuals of Chimarocephala pacifica pacifica have no effect on chiasma frequencies. On the other hand, heterochromatic supernumerary segments in Oedaleonotus phryneicus males significantly increase the mean chiasma frequencies over individuals without them but not the between-cell variances. In Camnula pellucida neither the mitotically unstable B's nor supernumerary segments have any apparent effect on chiasma.frequencies. The supernumerary elements in Chimarocephala pacifica and Camnula pellucida may, however, produce other effects during the life cycle These and previous observations suggest that polymorphism involving extra genetic material in grasshoppers can result in increased population variability via two different means: (1) by producing variation in chiasma frequency or (2) through direct effects in the individuals possessing it. The importance of such a mechanism for producing variation is discussed.


1989 ◽  
Vol 63 (4) ◽  
pp. 307-314 ◽  
Author(s):  
David I. Grove ◽  
Carolyn Northern

ABSTRACTThe generation of protective immunity by various stages in the life-cycle of Strongyloides ratti and the phases against which resistance is directed has been examined in murine strongyloidiasis. Mice were exposed to natural, complete infections, were treated with thiabendazole (which largely resembles the natural infection), were treated with cambendazole (which restricts infection to the larval stage), or infected directly by oral transfer of adult worms. Mice that were infected with infective larvae alone did not become resistant to infective larvae or the complete infection but were resistant to adult worms implanted directly into the gut. Mice exposed to adult worms alone were resistant to natural infections and adults worms implanted directly but were not resistant to infective larvae. On the other hand, mice that had received prior natural infections showed evidence of resistance to infective larvae, adult worms, and natural, complete infections. It is concluded that there is immunological cross-reactivity between infective larvae and adult worms but that under certain circumstances the infective larvae are able to evade the host's protective immune response.


2020 ◽  
Vol 1 (3) ◽  
pp. 265-287
Author(s):  
Niall Keane

AbstractThe following examines Heidegger’s analysis of world and Dasein from a transcendental perspective. It is argued that Heidegger’s reflections on the interconnected themes of world and Dasein reveal the tensions that exist between the transcendental claims before and after Being and Time and the analysis of worldliness. It begins by looking at Heidegger’s early analysis of Husserl’s critique of psychologism and naturalism, assessing what this tells us about Heidegger’s analysis of world and nature. It subsequently addresses Heidegger’s transformation of Husserlian phenomenology, and intentionality in particular, arguing against interpreters who claim Heidegger’s interconnected concepts of Dasein and world are reducible to one another and hence phenomenologically problematic. In order to respond to this reading, the article examines the twin themes of, on the one hand, transcendental constitutive analysis in Heidegger’s work, Dasein as disclosive and ‘world entering’, and, on the other hand, the centrality of the world and the realm of nature as always more than Dasein’s constitutive relationship to it. In order to understand what Heidegger means by worldliness, the article will look at Heidegger’s reflections on nature as the world’s other, which nonetheless needs to be understood on the basis of worldliness.


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