Perinatal care in a northeastern brazilian state: structure, work processes, and evaluation of the components of essential newborn care

Conclusions: The distribution of NICU beds between capital city and other cities of the State is adequate, considering Brazilian guidelines. However, there was a low adherence to the protocols for hypertensive and hemorrhagic emergencies, and a low coverage of humanization policies, pregnancy risk classification and ENC practices, especially breastfeeding in the first hour of life, and companion always during birth.RESUMO Objetivo: Descrever a estrutura e os processos de atendimento a gestante/rec ém-nascido, incluindo os componentes do Essential Newborn Care (ENC), das maternidades de Sergipe, Brasil. Métodos: Estudo transversal realizado entre junho de 2015 e abril de 2016 em todas as maternidades de Sergipe (n=11) com mais de 500 partos/ano. Foi aplicado um questionário aos gestores so bre a estrutura e os processos de trabalhos existentes. Posteriormente, um número representativo de puérperas desses hospitais foi entrevistado (n=768) e seus prontuários, bem como o dos recém-nascidos, foram analisados. Resultados: Sergipe conta com 78 leitos de Unidade de Terapia Intensiva Ne onatal (UTIN) e 90 de Unidade Intermediária (UI) para atendimento da demanda espontânea e programada. Somente seis maternidades (54,5%) realizam a classificação de risco e quatro (36,3%) possuem protocolos para atendimento das parturientes de alto risco. No que se refere aos componentes do ENC, apenas 41% (n=315) das mulheres ...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research

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ABSTRACT OBJECTIVE To analyze the impact of the Hospital-Acquired Conditions (HAC) in women in the puerperal and pregnancy cycle during length of stay. METHODS This cross-sectional study was conducted with 113,456 women, between July 2012 and July 2017, in Brazil ’ s national hospitals of the supplementary healthcare networks and philanthropists accredited to the Unified Health System (SUS). Data on hospital discharges were collected using the Diagnosis-Related Groups (DRG Brasil ®) system. All DRGs of the major diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, were included. The imp...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS Antepartum peregrination suffers interference from the mother ’ s socioeconomic characteristics, the type of prenatal care received and the source of funding for childbirth.RESUMO OBJETIVO Analisar as caracter ísticas maternas e da assistência pré-natal associadas à peregrinação no anteparto entre gestantes de um estado do Nordeste brasileiro. MÉTODOS Estudo quantitativo e transversal, com abordagens descritiva e analítica, vinculado à pesquisa Nascer em Sergipe, realizada entre junho de 2015 e abril de 2016. Foram avaliadas 768 puérpera...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
Cantor AG, Hendrickson R, Blazina I, Griffin J, Grusing S, McDonagh MS. Screening for Elevated Blood Lead Levels in Childhood and Pregnancy: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA 2019;321:1510-26.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Current Best Evidence Source Type: research
Publication date: Available online 19 August 2019Source: Pregnancy HypertensionAuthor(s): Alfred O. Osoti, Stephanie T. Page, Barbra A. Richardson, Brandon L. Guthrie, John Kinuthia, Stephen J. Polyak, Carey FarquharAbstractObjectiveWe evaluated the 6-month postpartum risk of metabolic syndrome (MetS), a marker of future cardiovascular disease (CVD) risk, comparing women whose most recent pregnancies were complicated with gestational hypertension (GH) or preeclampsia (PE) versus those who had normotensive pregnancies.Study designThis was a prospective cohort study in which women with GH or PE and normotensive women were ac...
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
Facing a Trump administration rule that forbids referrals for abortion, the organization decided to reject federal funds for family planning for low-income women.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Planned Parenthood Federation of America Abortion States (US) United States Politics and Government Birth Control and Family Planning Women and Girls Pregnancy and Childbirth Health and Human Services Department American Medical Assn McG Source Type: news
(CNN) — Water fluoridation has been hailed by the US Centers for Disease Control and Prevention as one of the top great public health achievements of the 20th century, but a new study raises questions about its role as a potential neurotoxin in utero. The study, published in the journal JAMA Pediatrics on Monday, found that increased levels of fluoride exposure during pregnancy were associated with declines in IQ in children. Previous research has made similar findings, but this is the first such study to evaluate the effect of fluoride on populations receiving what the US Public Health Service considers optimal leve...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health News Syndicated CBSN Boston CNN Fluoride Source Type: news
Two out of every three U.S. residents now live in an area with fluoridated water, compared with 38% of Canadians and 3%  of Europeans, the researchers said in background notes.
Source: WebMD Health - Category: Consumer Health News Source Type: news
A new study from York University in Toronto, Canada, found that there was a 4.5-point lower IQ score in boys for every 1mg/L increase of fluoride found in a mother's urine sample.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
A Canadian study suggests that fluoride consumed by pregnant women can affect the IQ of their children. No single study provides definitive answers, but the findings will no doubt stir debate.(Image credit: vitapix/Getty Images)
Source: NPR Health and Science - Category: Consumer Health News Authors: Source Type: news
Condition:   Infertility, Male Intervention:   Sponsors:   IVI Sevilla;   IVI Madrid Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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