Incertezas e contradições experienciadas por mulheres com COVID-19 no parto/nascimento e período pós-parto

Revista Brasileira de Enfermagem, Journal Year: 2025, Volume and Issue: 78(1)

Published: Jan. 1, 2025

RESUMO Objetivos: compreender as experiências e os significados atribuídos ao parto/nascimento pós-parto por mulheres acometidas COVID-19. Métodos: estudo qualitativo à luz da complexidade, conduzido entrevistas com 15 em hospital universitário referência para gestantes infectadas de alto risco décima Regional Saúde do Paraná, Brasil, entre dezembro/2021 abril/2022. Dados foram analisados pela análise temática. Resultados: identificaram-se diferentes desejado planejado, permeadas incertezas, imprevisibilidades contradições, sobretudo quanto aos desfechos maternos neonatais. Experiências repletas emoções causaram sofrimento comprometimento saúde mental, particularmente relacionadas prematuridade, afastamento recém-nascido, ausência acompanhante isolamento unidade Constataram-se prejuízos no vínculo mãe-bebê, autocuidado amamentação, atuações profissionais antagônicas, retrocesso às práticas obstétricas. Considerações Finais: aponta-se a necessidade respeito direitos assegurados lei designação capacitados assistência materno-infantil.

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Uncertainties and contradictions experienced by women with COVID-19 during childbirth/birth and the postpartum period

Revista Brasileira de Enfermagem, Journal Year: 2025, Volume and Issue: 78(1)

Published: Jan. 1, 2025

ABSTRACT Objectives: to understand experiences and meanings attributed childbirth/birth postpartum by women affected COVID-19. Methods: qualitative study in light of complexity, conducted through interviews with 15 university hospital reference for infected high-risk pregnant tenth Health Region Paraná, Brazil, between December 2021 April 2022. Data were analyzed using thematic analysis. Results: different from what was desired planned, permeated uncertainties, unpredictability contradictions, especially regarding maternal neonatal outcomes, identified. Experiences full emotions caused suffering compromised mental health, particularly related prematurity, newborn separation, absence companion isolation COVID-19 unit. Mother-baby bond, self-care breastfeeding damage, antagonistic professional actions observed, a setback obstetric practices. Final Considerations: there is need respect the rights guaranteed law designate professionals trained child care.

Language: Английский

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Manajemen Pemberian Air Susu Ibu Eksklusif di Posyandu Melati, Sawangan, Depok

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM), Journal Year: 2024, Volume and Issue: 7(4), P. 1867 - 1880

Published: March 24, 2024

ABSTRAK Kurangnya pengetahuan ibu terkait dengan praktik menyusui menjadi salah satu etiologi signifikan dari rendahnya cakupan ASI eksklusif. Hal ini dapat mendorong untuk memberikan makanan tambahan kepada bayi sebelum mencapai usia 6 bulan, mengakibatkan kegagalan dalam menjaga pemberian secara Diperlukan edukasi manajemen eksklusif guna mengatasi hal tersebut. Kegiatan dilakukan agar peserta memahami asi dan mempraktikkan posisi yang tepat mendukung terapainya hingga bulan. Implementasi penyuluhan diselenggarakan di Posyandu Melati, Sawangan, Depok, terhadap 22 hamil menyusui. Para diukur mereka pada waktu sesudah edukasi. Dari peserta, hasil pengkajian awal didapatkan 12 orang memiliki tinggi, sedangkan 10 lainnnya rendah. Pada tahap evaluasi akhir, seluruh telah skor sempurna (pengetahuan tinggi). Hasil Uji Wilcoxon mengindikasikan perbedaan bermakna antara mean pretest posttest (p value 0,001, CI 95%:1,275-3,271). promosi kesehatan tema terselenggara baik dibuktikan adanya peningkatan diberikan Direkomendasikan populasi serupa masyarakat meningkat sehingga tidak langsung berdampak esklusif wilayah Kata Kunci: Air Susu Ibu Eksklusif, Edukasi Kesehatan, Hamil, Menyusui, Pengetahuan. ABSTRACT Lack of maternal knowledge regarding breastfeeding practices is one the significant etiologies low coverage exclusive breastfeeding. This can encourage mothers to provide additional food babies before they reach months age, resulting in failure maintain Education on management needed overcome this issue. Educational activities were carried out so that participants understand and practice appropriate positions support achievement for up months. Implementation counseling was held at pregnant women The had their measured after providing education. Results Of participants, results initial assessment showed people high knowledge, while other knowledge. At final evaluation stage, all a perfect score (high knowledge). Test indicated difference between scores 0.001, 95% CI: 1.275-3.271). Health promotion with theme have been well implemented as evidenced by increase participants' education provided. It recommended similar populations public it indirectly an impact increasing area. Keywords: Exclusive Breastfeeding, Education, Pregnant Women, Breastfeeding Mothers, Knowledge.

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The impact of continuous and intermittent supportive counseling on self-efficacy and continuation of breastfeeding in lactating women affected by COVID-19: a quasi-experimental trial

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: May 17, 2024

Abstract Background Promoting exclusive breastfeeding can have a great effect in reducing the complications and mortality rate of mother child. Objective The study aimed to compare effects continuous intermittent supportive counselling on self-efficacy continuity among Lactating mothers with COVID-19. Methods was semi-experimental research method conducted 73 COVID-19 who were hospitalized Ayatollah Mousavi Hospital Zanjan, Iran from May 2021 April 2022. In group, provided daily for 14 days, while once week four weeks. Breastfeeding assessed based World Health Organization’s classification, measured using Dennis’ standard questionnaire (BSE) up months after delivery. data analyzed chi-square tests, independent t-tests, paired analysis variance repeated measures, survival (Kaplan-Meier) 95% confidence level. Results revealed that cessation occurred 17 cases within group 22 group. rates continuation 52.8% 40.5% respectively. However, no statistically significant differences observed trend changes mean scores self-efficacies between groups. Furthermore, comparing change one-month four-month follow-ups increase observed. Conclusion results indicated difference effectiveness counseling methods improving women Further is needed explore long-term different approaches outcomes during crises. Trial registration registered Iranian Registry Clinical Trials website 29/06/2021 code IRCT20150731023423N19. It be accessed via this link: https://irct.behdasht.gov.ir/user/trial/55391/view .

Language: Английский

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Aleitamento materno em tempos de COVID-19: uma revisão de literatura

Revista Brasileira Multidisciplinar, Journal Year: 2024, Volume and Issue: 27(1), P. 204 - 214

Published: Jan. 1, 2024

A pandemia de COVID-19 causou danos à saúde pública mundial, incluindo prejuízos prática do aleitamento materno. Nesse contexto, o objetivo desse trabalho é revisar a literatura, fim fornecer informações relevantes para orientar das equipes multiprofissionais. Para tal, um levantamento bibliográfico foi realizado nas bases dados PubMed, Portal Periódicos da CAPES, Cochrane, Biblioteca Virtual em Saúde e SciELO, utilizando os descritores “Breastfeeding”, “Health education” “COVID-19” combinados entre si. Ao todo, foram selecionados 30 artigos, quais publicados nos últimos 4 anos. Nota-se que existem indícios transmissibilidade viral no aleitamento, fundamentados por resultados positivos na detectação RNA amostras leite mães doentes, mas essa taxa contaminação baixa, ainda mais quando adotados protocolos sanitários exclusão fatores externos. Por se tratar uma condição recente, está sendo estabelecido impactos sociais doença benefícios imunizantes relacionados ao materno, principalmente após implantação esquemas vacinais. lado, já fortes saúde, especialmente mental, díade mãe-bebê prejudicada pela dificuldade contato com serviços outra perspectiva tornou oportunidade defender amamentação como política diante dos protetivos conhecidos frente às evidências imunização passiva neonatos contra coronavírus. Conclui-se amamentar são amplos curto longo prazo, devendo ser defendida toda equipe multiprofissional saúde. Palavras-chave: Aleitamento materno; COVID-19; Educação

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Fatores associados à duração do aleitamento materno durante a pandemia da COVID-19: estudo de sobrevida

Revista da Escola de Enfermagem da USP, Journal Year: 2024, Volume and Issue: 58

Published: Jan. 1, 2024

RESUMO Objetivo: Investigar as repercussões da COVID-19 na duração do aleitamento materno e analisar os fatores associados em Belo Horizonte, Minas Gerais, Brasil. Método: Trata-se de estudo epidemiológico, coorte prospectiva. Os dados foram coletados prontuários médicos por meio entrevistas telefônicas. As mulheres que apresentaram o desmame estimadas análise sobrevivência Kaplan-Meier. O teste log-rank foi utilizado para verificar diferenças entre grupos, analisando-se tempo desmame, segundo características sociodemográficas clínicas. valores hazard ratio intervalos confiança 95% estimados utilizando-se regressão Cox. Resultados: Participaram pesquisa 1.729 mulheres. Durante a pandemia COVID-19, pardas submetidas à cesariana mais suscetíveis interromper amamentação. Conclusão: A via nascimento étnicas das mães associaram-se ao precoce durante COVID-19. Tais achados são importantes nortear assistência equipe multiprofissional, sobretudo enfermagem, pós-pandemia cenários epidemiológicos futuros.

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Factors associated with the length of breastfeeding during the COVID-19 pandemic: a survival study

Revista da Escola de Enfermagem da USP, Journal Year: 2024, Volume and Issue: 58

Published: Jan. 1, 2024

ABSTRACT Objective: To investigate the repercussions of COVID-19 on length breastfeeding and analyze associated factors in Belo Horizonte, Minas Gerais, Brazil. Method: This is an epidemiological, prospective cohort study. Data were collected from medical records through telephone interviews. Women who weaned estimated using Kaplan-Meier survival analysis. The log-rank test was used to verify differences between groups, analyzing weaning time, according sociodemographic clinical characteristics. values hazard ratio 95% confidence intervals Cox regression Results: A total 1,729 women participated During pandemic, brown undergoing cesarean section more likely stop breastfeeding. Conclusion: birth route mothers’ ethnic characteristics with early during pandemic. Such findings are important guide assistance multidisciplinary team, especially nursing, post-pandemic period future epidemiological scenarios.

Language: Английский

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Pregnancy and SARS-CoV-2 infection with a focus on its vertical transmission, breastfeeding, cord blood banking, and vaccination during COVID-19 infection

Journal of Immunoassay and Immunochemistry, Journal Year: 2023, Volume and Issue: 44(5-6), P. 361 - 380

Published: Oct. 4, 2023

The SARS-CoV-2 outbreak led to a health crisis worldwide. This infection can infect individuals, particularly pregnant women. In this review, we tried find the possibility of vertical transmission COVID-19 and investigate effects on pregnancy, breastfeeding, cord blood banking, recommended vaccines lactating Keywords include COVID-19, congenital infection, SARS-CoV-2, vaccines. Vertical was searched in scientific databases, such as PubMed, Google Scholar, Scopus. criteria for including studies article are study women, fetuses, neonates during pregnancy while also effect them. There several conflicting results from maternal-fetal interface. Since many born COVID-19-infected mothers had no signs cannot be confirmed. Also, SARS-CoV-2-infected women breastfeed their babies if they have mild symptoms. Up till now, adverse has been identified mothers, infants, fertility men or Even so, more investigations needed long-term

Language: Английский

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Edukasi Kesehatan Vaksinasi Human Papilloma Virus untuk Mencegah Kanker Serviks pada Siswi di Jakarta Timur

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM), Journal Year: 2023, Volume and Issue: 6(7), P. 2916 - 2930

Published: June 25, 2023

ABSTRAK Human Pappiloma Virus (HPV) adalah penyebab utama yang telah diidentifikasi sebagai etiologi kanker serviks. Vaksinasi HPV terbukti efektif menurunkan risiko wanita terpajan infeksi HPV. Pemerintah mewajibkan pemberian vaksinasi gratis bagi anak sekolah untuk mencegah serviks dikemudian hari, namun cakupan ini masih rendah karena penolakan orangtua, mitos seksualitas remaja dan berbagai kendala lainnya. Kegiatan pengabdian masyarakat dalam bentuk edukasi kesehatan bertujuan meningkatkan pengetahuan siswi tentang pencegahannya melalui vaksinasi. Edukasi diselenggarakan secara offline kepada 30 di Sekolah Menengah Pertama (SMP) Yamas, Halim, Jakarta Timur, dengan menggunakan metode ceramah dilanjutkan sesi diskusi. Pengetahuan peserta vaksinansi juga dievaluasi, baik sebelum sesudah materi edukasi. diselingi ice breaking. Sebanyak mengikuti kegiatan ini. Sebelum materi, skor pretest sebesar 27,30 terdapat peningkatan pada posttest menjadi 77,63 setelah diberikan. Rentang ke 50,33 poin. Hasil paired t test menunjukkan bahwa perbedaan signifikan antara rerata (p value 0,001, CI 95%). uji statistik mengindikasikan Dengan demikian, disimpulkan dapat memfasilitasi Tim mengajukan rekomendasi pihak agar menyelenggarakan promosi serupa efikasi diri perempuan mendapatkan Kata kunci: Kanker Serviks, Vaksinasi, Papilloma (HPV), Remaja, Pengetahuan. ABSTRACT is the main cause that has been identified as etiology of cervical cancer. vaccination shown to be effective in reducing risk women being exposed infection. The government made it mandatory provide free for school children prevent cancer future, but rate this still low due parental refusal, myths about adolescent sexuality and various other obstacles. This community service activity form health education aims increase knowledge schoolgirls its prevention through vaccination. Health was held female students at Yamas Junior High School East Jakarta, using lecture method followed by discussion sessions. Participants' also evaluated, both before after giving educational materials. Educational activities are interspersed with breaking A total participated activities. Before material, participant's score 27.3 there an 77.63 given. range increasing scores 50.33 points. results showed a significant difference between mean 0.001, 95% CI). statistical tests indicated provision education. Thus, can facilitate increased team submitted recommendations so they could organize similar promotion able confidence or self-efficacy teenage girls get Keywords: Cervical Cancer, Vaccination, Adolescents, Knowledge

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Effects of Direct and Indirect Factors on Attitude toward the COVID-19 Vaccine in Pregnant Women

Nurse Media Journal of Nursing, Journal Year: 2023, Volume and Issue: 13(2), P. 226 - 235

Published: Aug. 25, 2023

Background: The administration of the COVID-19 vaccine is facing resistance from pregnant women, leading to a lower attitude toward vaccination uptake. Previous studies have explored several factors that contributed issue. However, no investigated further direct and indirect effects simultaneously influence attitudes in women. Purpose: This study aimed investigate (ACV) particularly hesitancy, motivation, history infection (HCI), describe pathway model represents effects.Methods: cross-sectional recruited 440 women living Bekasi Pandeglang, Indonesia, May–June 2022 using consecutive sampling methods. employed Motivations Vaccination Questionnaire, Reasons for Hesitation Attitudes Vaccine Questionnaire. A path analysis was performed calculate data.Results: Hesitancy had more effect (β=-0.270; p=0.00) than (β=-0.193; on ACV, whereas motivation (β=0.092; p=0.04) (β=0.074; p=0.00). HCI acted as mediation variable because it could intercede with hesitancy ACV (β=-0.449; It indicated would lead different approach increasing ACV.Conclusions: All studied significant impacts both directly indirectly. recommended interventions be adjusted according program’s purpose, aim or reducing hesitancy.

Language: Английский

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