Obstetrics and Gynecology

  • BREASTFEEDING AND HEALTH EDUCATION

    Breastfeeding is internationally promoted as the ideal method of infant nutrition due to its numerous benefits to mothers, children, and communities. To enlighten the benefits of breastfeeding and to investigate the influence of breastfeeding preparation and techniques on the frequencies of exclusive breastfeeding. This systematic literature review was built from a bibliography research of scientific papers, publications and materials available on the Internet in English and Portuguese. From this research, four essential themes were identified: benefits of breastfeeding, clinical management of breastfeeding, breastfeeding preparation and techniques, pain and discomfort in the practice of breastfeeding and nipple trauma. In the end, it was possible to notice that counseling sections with the mother throughout the pregnancy and after giving birth are fundamental to the effectiveness and exclusivity of breastfeeding.

  • HUMANIZATION IN OBSTETRIC ASSISTANCE FOR PAIN RELIEF IN NORMAL LABOR

    Introduction: Historically, women were given birth in the home by the help of midwives, but they heard changes from the increase in the performance of professionals with interventional practices, especially in the hospital environment. Today, even in the hospital setting, the humanized care in childbirth remit the values of a natural childbirth as something physiological. Objective: To describe the experience lived as a nursing student about the role of the nurse in humanized childbirth care in a Maternity Hospital in the city of Rio Largo. Method: This is a descriptive study of the experience of the Nursing Work Placement in the city of Rio Largo in the period from 11 to September 29, 2017. Results: It was possible to observe how the humanized care at birth changes the behavior and perception of pain in the parturient. During labor, women were encouraged to use non-pharmacological methods among these methods; the use of the Swiss ball, stool, lumbosacral massage and the calm environment. Assistance was provided in a humane way. Conclusion: It is necessary that nurses take care, so that they have a humanized care focused on childbirth care to minimize the perception of painful stimuli in women, using non-pharmacological methods, without interventional practices allowing women to be protagonists of their childbirth.

  • PAIN IN SITUATION OF SPONTANEOUS ABORTMENT: AN EXPERIENCE REPORT

    Introduction: The provoked or induced abortion, in its definition, is the act of stopping pregnancy for external and intentional reasons before extrauterine viability. The physical and emotional consequences that abortion entails, which can lead to irreversible sequelae, and even to the death of women, miscarriage is the loss of a pregnancy before the 20th week. Leading to a feeling of pain not only by mourning, but also for the suffering of abortion (Sell, Sandra Elisa, et al.; 2015). For Sescato, Souza and Wall (2008), pain is considered a sensory and subjective experience. pain is also related to several factors that influence your perception, such as fear, mental stress, tension, fatigue, loneliness, social and affective helplessness, and ignorance of what is happening. Objective: To describe the experience experienced by a nursing student during nursing care in abortion situation. Methodology: This is a descriptive study of the report of experience in a public maternity hospital in the municipality of Maceió-AL, in 2015. Results: During nursing care provided to a woman in an abortion situation, it was noticeable through physiognomy that she had severe pain. Faced with an exhaustive routine of health professionals, care without directly worrying about pain making care mechanically, thus, and there is no concern in trying to calm the patient not passing information about the procedures and techniques to be performed, forgetting even to identify themselves. Conclusion: In view of the experience experienced, the importance of a team qualified to assist patients in complex situations such as abortion, with adequate reception, was evidenced, taking into account the moment of physical and emotional pain suffered by the patient, seeing him thus, holistically.

  • IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Interdisciplinary Actions Project in Maternal Health-InfantiI consists of a strategy focused on maternal and child health care, as an extension project of the Federal University of Alagoas, Arapiraca Campus, focusing on interdisciplinarity covering the courses: Nursing, Psychology and Social Assistance. From the experiences in the project, a situation of gestational loss caught the attention of the members of the project. According to the Ministry of Health, fetal death is characterized as the death of the product of pregnancy before expulsion or complete extraction of the maternal body. Indicates death the fact that, after separation, the fetus has no sign of life. Objectives: To report the experience of a woman who suffered gestational loss accompanied by project members during action in a maternity ward. Methodology: Descriptive study of the type of experience report based on the experience of nursing and psychology students from the Federal University of Alagoas. The experience in question took place in May 2018, in a maternity ward in the city of Arapiraca-Alagoas. Results: During the actions of the project we had contact for two consecutive days with a full-term pregnant woman, primiparous, accompanied by the husband and mother. She reported pain in the lumbar region and in the lower womb. On the first day she was in the latency phase of labor and was advised by the on-call nurse to wander to help in uterine dynamics. The next day, the parturient was in active labor, was accompanied by her mother and the psychology student, until then everything went smoothly. On this occasion the nurse asked us to hide the fetal heartbeat, however, we could not detect them and inform them, that initially managed to perceive fetal bradycardia and then no longer identified them. With this, the parturient was referred to the operating room urgently, but…

  • HEALTH EDUCATION AS A HUMANIZATION STRATEGY FOR NORMAL HOSPITAL BIRTH AND DELIVERY OF PAIN WITH NON-PHARMACOLOGICAL METHODS: EXPERIENCE REPORT

    Introduction: In the past, the obstetric practices adopted in maternity wards adopted an interventionist character, marked by authoritarianism. With the objective of assuring women the right to reproductive planning, humanized attention to pregnancy, childbirth and the puerperium, the Federal Government established the Network Stork within the SUS (Unic Health System). One of the main objectives of the National Guidelines for Assistance to Normal Labor, updated in March 2017, is to reduce unnecessary interventions in the process of attending normal childbirth and, consequently, its injuries. Objectives: To show the perspective of nursing students regarding nursing care for pregnant women in labor. Methodology: This is an experience report by students in the discipline of Clinical Teaching in Women’s Health, undergraduate course in Nursing of Faculdade Estácio de Alagoas – FAL, Jatiúca campus, from August to December 2017. Results: It was possible to put into practice the techniques of care acquired in the classroom, ranging from the importance of emotional and psychological support to adopting measures that aimed to reduce pain and promote comfort. Conclusions: Although there are ordinances aimed at the humanization of childbirth care, the nurses still employ interventionist practices of a violent nature. Therefore, it is imperative that guidelines issued by the Ministry of Health be followed in all areas, since once these measures have been adopted, the quality of childbirth care improves considerably, as does the experience of childbirth from the point of view of the patient.

  • THE IMPORTANCE OF USING HEALTH TECHNOLOGIES TAKE IN CONDUCTING THE LABOR TO NURSING CARE

    Introduction: Health technology refers to the application of knowledge in order to promote health, prevent, treat diseases and rehabilitate people. Are examples of technologies in health: medicines, health products, procedures, organizational, educational systems, for information and support and assistance programmes and protocols by which attention and health care are provided to the population. Second Merhy, classifies the technologies of health as follows: health technologies, take hard and Harsh. In practice in the maternity ward to the discipline of women’s health II from the Federal University of Alagoas, foster care is encouraged through the use of Light Health Technologies, which are relational technologies, such as those related to the production of the bond production, host, empowerment; providing a trust and humanized assistance, allowing professional-patient-service walk together to the same solution. Objective: To report the academic experience in practice, in the handling of health technologies, in the accompaniment of a parturient in labor, demonstrating your importance to the service. Methodology: This is a case studies drawn from the experience the nursing student, assisted by teachers linked to women’s health discipline II. The practical activity happened in the maternity of Our Lady of Fátima de Arapiraca, Alagoas, in July 2018. Using health technologies take in areas such as reception, sorting, prepartum, postpartum and childbirth in order to promote the mother a humanized assistance and led for the same. Results: The practices were able to combine theoretical and practical knowledge in order to perform in hospitals, functions performed in areas as host, classification, prepartum, postpartum and childbirth in order to promote the mother a humanized assistance and carried out by the same. The scholars were able to see and make use of lightweight technologies, to assist in labor and childbirth of parturient women. The gaze on the mother could be reformulated and strengthened, since…

  • FEELING OF REFUSAL OF A PREGNANT IN FACE OF A GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project of Interdisciplinary Actions in Maternal and Child Health proposes actions directed to the health of the mother-baby binomial, accompanying from the prenatal to the infantile development, from an interdisciplinary perspective, involving Nursing, Psychology and Social Assistance courses of Federal University of Alagoas, Campus Arapiraca. Situations of gestational loss are often accompanied in the design practices. When considering the aspects of attachment and affection already present in the mother by the child, fetal or neonatal death brings to the surface the suffering expected before the death of a loved one, mourning being a natural process of passing through loss. Considering the stages of mourning pointed out by Elizabeth Klub-Ross, one of our experiences observed the phase of negation of a mother during the situation of gestational loss. Objective: This study aims to report the performance and importance of the interdisciplinary team in the face of gestational loss. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in September of 2018, in a maternity hospital in the city of Arapiraca-Alagoas. Results: During a prepartum visit, we were confronted with a young woman at the 33rd gestational week who had received the news that her baby during the second trimester of pregnancy diagnosed with microcephaly was anencephalic and had almost no beating auscultation. The pregnant woman was 3 centimeters dilated and was informed of the remote possibilities of her son surviving. Faced with the news that her son’s chances of being born dead were high, she presented herself by caressing her belly and resistance to dialogue, by confining herself to reporting that her pregnancy was high risk. The elusive behavior evidenced the anticipation of mourning. The members of this project, being…

  • IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project for Interdisciplinary Actions in Maternal and Child Health consists of a strategy focused on maternal and child health care, as an extension project of the Federal University of Alagoas, Campus Arapiraca, with a focus on interdisciplinarity encompassing the courses: Nursing, Psychology and Social assistance. From the experiences in the project, a gestational loss situation caught the attention of the members of the same. According to the Ministry of Health fetal death is characterized as the death of the product of gestation before expulsion or complete extraction of the maternal body. The fact that, after separation, the fetus shows no sign of life indicates death. Objectives: To report the experience of a woman who suffered gestational loss accompanied by project members during action in a maternity. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in May of 2018, in a maternity in the city of Arapiraca-Alagoas. Results: During the project actions we had contact for two consecutive days with a pregnant woman, term, primípara, accompanied by the husband and the mother. She reported pain in the lower back and lower belly. The first day was in the latency phase of labor and was advised by the nurse on call to wander to help in uterine dynamics. The next day, the parturient was in active labor, she was accompanied by her mother and the psychology student, until then everything went without complications. On this occasion the nurse asked us to listen to the fetal heartbeat, however, we could not detect them and we informed her that she was initially able to perceive fetal bradycardia and then no longer identified them. With this, the parturient was referred to the surgical…

  • Getting Rid of “Bomb Pushing the Womb”: Dysmenorrhea Management

    As indicated by the American Academy of Family Physicians, up to 20% of women experience the ill effects of menstrual cramping extreme enough to meddle with every day exercises. On the off chance that prostaglandins levels are higher, more pain is regularly connected with the issues. Cycle length, blood misfortune, period-related symptoms, liquid shading, and consistency are on the whole profoundly factor, notwithstanding for only one individual. Be that as it may, serious menstrual pain is probably going to be brought about by a medical problem, for example, PMS, fibroids, or endometriosis and needs medical help. At the point when scientists examined recurrence and span of exercise and contrasted it with reports of period pain, they discovered exercise did little to lessen discomfort, and in truth this persevered notwithstanding when a scope of different components—including weight, ethnicity, smoking and utilization of the birth control pill—were mulled over. A few women may likewise incline toward not to utilize hormonal contraceptives, as they can bring undesirable reactions, for example, variances in weight and disposition. A few strategies can likewise somewhat raise the danger of specific cancers, including bosom cancer (despite the fact that they diminish the danger of others, including womb cancer).

  • ASSOCIATION BETWEEN SINGLE NUCLEOTIDE POLYMORPHISM RS4919510 (C>G) IN MIRNA-608 AND BREAST CANCER IN VIETNAMESE POPULATION

    Breast cancer (BC) is a complex disease throughout the world and it is one of the most common cancer among women both in developed and developing countries. To enhance the survival of BC patients, genetic factors are used for early diagnosis because they are non-changed factors and present ability of cells to proliferate and metastasize. MiR-608 targets many genes which are vital for development, differentiation, motility, apoptosis and angiogenesis. The SNP rs4919510 (C/G) affects the processing of the pre-miRNA to its mature form and the ability to regulate target genes. This SNP has been demonstrated to relate to breast cancer in Chinese and Iranian population. Our study aimed to investigate the association between the SNP rs4919510 and BC in Vietnamese population. 106 cases and 101 controls were genotyped using optimized tetra-ARMs-PCR method, then statistical analysis was applied to examine the correlation of the SNP. The results show that this SNP is high polymorphism with the frequencies of minor allele C is 24.8% and major allele G is 75.2% in Vietnamese population. Statistic result revealed an obvious increased risk of BC among Vietnamese women when compared of heterozygote model and dominant model (CG vs. GG: OR=1.93, 95% CI: 1.09-3.45, p= 0.02; CC+CG vs. GG: OR=1.83, 95%CI: 1.05-3.17, p=0.03). Our study suggested that the polymorphism of rs4919510 may be associated with BC risk in Vietnamese individuals.