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[PMID]:28456527
[Au] Autor:Perry J; Towers CV; Weitz B; Wolfe L
[Ad] Endereço:Department of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, University of Tennessee Medical Center, Knoxville, TN, United States.
[Ti] Título:Patient reaction to Tdap vaccination in pregnancy.
[So] Source:Vaccine;35(23):3064-3066, 2017 05 25.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The current obstetrical recommendation is to routinely administer the tetanus, diphtheria, and acellular pertussis (Tdap) vaccination during every pregnancy regardless of a patient's prior history. There are minimal data that have prospectively evaluated solicited patient response to this treatment plan. The study objective was to evaluate patient reaction following receipt of Tdap vaccination during pregnancy. METHODS: This was a prospective observational study conducted from May 2014 through March 2016. The study design involved solicited patient reaction within 1-7days after the administration of the Tdap vaccine. Data collected included pain or soreness, swelling, and/or redness at the injection site, as well as, fever and generalized body aches. Statistical analysis involved simple percentages with Poisson binomial 95% confidence intervals with Chi-square and Fisher's exact comparisons where appropriate. RESULTS: A total of 737 patients were evaluated and 496 (67%, 95% Confidence Interval [CI] 64-71%) were found to have at least 1 reaction to the vaccination and 187 (25%, 95% CI 22-29%) had 2 reactions or more. Overall, the majority of patients stated that the vaccination was tolerated. However, 24 (3%, 95% CI 2-5%) of the study population stated that they would not accept receipt of Tdap in a subsequent pregnancy because of the response that occurred in the current pregnancy. CONCLUSION: These data demonstrate that maternal reactions following receipt of Tdap are common (two-thirds of the study population). A potential concern is the finding that some patients might refuse a repeat vaccination in a subsequent pregnancy due to these reactions. If further research reveals similar findings, a pertussis only vaccine for pregnant patients might need to be evaluated.
[Mh] Termos MeSH primário: Vacinas contra Difteria, Tétano e Coqueluche Acelular/administração & dosagem
Vacinas contra Difteria, Tétano e Coqueluche Acelular/efeitos adversos
Complicações Infecciosas na Gravidez/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Difteria/prevenção & controle
Feminino
Febre/etiologia
Seres Humanos
Mães/psicologia
Mialgia/etiologia
Dor/etiologia
Gravidez
Estudos Prospectivos
Tétano/prevenção & controle
Vacinação
Coqueluche/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Diphtheria-Tetanus-acellular Pertussis Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:28449969
[Au] Autor:Le Doare K; Faal A; Jaiteh M; Sarfo F; Taylor S; Warburton F; Humphries H; Birt J; Jarju S; Darboe S; Clarke E; Antonio M; Foster-Nyarko E; Heath PT; Gorringe A; Kampmann B
[Ad] Endereço:Centre for International Child Health, Imperial College London, Norfolk Place, London W2 1PG, UK,; Paediatric Infectious Diseases Research Group, St. George's University of London, Cranmer Terrace, London SW17 0TE, UK; Vaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia
[Ti] Título:Association between functional antibody against Group B Streptococcus and maternal and infant colonization in a Gambian cohort.
[So] Source:Vaccine;35(22):2970-2978, 2017 05 19.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vertical transmission of Group B Streptococcus (GBS) is a prerequisite for early-onset disease and a consequence of maternal GBS colonization. Disease protection is associated with maternally-derived anti-GBS antibody. Using a novel antibody-mediated C3b/iC3b deposition flow cytometry assay which correlates with opsonic killing we developed a model to assess the impact of maternally-derived functional anti-GBS antibody on infant GBS colonization from birth to day 60-89 of life. METHODS: Rectovaginal swabs and cord blood (birth) and infant nasopharyngeal/rectal swabs (birth, day 6 and day 60-89) were obtained from 750 mother/infant pairs. Antibody-mediated C3b/iC3b deposition with cord and infant sera was measured by flow cytometry. RESULTS: We established that as maternally-derived anti-GBS functional antibody increases, infant colonization decreases at birth and up to three months of life, the critical time window for the development of GBS disease. Further, we observed a serotype (ST)-dependent threshold above which no infant was colonized at birth. Functional antibody above the upper 95th confidence interval for the geometric mean concentration was associated with absence of infant GBS colonization at birth for STII (p<0.001), STIII (p=0.01) and STV (p<0.001). Increased functional antibody was also associated with clearance of GBS between birth and day 60-89. CONCLUSIONS: Higher concentrations of maternally-derived antibody-mediated complement deposition are associated with a decreased risk of GBS colonization in infants up to day 60-89 of life. Our findings are of relevance to establish thresholds for protection following vaccination of pregnant women with future GBS vaccines.
[Mh] Termos MeSH primário: Anticorpos Antibacterianos/imunologia
Imunidade Materno-Adquirida
Transmissão Vertical de Doença Infecciosa
Infecções Estreptocócicas/imunologia
Streptococcus/crescimento & desenvolvimento
Streptococcus/imunologia
[Mh] Termos MeSH secundário: Adulto
Anticorpos Antibacterianos/sangue
Portador Sadio
Criança
Pré-Escolar
Estudos de Coortes
Complemento C3b/imunologia
Feminino
Sangue Fetal/imunologia
Citometria de Fluxo
Gâmbia/epidemiologia
Seres Humanos
Técnicas Imunológicas
Lactente
Recém-Nascido
Estudos Longitudinais
Mães
Nasofaringe/microbiologia
Proteínas Opsonizantes
Gravidez
Complicações Infecciosas na Gravidez/microbiologia
Infecções Estreptocócicas/epidemiologia
Infecções Estreptocócicas/transmissão
Streptococcus/classificação
Streptococcus/isolamento & purificação
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Antibodies, Bacterial); 0 (Opsonin Proteins); 80295-43-8 (Complement C3b)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28742290
[Au] Autor:Brok EC; Lok P; Oosterbaan DB; Schene AH; Tendolkar I; van Eijndhoven PF
[Ad] Endereço:GGNet, PO Box 2003, 7230 GC Warnsveld, The Netherlands. e.brok@ggnet.nl.
[Ti] Título:Infant-Related Intrusive Thoughts of Harm in the Postpartum Period: A Critical Review.
[So] Source:J Clin Psychiatry;78(8):e913-e923, 2017 Sep/Oct.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Besides the expected warm and joyful thoughts, a new mother can be disturbed by sudden frightening thoughts or images of harm done to her baby: harming intrusions, an obsessive phenomenon. Its high prevalence and possible consequences in functioning and in mother-child bonding makes it desirable that clinicians are well informed regarding the current state of knowledge about harming intrusions. OBJECTIVE: To provide a comprehensive review of all studies that have investigated harming intrusions in postpartum women. DATA SOURCES: A systematic search was performed for primary (MEDLINE, PsycINFO) and secondary (Cochrane Library, National Guideline Clearinghouse, American Psychiatric Association) literature, with data range from inception to April 2015. To provide a complete overview, the approach of the topic by Medical Subject Headings (MeSH) terms and keywords was broad. STUDY SELECTION: Studies in Dutch or English with a clear description of method, covering 1 of our main domains of interest-prevalence, assessment, differential diagnosis, etiology, consequences, and treatment-were selected. DATA EXTRACTION: Two authors extracted quantitative and qualitative data fitting in the domains of interest. RESULTS AND CONCLUSIONS: Fifty articles were included. The prevalence of harming intrusions is up to 100% in both women with and without psychiatric disorders. Stress and cognitive misinterpretation are important keys in its appearance and severity. Literature consistently states that isolated harming intrusions contain no increased risk of violence; instead, compulsive behavior is very common. Psychoeducation is found to release a lot of distress; so might cognitive-behavioral therapy and psychotropic medications.
[Mh] Termos MeSH primário: Relações Mãe-Filho/psicologia
Mães/psicologia
Período Pós-Parto/psicologia
Estresse Psicológico/complicações
Pensamento
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Apego ao Objeto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE


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[PMID]:28471340
[Au] Autor:Sanberk I; Emen M; Kabakçi D
[Ad] Endereço:a Department of Counseling Psychology , Cukurova University , Adana , Turkey.
[Ti] Título:An Investigation of Socially Advantaged and Disadvantaged Turkish Mothers' Views About Training on Preventing Children From Sexual Abuse.
[So] Source:J Child Sex Abus;26(3):288-307, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to investigate the views of socially advantaged (N = 8) and disadvantaged mothers (N = 8) whose children are aged between 48 and 66 months old about the issue of sexual abuse before and after the training provided to them. The views of mothers in both groups were investigated before and after the 5-week experience-based training about my body belongs to me, knowing and expressing feelings, good and bad touch, good and bad secrets, knowing how to say no, and help resources. The data were analyzed using content analysis methods. The study showed that the mothers have inaccurate or insufficient information and approaches about preventing sexual abuse. However, short-term training provided to the mothers changed their views, and the mothers in the disadvantaged group gained more awareness. The mothers in both groups stated that sexual abuse prevention trainings should be disseminated in preschool institutions.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Abuso Sexual na Infância/prevenção & controle
Mães/psicologia
[Mh] Termos MeSH secundário: Adulto
Abuso Sexual na Infância/psicologia
Pré-Escolar
Educação
Feminino
Seres Humanos
Masculino
Fatores Socioeconômicos
Turquia
Populações Vulneráveis/psicologia
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1292338


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[PMID]:28470160
[Au] Autor:Seo JY; Lee HJ; You MA
[Ad] Endereço:Department of Nursing, Gangdong College, Eumseong, Korea.
[Ti] Título:[Factors Influencing Burnout among Mothers of Children with Cerebral Palsy].
[So] Source:J Korean Acad Nurs;47(2):233-241, 2017 Apr.
[Is] ISSN:2093-758X
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:PURPOSE: The purpose of this study was to examine the effects of parental stress, social support, and coping behavior on burnout among mothers caring for children with cerebral palsy. METHODS: Participants in this cross-sectional, descriptive study were 185 mothers who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression analyses with IBM SPSS Win 22 program. RESULTS: Parental stress and coping behavior were strong predictors of burnout among mothers of children with cerebral palsy. These variables explained 50.0% of the variance in burnout. Social support was not a predictor of burnout. A higher level of burnout was associated with higher levels of parental stress and lower levels of social support and coping behavior. CONCLUSION: Mothers of children with cerebral palsy are vulnerable to burnout. These results show that effective strategies for reducing parental stress and improving positive coping behavior are needed to reduce burnout in these mothers.
[Mh] Termos MeSH primário: Paralisia Cerebral/patologia
Mães/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Criança
Estudos Transversais
Feminino
Seres Humanos
Modelos Lineares
Masculino
Meia-Idade
Poder Familiar
Autorrelato
Apoio Social
Estresse Psicológico
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.4040/jkan.2017.47.2.233


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[PMID]:29489655
[Au] Autor:Liu X; Hong X; Tsai HJ; Mestan KK; Shi M; Kefi A; Hao K; Chen Q; Wang G; Caruso D; Geng H; Gao Y; He J; Kumar R; Wang H; Yu Y; Bartell T; Tan XD; Schleimer RP; Weeks DE; Pongracic JA; Wang X
[Ad] Endereço:Key Laboratory of Genomic and Precision Medicine, China Gastrointestinal Cancer Research Center, Beijing Institute of Genomics, Chinese Academy of Sciences, Beijing, China.
[Ti] Título:Genome-wide association study of maternal genetic effects and parent-of-origin effects on food allergy.
[So] Source:Medicine (Baltimore);97(9):e0043, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous genetic studies of food allergy (FA) have mainly focused on inherited genotypic effects. The role of parental genotypic effects remains largely unexplored. Leveraging existing genome-wide association study (GWAS) data generated from the Chicago Food Allergy Study, we examined maternal genotypic and parent-of-origin (PO) effects using multinomial likelihood ratio tests in 588 complete and incomplete Caucasian FA trios. We identified 1 single nucleotide polymorphism with significant (P < 5×10) maternal effect on any FA (rs4235235), which is located in a noncoding RNA (LOC101927947) with unknown function. We also identified 3 suggestive (P < 5×10) loci with maternal genetic effects: 1 for any FA (rs976078, in a gene desert region on 13q31.1) and 2 for egg allergy (rs1343795 and rs4572450, in the ZNF652 gene, where genetic variants have been associated with atopic dermatitis). Three suggestive loci with PO effect were observed: 1 for peanut allergy (rs4896888 in the ADGB gene) and 2 for any FA in boys only (rs1036504 and rs2917750 in the IQCE gene). Findings from this family-based GWAS of FA provided some preliminary evidence on maternal genotypic or PO effects on FA. Additional family-based studies are needed to confirm our findings and gain new insight into maternal and paternal genetic contribution to FA.
[Mh] Termos MeSH primário: Hipersensibilidade Alimentar/genética
Estudo de Associação Genômica Ampla
Impressão Genômica
[Mh] Termos MeSH secundário: Pai
Feminino
Genótipo
Seres Humanos
Masculino
Mães
Polimorfismo de Nucleotídeo Único
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000010043


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[PMID]:29215422
[Au] Autor:Cunningham EM; Doyle EI; Bowden RG
[Ad] Endereço:Emilie Cunningham is a Doctoral Candidate, Robbins College of Health and Human Sciences, Baylor University, Waco, TX. The author can be reached via e-mail at emilie_cunningham@baylor.edu Eva I. Doyle is Director, MPH in Community Health Education, Robbins College of Health and Human Sciences, Baylor University, Waco, TX. Rodney G. Bowden is an Interim Dean, Robbins College of Health and Human Sciences, Baylor University, Waco, TX.
[Ti] Título:Maternity Nurses' Perceptions of Implementation of the Ten Steps to Successful Breastfeeding.
[So] Source:MCN Am J Matern Child Nurs;43(1):38-43, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to determine maternity nurses' perceptions of implementing the Ten Steps to Successful Breastfeeding. METHODS: An online survey and a focus group were used to evaluate perceptions of maternity nurses of implementing the Ten Steps to Successful Breastfeeding in an urban Texas hospital at the onset of the project initiation. Responses were transcribed and coded using Nvivo software. Thematic analysis was conducted and consensus was reached among the research team to validate themes. RESULTS: Twenty-eight maternity nurses participated. Nurses perceived a number of barriers to implementing the Ten Steps to Successful Breastfeeding including nurse staffing shortages, variations in practice among nurses, different levels of nurse education and knowledge about breastfeeding, lack of parental awareness and knowledge about breastfeeding, culture, and postpartum issues such as maternal fatigue, visitors, and routine required procedures during recovery care that interfered with skin-to-skin positioning. Maternity nurses desired more education about breastfeeding; specifically, a hands-on approach, rather than formal classroom instruction, to be able to promote successful implementation of the Ten Steps. CONCLUSIONS: More education on breastfeeding for new mothers, their families, and healthcare providers was recommended. Nurse staffing should be adequate to support nurses in their efforts to promote breastfeeding. Skin-to-skin positioning should be integrated into the recovery period. Hospital leadership support for full implementation and policy adherence is essential. Challenges in implementing the Ten Steps were identified along with potential solutions.
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Enfermagem Materno-Infantil/recursos humanos
Enfermeiras e Enfermeiros/psicologia
Percepção
Avaliação de Programas e Projetos de Saúde
[Mh] Termos MeSH secundário: Adulto
Feminino
Grupos Focais
Seres Humanos
Enfermagem Materno-Infantil/métodos
Meia-Idade
Mães/psicologia
Política Organizacional
Gravidez
Inquéritos e Questionários
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000392


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[PMID]:29480832
[Au] Autor:Wan H; Zhang C; Li H; Luan S; Liu C
[Ad] Endereço:Department of Mental Health.
[Ti] Título:Association of maternal diabetes with autism spectrum disorders in offspring: A systemic review and meta-analysis.
[So] Source:Medicine (Baltimore);97(2):e9438, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Studies on the association of maternal diabetes with autism spectrum disorders (ASDs) in offspring provide inconsistent findings; therefore an updated and comprehensive literature review and meta-analysis is necessary to perform in order to evaluate the available evidences.After searching databases systematically, we established the inclusion criteria and selected the eligible studies. In both overall and stratified analyses, the estimated effects were synthesized dependent on the presence or absence of heterogeneity.Twelve articles involving 16 studies were included and synthesized, demonstrating a significant association of maternal diabetes with ASDs among children (relative risk [RR] = 1.48). However, high heterogeneity was observed (I = 56.3%) and publication bias was identified. In terms of the analyses on reliable evidences from case-control studies, heterogeneity and publication bias disappeared, and the risk of ASDs was increased by 62% among diabetic mothers compared with non-diabetic mothers.Maternal diabetes, especially gestational diabetes mellitus, is associated with ASDs in offspring based on a limited number of convincing case-control studies. More large-scale population-based prospective studies are still needed to draw firm conclusions.
[Mh] Termos MeSH primário: Transtorno do Espectro Autista/epidemiologia
Diabetes Mellitus/epidemiologia
[Mh] Termos MeSH secundário: Diabetes Mellitus/etiologia
Seres Humanos
Mães
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009438


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[PMID]:29380882
[Au] Autor:Turner TR; Bernstein RM; Taylor AB; Asangba A; Bekelman T; Cramer JD; Elton S; Harvati K; Williams-Hatala EM; Kauffman L; Middleton E; Richtsmeier J; Szathmáry E; Torres-Rouff C; Thayer Z; Villaseñor A; Vogel E
[Ad] Endereço:Department of Anthropology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
[Ti] Título:Participation, representation, and shared experiences of women scholars in biological anthropology.
[So] Source:Am J Phys Anthropol;165 Suppl 65:126-157, 2018 01.
[Is] ISSN:1096-8644
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:American Association of Physical Anthropologists (AAPA) membership surveys from 1996 and 1998 revealed significant gender disparities in academic status. A 2014 follow-up survey showed that gender equality had improved, particularly with respect to the number of women in tenure-stream positions. However, although women comprised 70% of AAPA membership at that time, the percentage of women full professors remained low. Here, we continue to consider the status of women in biological anthropology by examining the representation of women through a quantitative analysis of their participation in annual meetings of the AAPA during the past 20 years. We also review the programmatic goals of the AAPA Committee on Diversity Women's Initiative (COD-WIN) and provide survey results of women who participated in COD-WIN professional development workshops. Finally, we examine the diversity of women's career paths through the personal narratives of 14 women biological anthropologists spanning all ranks from graduate student to Professor Emeritus. We find that over the past 20 years, the percentage of women first authors of invited symposia talks has increased, particularly in the sub-disciplines of bioarchaeology, genetics, and paleoanthropology. The percentage of women first authors on contributed talks and posters has also increased. However, these observed increases are still lower than expected given the percentage of graduate student women and women at the rank of assistant and associate professor. The personal narratives highlight first-hand the impact of mentoring on career trajectory, the challenges of achieving work-life satisfaction, and resilience in the face of the unexpected. We end with some suggestions for how to continue to improve equality and equity for women in biological anthropology.
[Mh] Termos MeSH primário: Antropologia
Docentes
Mulheres/psicologia
[Mh] Termos MeSH secundário: Antropologia/organização & administração
Antropologia/estatística & dados numéricos
Biologia/organização & administração
Biologia/estatística & dados numéricos
Escolha da Profissão
Docentes/psicologia
Docentes/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Mães/psicologia
Sociedades Científicas/organização & administração
Sociedades Científicas/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180131
[St] Status:MEDLINE
[do] DOI:10.1002/ajpa.23386


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[PMID]:29384295
[Au] Autor:Bernard E; Zakarian C; Pauly V; Riquet S
[Ti] Título:[Evaluation of the perception of postpartum stressors at the Marseille Gynepole].
[Ti] Título:Évaluation de la perception des facteurs de stress post-accouchement au Gynépôle de Marseille..
[So] Source:Sante Publique;29(5):611-622, 2017 Dec 05.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Maternity stay following childbirth corresponds to the early postpartum period. Birth-related events may be perceived as a major source of stress by women and these events can cause certain disorders during this period, such as anxiety and postnatal depression. The aim of this study was to investigate women's perception of post-delivery stress factors. METHODS: An overall descriptive study of the target population (n = 206) was carried out and primiparous (n = 96) and multiparous (n = 110) women were then compared in two level III public maternity units in the Marseille Gynépole. The Post-Delivery Perceived Stress Inventory (PDPSI) was the psychometric scale used to collect data. A correlation between the various items of the PDPSI was investigated. RESULTS: The experience of childbirth is perceived as the main stress factor by 45% of mothers. This factor was significantly correlated (p < 0.05) with 3 items of the PDPSI and very significantly correlated (p < 0.001) with 11 of the 16 items constituting the other 4 factors of the PDPSI. Primiparous women significantly perceived (p < 0.05) childbirth as being more stressful than multiparous women. They also felt very significantly (p < 0.001) more stressed by care activities (bathing, changing) related to the relationship with the newborn factor. CONCLUSION: These results encourage implementation of guidelines and the organization of informal ?conversations? in the maternity unit, and to conduct an early postnatal consultation at home for these mothers concerning their childbirth experience, which could be ensured by adequate social support based on empathic listening and reassuring actions about parenting.
[Mh] Termos MeSH primário: Mães/psicologia
Período Pós-Parto/psicologia
Estresse Psicológico/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Cuidado do Lactente/psicologia
Recém-Nascido
Parto/psicologia
Gravidez
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.3917/spub.175.0611



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