Mestrado em Ciências da Saúde (FM)
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Navegando Mestrado em Ciências da Saúde (FM) por Por Orientador "Amaral , Waldemar Naves do"
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Item Perfil sociodemográfico e sentimentos vividos gestantes com malformação fetal(Universidade Federal de Goiás, 2014-11-29) Andrade, Margareth Novais de; Amaral , Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Costa Neto, Sebastião Benício da; Ferreira, Rui GilbertoThe diagnosis of congenital anomalies brings some consequences to the life of pregnant women. One of them is related to the emotional aspect. The social support connection between patient and multi-professional team reveals to be one of the fundamental strategies to reduce the incidence of aggravations to the health of the pregnant women, considering the fact that, from that, they begin to be monitored by a variety of professionals in different fields of study. Goals: Rework theoretically the most important aspects on the studies of congenital malformation and the feelings lived by those pregnant women; Embrace, from the active research of the patients taken in the Fetal Malformation Ambulatory of the Hospital das Clínicas da Universidade Federal de Goiás, the feelings most common in the post-diagnostic of fetal deformity and characterize them social and demographically. Methods: Initially, it was developed a literature rework article. On the article, some data was used as reference, such as: Pub-Med, Wiley on Line Library, Science Direct, Scientific Electronic Library Online (SciELO) e Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS), and also publications from the period within 1984 and 2013. Later on, a documental research in the database of the Fetal Malformation Ambulatory of the Hospital das Clínicas da Universidade Federal de Goiás, in order to gather the information needed on the location of theses taken patients by that ambulatory, was developed. A set of questions were applied to 74 patients, who carried fetuses with anomalies, seen by the ambulatory before mentioned, within the years of 2012 and 2013, the documents were, then, systematized and analyzed. From the results gathered, an article was compiled on the feelings lived by the women that carried fetuses with anomalies, as well as the characterization from the social and demographical prisms. Results: It was verified on the literature rework that the multi-professional team’s performance on the pregnancy is fundamental to reduce the suffering of these women. The pattern established of the pregnant women seen at the Fetal Malformation Ambulatory can be defined as: the majority is in the age group between 20 and 30 years old, Caucasian, and with income up to a minimum wage. The majority was also legally married, had already had another child, had been to approximately 6 antenatal care appointments and graduated from high school. The most frequent feeling was fear, followed by sadness, insecurity and doubt over the diagnosis. Conclusion: The diagnosis of fetal malformation raises the perception of the emotional suffering, which shows the relevance and the necessity of the work developed by a multi-professional team.Item Assistência ao parto normal em duas maternidades públicas: percepção de puérperas e profissionais de saúde(Universidade Federal de Goiás, 2016-03-24) Oliveira , Nayara Rodrigues Gomes de; Amaral , Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral , Waldemar Naves do; Castro , Eduardo Camelo de; Franco , Glaucimeire MarquezObjectives: This research consists of two papers, the first of which aimed to verify that the practices recommended by the WHO for assistance to labor and birth are being applied in two reference hospitals (maternity 1 and maternity 2) and ascertain the perception of mothers in meeting the service and received service. The second aimed to assess the perception of health professionals involved in the process of labor as the humanization and delivery care, and compare the two hospitals as use of routines and practices recommended by the World Health Organization (WHO) the normal birth care. Materials and Methods: To achieve these goals has an analytical comparative study with a quantitative approach in two public hospitals in the city of Goiania. Questionnaires were applied based on the study of Boaretto, Ribeiro, Pinto (2003), which assessed the perception of managers and customers about the humanization policy in labor and birth. Data collection was conducted from May to October 2015. participated in the first study 170 women who were in the immediate postpartum (puerperal) awaiting discharge at the two hospitals, and participated in a total of 84 mothers in maternity and 1 86 mothers in maternity 2. in the second study participated 86 professionals working in assistance to the immediate labor in the two hospitals, and 43 professionals were maternity 1 and 43 maternity 2. data analysis was performed using the test , Chi square and Fisher's exact test. Results: It was observed that the WHO best practices during labor were prevalent in maternity 2 while on maternity 1 some practices are not being applied. Encouraging the use of non-pharmacological methods of pain relief was predominant in the two hospitals. As for the satisfaction of mothers on the care provided, most of the interviewees said that it was satisfied with the service. Conclusion: It was observed that with regard to best practices recommended by the WHO, most maternity professionals 2 said that performs while on maternity 1, although many of these are present, there are still many unnecessary interventions.