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Search Results: 1 - 10 of 242108 matches for " Cristina Maria Garcia de Lima; "
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Avalia??o da assistência pré-natal e puerperal desenvolvidas em regi?o do interior do Estado de S?o Paulo em 2005
Parada, Cristina Maria Garcia de Lima;
Revista Brasileira de Saúde Materno Infantil , 2008, DOI: 10.1590/S1519-38292008000100013
Abstract: objectives: to evaluate the structure and process of the prenatal and puerperal care given by dire??o regional de saúde (dir) xi, at the city of botucatu, state of s?o paulo, brazil. methods: an evaluation of resources and activities developed during prenatal and puerperal care in twenty municipalities comprising dir xi which had adhered the prenatal and birth humanization program until 2003. interviews with city managers and analysis of 385 sampled patient charts taking into account recommendations by the health department. results: structure analysis showed that caregiving was centered on medical work; basic equipment and instruments were available; 85.2% of patients began prenatal care with up to 120 days of pregnancy, and 75.9% had at least six prenatal consultations. the active search for absentees and strategies for early prenatal care initiation were observed in 30% and 50% of the municipalities, respectively. process indicators showed that 3.6% of women had six prenatal consultations, one puerperal consultation, all basic exams and tetanus immunization. recording of gestational age, arterial blood pressure and weight was of approximately 90%; 58.7% of the women underwent childbirth review and 31.5% were vaccinated. conclusions: the performance of the set of activities is a challenge to prenatal care at dir xi.
Mortalidade infantil em município do interior do estado de S?o Paulo
Poles, Kátia;Parada, Cristina Maria Garcia de Lima;
Revista da Escola de Enfermagem da USP , 2002, DOI: 10.1590/S0080-62342002000100003
Abstract: considering that infant mortality indicates the levels of health in the population, we have accomplished the foolwing work, which goals were to identify the causes of infanty mortality during the year of 1998 in botucatu. the rate of infanty mortality obtained was as much as 12/1000born alive with greater participation of the neonatal deaths - 8,311000 born alive. though most of dealths can be classified as reducible or partially reducible, but the necessary attentionto make such reduction possible has varied. all the deaths that have occurred, 21,7% were classified as unavoidable, emphasizing that to reduce the rates of infant mortality, we must continue investing on the quality of health assistance as well as on the improvement of life conditions of the population.
Estudo com gestantes atendidas em um centro municipal de saúde da periferia de Botucatu - S?o Paulo: rela??o entre baixo peso materno e baixo peso ao nascer do concepto
Lima, Cristina Maria Garcia de;Pelá, Nilza Teresa Rotter;
Revista Latino-Americana de Enfermagem , 1995, DOI: 10.1590/S0104-11691995000100007
Abstract: this study evaluated a group of 15 low-weight pregnant women, who underwent prenatal medical examinations at a city health center on the outskirts of botucatu - sp, using the "rosso curve", and compared them with a group of 8 normal-weight pregnant women, also screened by the same institution at the same prenatal service. we verified that the children born from normal-weight pregnant women weighed an average 118g more than those of low-weight pregnant women. independent of the mother's weight, those born from mothers whose height was greater than 155cm and were non-smokers weighed more. pregnant women of normal weight had, on average, an additional 2 weeks of pregnancy: amongst those born of low-weight pregnant women, we noted a connection between medium birth weight and an increase on the uterine height curve x gestational age. there was no connection between maternal anemia and interpartal intervals less than to 2 years and birth weight.
Idade materna como fator de risco: estudo com primigestas na faixa etária igual ou superior a 28 anos
Parada, Cristina Maria Garcia de Lima;Pelá, Nilza Teresa Rotter;
Revista Latino-Americana de Enfermagem , 1999, DOI: 10.1590/S0104-11691999000400008
Abstract: this is a transverse-type designed study with the aim analise maternal age as a risk factor, and as not a risk factor, through the verification of incidents during pregnancy, birth and puerperium of first time pregnant women with age equal or higher than 28 years old; as well as birth conditions and discharge of their newborns, comparing them with a group of first time pregnant women from 20 to 27 years old. the study was carried out in botucatu, s?o paulo, from january, 1990 to june, 1995. the statistical analysis, discussed at the level of 5% of significance, was developed through mann-whitney test, goodman test and the evaluation of relative risk and corrected relative risk through mantel-haenszel technique. we concluded that maternal age equal or higher than 28 years old, is not a pregnancy, puerperal and intrapartum risk factor, although, on the other hand, it was a risk factor even after controlled parturition for the following perinatal incidents: newborn tachypnea, generalized cyanosis at birth and neonatal infection.
A mortalidade neonatal em 1998, no município de Botucatu - SP
Poles, Kátia;Parada, Cristina Maria Garcia de Lima;
Revista Latino-Americana de Enfermagem , 2000, DOI: 10.1590/S0104-11692000000300010
Abstract: considering that neonatal mortality is an indicator of the quality of the care provided to pregnant women, at childbirth as well as to the new born, authors developed the present study, whose aim was to analyze the neonatal mortality during the year of 1998 at the municipality botucatu-sp. the coefficient of neonatal mortality was of 8,3/1000 born alive and the coefficient of precocious neonatal mortality was of 7,3/1000 born alive, confirming the importance of decease in the first week of life. results showed that approximately 3/4 of the deceases can be reduced through precocious diagnosis and treatment as well as adequate care to birth or partially reduced through appropriate pregnancy control measures, evidencing that in order to decrease the rates of neonatal death, investments must be made to improve the quality of the care to pregnant women, parturients and the new born.
Experiences of family members regarding the oral health care of children
Lima, Célia Mara Garcia de;Palha, Pedro Fredemir;Zanetti, Maria Lúcia;Parada, Cristina Maria Garcia de Lima;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000100023
Abstract: the aim of this study was to comprehend the experiences of family members regarding the oral health care of children. this was a qualitative study, conducted in 2007, in the health district of ribeir?o preto, with 12 caregivers. the theoretical framework of vulnerability and the hermeneutical perspective were used. three empirical categories were established: the meanings of oral health care, in search of the causes and prevention of oral diseases, and the reality of oral health services. among other potentiating factors of infantile vulnerability to oral diseases, the overvaluation of biological causality, of high complexity care and of esthetic dentistry emerged, and among the protective factors, the valorization of popular knowledge and the integration of professional actions and knowledge were observed. this study indicates the necessity for a review of prevention and oral health promotion strategies and provides elements to assist health services to reorganize oral health care for children.
Tendência do aleitamento materno em município da regi?o centro-sul do estado de S?o Paulo: 1995-1999-2004
Ferreira, Luciana;Parada, Cristina Maria Garcia de Lima;Carvalhaes, Maria Antonieta de Barros Leite;
Revista de Nutri??o , 2007, DOI: 10.1590/S1415-52732007000300005
Abstract: objective: to evaluate breastfeeding practices in 2004 in the municipality of botucatu, s?o paulo state and to identify trends in the past ten years. methods: this is an epidemiological study comparing the results of three population-based cross-sectional studies (1995-1999-2004), using similar methodologies, assessing the breastfeeding practices among children under age 12 months. data were obtained during multiple vaccination campaigns using a recall questionnaire to investigate the child's feeding in the previous day. the differences in the proportion of children in each type of feeding (exclusive breastfeeding, predominant breastfeeding, and breastfeeding) in the three surveys, according to selected age groups (0-1 month, 0-4 months, 0-6 months and 0-12 months), were analyzed using a z-test. results: for children under age 4 months, there was a marked and progressive increase (19.1% in 1995 and 36.9% in 2004) in exclusive breastfeeding and a reduction in predominant breastfeeding, with statistically significant differences. the same was observed among children under age 6 months, with 15% increase in exclusive breastfeeding in 1995 and 29.6% in 2004, representing a total 128.0% increase. regarding breastfeeding, there were slight increases in prevalence for children younger than 4 months, 6 months, and 1 year, but significant differences were not found. the median duration of exclusive breastfeeding increased by 14 days (82.0%) and that of breastfeeding, by 85 days (50.9%) in the ten-year period. conclusion: with the expressive increase in the prevalence of exclusive breastfeeding among children under six months and the increase in median duration of exclusive breastfeeding and of breastfeeding, we may conclude that breastfeeding in the municipality evolved favorably. however, the situation in 2004 is still far from fulfilling current recommendations on infant feeding.
Complementary feeding practices to children during their first year of life
Parada, Cristina Maria Garcia de Lima;Carvalhaes, Maria Antonieta de Barros Leite;Jamas, Milena Temer;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000200014
Abstract: this study aimed to investigate complementary feeding practices during children's first year of life in botucatu, sp, brazil. practices were described according to the age range and the breastfeeding (bf) practice. data were collected during a multi-vaccination campaign through the interview of 1,238 individuals who accompanied children younger than one year old being vaccinated. differences associated with the bf situation were identified by the chi-square test and fisher's exact test. the early introduction of complementary food was observed, which led to the low frequency of exclusive breastfeeding (36.9% <4 months). children younger than 4 months old consumed tea (30.7%); children between 4 and 6 months old consumed fruits (54.1%), soups (39.9%) and home-made food (19.2%). juice was offered only to 15.2% of children younger than 4 months old who were completed weaned, 60% of the children was offered water. data show that the consistence of the food consumed was inappropriate: children between 6 and 8 months old were offered the family's regular food (48.8%) and children older than 8 months (71.6%) were offered soup. therefore, interventions focused on complementary feeding are justified on the city.
Childbirth care: contributing to the debate on human development
Parada, Cristina Maria Garcia de Lima;Carvalhaes, Maria Antonieta de Barros Leite;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000700013
Abstract: this study aimed to evaluate care during childbirth and neonatal development in the interior of s?o paulo in order to support managers responsible for formulating public policies on human development and allocating public resources to the women's healthcare. this epidemiological study focused on the evaluation of health services based on the observation of the assistance delivered by the single health system in 12 maternities and 134 delivers. the brazilian health ministry or world health organization standards were adopted for comparison. the results revealed problems related to the structure of some maternities, where some well-proven practices in normal childbirth are still little used, whereas other prejudicial or ineffective ones are routinely used. reversing this picture is essential in order to offer humanized quality care to women with consequent reductions in maternal and neonatal mortality rates, in such a way that the region achieves the millennium goals established for improving human development.
Accuracy of simple urine tests for diagnosis of urinary tract infections in low-risk pregnant women
Feitosa, Danielle Cristina Alves;Silva, Márcia Guimar?es da;Parada, Cristina Maria Garcia de Lima;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000400012
Abstract: anatomic and physiological alterations during pregnancy predispose pregnant women to urinary tract infections (uti). this study aimed to identify the accuracy of the simple urine test for uti diagnosis in low-risk pregnant women. diagnostic test performance was conducted in botucatu, sp, involving 230 pregnant women, between 2006 and 2008. results showed 10% uti prevalence. sensitivity, specificity and accuracy of the simple urine test were 95.6%, 63.3% and 66.5%, respectively, in relation to uti diagnoses. the analysis of positive (ppv) and negative (npv) predictive values showed that, when a regular simple urine test was performed, the chance of uti occurrence was small (npv 99.2%). in view of an altered result for such a test, the possibility of uti existence was small (ppv 22.4%). it was concluded that the accuracy of the simple urine test as a diagnostic means for uti was low, and that performing a urine culture is essential for appropriate diagnosis.
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