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Search Results: 1 - 10 of 8080 matches for " Roseli Mieko Yamamoto;Lucia "
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Interrup??o da gesta??o após o diagnóstico de malforma??o fetal letal: aspectos emocionais
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006000100003
Abstract: purpose: to describe to emotional process experienced with termination of pregnancy after the diagnosis of lethal fetal malformation. methods: thirty-five pregnant women who underwent termination of pregnancy for lethal fetal anomaly after judicial permission were interviewed. the most frequent fetal malformation was anencephaly (71.5%). the patients were submitted to an open interview as soon as the diagnosis of fetal malformation was confirmed, allowing them to express their feelings and stimulating them to think about asking for termination of pregnancy. the mean time spent until the judicial agreement was 16.6 days. the women who requested and were submitted to the procedure of abortion were invited to return for psychological evaluation after 30-60 days. at this moment, a semi-structured interview was performed to find the emotional aspects and feelings that existed. results: thirty-five patients were interviewed. the decision-making feelings about termination of pregnancy were negative for 60%, 51.4% declared that they had no doubts about the assumed decision and 65.7% declared that their own opinion was more important for decision than anyone else's. most of the women (89%) affirmed to remember the facts about the procedure that they experienced, 91% affirmed that they would have the same attitude in the case of another similar situation in the future and 60% declared that they would advise someone to opt for termination of pregnancy if asked about the same situation. conclusions: the anguish experienced showed that the process of thinking is very important for the decision-making process and posterior satisfaction with the assumed posture. the psychological follow-up allows to review the moral and cultural values in order to help the decision-making process with the aim of minimizing the suffering.
Influência da percep??o dos profissionais quanto ao aborto provocado na aten??o à saúde da mulher
Benute, Gláucia Rosana Guerra;Nonnenmacher, Daniele;Nomura, Roseli Mieko Yamamoto;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000200005
Abstract: purpose: to identify the knowledge and awareness of health professionals regarding the brazilian legislation on induced abortion. methods: unidentified sealed envelopes containing the questionnaires were sent to all professionals (n=149) working in the obstetrics department of a university hospital and public hospital at the periphery of s?o paulo (sp), brazil. a total of 119 professionals responded to the questionnaire. the 0.05 confidence interval and the fisher exact test and χ2 test were used for data analysis. results: of the respondents, 48.7% were physicians, 33.6% were nursing professionals and 17.6% were professionals from other fields (psychologists, nutritionists, physiotherapists, laboratory technicians and administrators). there was a significant difference (p=0.01) in the proportion of professionals who believe that abortion for non-lethal fetal malformation and due to unplanned pregnancies should be included in the brazilian legislation. it was observed that the knowledge about the law and the description of the circumstances allowed by law on abortion was significantly different when comparing health professionals (p=0.01). when asked about the situations in which brazilian law allows abortion, 32.7% of physicians, 97.5% of nursing professionals and 90.5% of other professionals were unaware of the law. conclusion: this study demonstrated the lack of of knowledge of brazilian law among health professionals, to a lesser extent among obstetricians and a to a greater extent among nursing professionals. attitudes of discrimination and prejudice were observed regarding the care provided to women who induce an abortion.
Abortamento espontaneo e provocado: ansiedade, depress?o e culpa
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Pereira, Pedro Paulo;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2009, DOI: 10.1590/S0104-42302009000300027
Abstract: background: pregnancy has a symbolic meaning for each woman. it varies according to personality structure and is related to women's previous life experiences. objectives: the aim was to characterize the women that suffered abortion, asking about anxiety and depression, looking for guilty feelings after abortion, and to compare results between women who suffered spontaneous abortion and those who had intentional abortion. methods: fifty women with spontaneous and fifty with induced abortion were interviewed 30 days after the procedure. a semistructured questionnaire with open and closed-end questions and hospital anxiety and depression scale were administered. results: woman who induced abortion revealed to be more anxious (mean 11) and depressed (mean 8.3) than woman with spontaneous abortion (means 8.7 and 6.1 respectively, p<0.05). conclusions: women who presented induced abortion were more anxious and depressed, as shown by later life events, full of problematic feelings and the need fort sychological support.
Estudo da Cardiotocografia Anteparto em Gesta es com Diástole Zero ou Reversa à Dopplervelocimetria das Artérias Umbilicais
Nomura Roseli Mieko Yamamoto
Revista Brasileira de Ginecologia e Obstetrícia , 2001,
Monitoriza o fetal eletr nica na interpreta o da FCF
Revista da Associa??o Médica Brasileira , 2002,
Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Reis, Juliana Siracuza;Fraguas Junior, Renério;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Clinics , 2010, DOI: 10.1590/S1807-59322010001100013
Abstract: background: approximately one-fifth of women present depression during pregnancy and puerperium, and almost 13% of pregnant women experience a major depressive disorder. objective: the aim of this study was to identify risk factors for depression among pregnant women with a medical disorder and to evaluate the influence of depression on perinatal outcomes. methods: three hundred and twenty-six pregnant women with a medical disorder were interviewed. a semistructured interview was conducted for each participant using a questionnaire that had been developed previously. major depression was diagnosed using the portuguese version of the primary care evaluation of mental disorders (prime-md). the medical records of the participants were thoroughly reviewed to evaluate the perinatal results. results: major depressive disorder was diagnosed in 29 cases (9.0%). the prevalence of major depression was as follows: 7.1% for preeclampsia or chronic hypertension, 12.1% for cardiac disorder, 7.1% for diabetes mellitus, 6.3% for maternal anemia, 8.3% for collagenosis and 12.5% for a high risk of premature delivery. an univariate analysis showed a significant positive correlation between an average household income below minimum wage and a prime-md diagnosis of major depression. a multiple regression analysis identified unplanned pregnancy as an independent predictor of major depression (86.2% in the group with a diagnosis of major depression by prime-md vs. 68.4% in the group without major depression). a comparison between women who presented major depression and those who did not revealed no significant differences in the perinatal results (i.e., preterm delivery, birth weight and low apgar scores). conclusion: in the present study, unplanned pregnancy in women with a medical disorder was identified as a risk factor for major depression during gestation. major depression during pregnancy in women with a medical disorder should be routinely investigated using specific methods.
Risco de suicídio em gestantes de alto risco: um estudo exploratório
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Jorge, Vanessa Marques Ferreira;Nonnenmacher, Daniele;Fráguas Junior, Renério;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2011, DOI: 10.1590/S0104-42302011000500019
Abstract: objective: to identify the risk of suicidal behavior in high-risk pregnant women at a public hospital in s?o paulo. methods: we conducted a semi-structured interview with each of the participants (n = 268) through a previously prepared questionnaire. risk of suicidal behavior was assessed by the portuguese version of prime-md. results: the mean age of patients was 29 years (sd = 0.507) and gestation period was 30 weeks (sd = 0.556). of the total sample, specific risk of suicide was found in 5% (n = 14). of these, 85% have a stable relationship (married or cohabitating), the pregnancy was planned in 50% of cases, and 71% have no religion or professional activities. the correlation of risk of suicide with data from marital status, planned birth, age, education, professional practice, risk of prematurity, and religion showed that having a religion is statistically significant (p = 0.012). there were no positive associations for any of the other selected variables when compared with the risk of suicide. by correlating the risk of suicide with other characteristic symptoms of major depression, there was statistical significance in the sample with regard to insomnia or hypersomnia (p = 0.003), fatigue or loss of energy (p = 0.001), decreased or increased appetite (p = 0.005), less interest in daily activities (p = 0.000), depressed mood (p = 0.000), feelings of worthlessness or guilt (p = 0.000), decreased concentration (p = 0.002), and agitation or psychomotor retardation (p = 0.002). conclusion: we found that religion can be a protective factor against suicidal behavior. besides providing a social support network needed by women during pregnancy, religion supports belief in life after death and in a loving god, giving purpose to life and self esteem and providing models for coping with crises. the results show the importance of prevention and early diagnosis of suicidal behavior, since suicide is an attempt to move from one sphere to another by force, seeking to solve w
Depress?o, aspectos emocionais e sociais na vivência do aborto: compara??o entre duas capitais Brasileiras
Nomura, Roseli Mieko Yamamoto;Benute, Gláucia Rosana Guerra;Azevedo, George Dantas de;Dutra, Elza Maria do Socorro;Borsari, Cristina Gigliotti;Rebou?as, Melina Séfora Souza;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2011, DOI: 10.1590/S0104-42302011000600010
Abstract: objective: to assess emotional and social aspects in the experience of abortion and the diagnosis of major depression, comparing women from two brazilian cities (s?o paulo - sp, natal - rn). methods: a transversal study was carried out from january 2009 to may 2010, through semi-directed interviews with women undergoing an abortion (up to 22 weeks gestation) treated at university hospitals in s?o paulo - sp (n = 166) and natal - rn (n = 150). the portuguese version of the primary care evaluation of mental disorders (prime-md) instrument was applied for the diagnosis of depression. results: there was no significant difference (p = 0.223) in the proportion of induced abortions when comparing the two capital cities: natal (7.3%) and s?o paulo (12.0%). the diagnosis of depression was high among women undergoing an abortion and was significantly higher in natal than in s?o paulo (50.7% vs. 32.5%, p < 0.01). regarding emotional aspects, there was no difference in the occurrence of guilt feelings (natal 27.7%; s?o paulo 23.3%; p = 0.447). the partner's involvement was considered satisfactory by women in similar proportions in the two capitals (natal 62.0%; s?o paulo 59.0%, p = 0.576). no difference was found in the proportion of women who reported violence, related or not to the abortion (natal 22.9%; s?o paulo 16.6%; p = 0.378). conclusion: although there was no difference between the emotional and social aspects in the comparison between the two capitals, there was a high proportion of women with major depression, more frequent in the city of natal than in s?o paulo, which demonstrates the importance of psychosocial support in the women's healthcare system.
Perspectivas da vers o externa cefálica no cenário obstétrico atual
Miyadahira Seizo,Nomura Roseli Mieko Yamamoto
Revista da Associa??o Médica Brasileira , 2003,
Cardiotocografia computadorizada na avalia??o da resposta cardíaca fetal à estimula??o s?nica
Nomura, Roseli Mieko Yamamoto;Kwon, Clarice;Miyadahira, Seizo;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2009, DOI: 10.1590/S0100-72032009001100004
Abstract: purpose: to study the effect of acoustic stimulation in the fetal cardiac response, according to parameters from computerized cardiotocography in low risk pregnancies. methods: twenty low risk pregnant women were included in the study, according to the following criteria: age over 18; single gestation, living fetus; gestational age between 36 and 40 weeks; amniotic liquid index over 8.0 cm and absence of fetal malformation. cases with post-natal diagnosis of fetal anomaly were excluded. computerized cardiotocography was performed for 20 minutes, before and after fetal acoustic stimulation. results were analyzed by the t test for dependent samples, with significance level at p<0.05. results: acoustic stimulation was successfully performed in all cases analyzed. by the analysis of the cardiotocographic parameters, there was no significant difference when the pre and post-stimulation parameters were compared: average number of fetal movements per hour (55.6 versus 71.9, p=0.1); mean basal fetal heart rate (fhr) (135.2 versus 137.5 bpm, p=0.3); mean fhr increases>10 bpm (6.5 versus 6.8, p=0.7); mean fhr increases>15 bpm (3.8 versus 4.3, p=0.5); mean duration of high fhr variation episodes (11.4 versus 10.9 min, p=0.7); mean duration of low fhr variation episodes (2.5 versus 1.1 min, p=0.2), and mean short-term variation (10.6 versus 10.9 ms, p=0.6). conclusions: in low risk gestations at term, computerized cardiotocography has not evidenced differences in the fhr parameters after the fetal sonic stimulation.
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