Alterações emocionais e sexuais no puerpério de mulheres com bebês incluídos em programa de vigilância ao recém-nascido de risco.

• Ano de defesa: 2009
• Autor(a) principal: Belentani, Leda Maria
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual de Maringá; Brasil; Programa de Pós-Graduação em Enfermagem; UEM; Maringá, PR; Departamento de Enfermagem
• Palavras-chave em Português: Pós-parto; Alterações emocionais e sexuais; Saúde da mulher; Puerpério e sexualidade; Puerpério com bebê de risco; Período pós-parto; Sexualidade; Maringá; Paraná (Estado); Brasil.; Postpartum period; Women s Health; Sexuality; Paraná (State); Brazil.; Ciências da Saúde; Enfermagem
• Link de acesso: http://repositorio.uem.br:8080/jspui/handle/1/2294

Whereas the puerperal pregnancy cycle is a period of great change in the female, the puerperium is a transition period in which alterations in the body, emotions, sexuality, family and social relationships occur. Owing to these changes during the puerperium, health professionals should give special assistance to females in their process of physical and psychic reorganization, especially when their newly born child is at risk. Current analysis deals with the behavior of puerperal females with health-risk newly born children and the implications associated to their sexual and emotional life during prenatal and puerperal attendance. Current quantitative cohort-type study with mothers of health-risk newly born children is integrated in the Newly-born Children at Risk Program in Maringá PR Brazil. The mother lived in Maringá and accepted a proposal to participate in the current. Sample was recruited from dossiers in the Health Secretariat of Maringá and current investigation consists of a section of the project "Life and health conditions of risk children and their mothers in Maringá throughout the children's first year," of the Nursing Department of the State University of Maringá. Three home visits were undertaken to collect data with a preelaborated form containing open and objective questions. A Free Consent Term was signed previous to data collection. Chi-square Test analyzed data to verify statistically significant association. Research was approved by the Ethics Committee in Research on Humans of the State University of Maringá (reg. number 451/2008). Population comprised 193 puerperal females with risk babies, mean age 24.4 years, 64.6% (124) white and 85.5 % married, 36.3% (70) with complete upper high schooling, 57.5% (111) worked outside their homes, with average family earnings R$1,770.00. Obstetrics data showed that 51.7% (96) of recent-born children were born after a 36- week pregnancy or less; 71.5% had caesarian birth; 60.6% were attended by the government health system; only 43.0% planned their pregnancy; 64.3% were mothers for the first time; 83.3% had made six or more visits to the doctor during the prenatal period; the pill was the commonest contraceptive method during puerperium; 63.0% made a puerperal visit to the doctor and 48.4% of puerperal mothers were attended by the Family Health Program up till 45 days after giving birth. Variable types of health attendance and type of birth were statistically associated with the number of prenatal visits to the doctor. Factors associated with puerperal visits to the doctor were schooling, civil state, family earnings, type of attendance and birth. Further, 79.0%, 84.0% and 82.5% gave positive emotional answers after 45 days, 3 months and 6 months respectively. Puerperal visit to the doctor was the single factor associated with the emotional state after 6 months. Sexuality underwent changes in the afterbirth period with 45.8% worse prior to the third month and 26.3% on the sixth one. It should be noted that 65.6% of the females engaged once more in sexual activity after 42 days during the puerperal period. Conviviality with the partner was significantly associated with sexuality after six months. Results show the importance of prenatal and postnatal health attendance so that the puerperium period could be experienced in the best way possible. Contraception methods, physical appearance, emotional stance and sexuality of the puerperal female are of paramount importance.