Uso da acupressão para minimizar desconfortos na gestação

Objetivo: Descrever respostas emitidas por gestantes, quanto à melhora dos desconfortos gravídicos após aplicação da técnica da acupressão.Método: Estudo qualitativo e descritivo desenvolvido com 15 gestantes entre novembro de 2013 e fevereiro de 2014 em uma Unidade Básica de Saúde de Natal-RN, Brasil. A coleta de dados ocorreu por meio de entrevista não estruturada, e os depoimentos, depois de transcritos e tratados de acordo com a proposta operativa de Minayo, foram lidos criteriosamente, comparados entre si e organizados em dois grupos.Resultados: As categorias suscitadas foram: Repercussões positivas da acupressão e Recomendações do uso da acupressão. Segundo as gestantes, os desconfortos da gravidez como câimbras, cansaço nos membros inferiores, lombalgia e cefaleia diminuíram com o uso da acupressão.Conclusões: Baseado nos resultados obtidos, a acupressão deve ser introduzida pela(o) enfermeira(o) em consultas pré-natais como recurso terapêutico em prol da obtenção do bem-estar da gestante.Palavras-chave: Enfermagem obstétrica. Cuidado pré-natal. Acupressão. Humanização da assistência

The Comparison of the Risk Factors in the Term and Preterm Delivery

BACKGROUND AND OBJECTIVE: Premature delivery is the presence of progressive uterine contractions before reaching 37 weeks of pregnancy. Since it is associated with perinatal complications and high costs, this study aimed to study the risk factors for premature delivery. METHODS: This cross-sectional study was conducted on 377 pregnant women with preterm labor (23-37 weeks) and 423 pregnant women of term delivery referring to Ayatollah Rohani Hospital of Babol city, Iran. We extracted and investigated the subjects&rsquo; demographic data, history of infertility, smoking habits, use of drugs, fast food consumption, history or presence of maternal illnesses and surgery, Urinary Tract Infections (UTI), Oligohydramnios, intrauterine growth restriction (IUGR), embryonic anomalies, premature rupture of membranes, vaginal bleeding as well as the neonatal data. FINDINGS: As observed in the two groups of preterm and term delivery respectively, there was employment during pregnancy in 83 (22%) and 51 (12%) cases, a history of preterm labor in 41 (10.9%) versus 21 (5%) cases, bleeding during the first trimester in 118 (31.3%) versus 61 (14.4%) cases, fast food consumption in 34 (9%) versus 14 (3.3%) cases, UTI in 150 (39.8%) versus 111 (26.2%) cases, anemia in 62 (16.4%) versus 29 (6.9%) cases, hypertension in 72 (19.1%) versus 13 (3.1%) cases and finally, smoking habits in 22 (5.8%) versus 5 (1.2%) subjects. There was a statistically significant association between the aforementioned variables (p<0.05). CONCLUSION: According to the results of this study, the most significant risk factors for premature delivery could be managed and controlle

A Comparison of Serum Magnesium Level in Pregnant Women with and without Gestational Diabetes Mellitus (GDM)

BACKGROUND AND OBJECTIVE: Intracellular magnesium is a cofactor for several enzymes in carbohydrate metabolism. The aim of this study is to demonstrate the role of magnesium as an effective and an underlying factor in disrupted glucose metabolism among pregnant women with and without gestational diabetes mellitus (GDM). METHODS: This cross-sectional was conducted among 24-32 weeks pregnant women admitted to gynecology clinic of Ayatollah Rohani Hospital in Babol. Patients were divided into four groups: healthy pregnant women, pregnant women with high-risk gestational diabetes, pregnant women with gestational diabetes mellitus and pregnant women with overt diabetes. The demographic information was gathered using a questionnaire and the serum level, magnesium RBC and the fasting blood sugar were measured by laboratory methods and were compared between the four groups. FINDINGS: 399 patients with mean age of 26.53&plusmn;5.54 participated in this study. Overall, mean serum magnesium level was 1.71&plusmn;0.12 mg/dL and magnesium level in RBC was 4.88&plusmn;0.29 mg/dL. The mean serum magnesium level was 1.73&plusmn;0.10 in healthy pregnant women, 1.73&plusmn;0.12 in pregnant women with high-risk gestational diabetes, 1.71&plusmn;0.13 in pregnant women with gestational diabetes mellitus and 1.64&plusmn;0.15 in pregnant women with overt diabetes and there was a significant difference between the four groups (p=0.001). The result regarding RBC magnesium level was found to be 5.12&plusmn;0.18, 4.81&plusmn;0.23, 4.77&plusmn;0.24 and 4.66&plusmn;0.38 in healthy pregnant women, pregnant women with high-risk gestational diabetes, pregnant women with gestational diabetes mellitus and pregnant women with overt diabetes, respectively, which was significant (p=0.001). Serum level and RBC magnesium in diabetic women was less than non-diabetic women. CONCLUSION: Results of the study demonstrated that magnesium could be an effective and an underlying factor in identification of disrupted glucose metabolism in pregnant women