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  • Original Article

    Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(1):19-25

    Summary

    Original Article

    Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(1):19-25

    DOI 10.1055/s-0039-3400456

    Views20

    Abstract

    Objective

    To explore the experiences of women with obesity regarding self-care and the care provided by their families and health team after childbirth.

    Methods

    A clinical qualitative study performed at the Postnatal Outpatient Clinic of Hospital da Mulher, Universidade Estadual de Campinas, Brazil. The sample was selected using the saturation criteria, with 16 women with obesity up to 6 months after childbirth.

    Results

    The analysis comprised three categories: 1) postnatal self-care; 2) family support for woman after childbirth; and 3) postnatal health care service for women with obesity.

    Conclusion

    Women with obesity need support from the health team and from their families after childbirth, when they are overwhelmed by the exhausting care for the newborn. The present study reveals how important it is for health care professionals to broaden their perception and care provided after childbirth for women with obesity so they may experience an improvement in their quality of health and of life.

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    Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study
  • Original Article

    Hazards of Repeat Pregnancy during Adolescence: A Case-control Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(8):437-443

    Summary

    Original Article

    Hazards of Repeat Pregnancy during Adolescence: A Case-control Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(8):437-443

    DOI 10.1055/s-0038-1666811

    Views16

    Abstract

    Objective

    To evaluate the social, obstetric and psychological risk factors related to repeat pregnancy in teenagers.

    Methods

    A case control study conducted at Centro de Atenção à Saúde Integral da Mulher (Caism, in the Portuguese acronym), in Campinas, Brazil, from 2015 to 2017. Three groups were selected: a case-group of adolescents who had repeat pregnancy and two control-groups, one consisting of adolescents who had delivered at first time and another one of adult women with more than one deliveries. Participants were asked about habits, socio-demographics characteristics, reproductive and obstetric history and assessed psychological issues.

    Results

    Ninety women were enrolled, 30 in each study group. Adolescents with repeat pregnancy have lower self-esteem scores and more ineffective contraceptive use. When compared with teens at first delivery, they had less schooling level (odds ratio [OR] 4.03 [1.37-11.8]), more school abandon (OR 8.16 [2.36-28.2]) and drugs use (OR 4.97[1.39-17.8]). Non-white skin color (OR 6.2 [1.15-41.0]), drugs use (OR 17.5 [2.62-116.6]) and first sexual intercourse under 15y (OR 18.0[2.82-115.0]) were found as higher risk factors for repeat pregnancy when comparing adolescents and adults.Moreover, adolescents withmore than one gestation had lower self-esteem and greater susceptibility to unplanned pregnancy.

    Conclusion

    There was an association between repeat pregnancy among adolescents and lower education, early onset of sexual activity, non-white skin color, low use of contraception and increased use of drugs.

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