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  • Original Article

    Assessment of psychosocial adaptation to pregnancy in brazilian pregnant women

    Rev Bras Ginecol Obstet. 2011;33(8):182-187

    Summary

    Original Article

    Assessment of psychosocial adaptation to pregnancy in brazilian pregnant women

    Rev Bras Ginecol Obstet. 2011;33(8):182-187

    DOI 10.1590/S0100-72032011000800003

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    PURPOSE:to evaluate psychosocial adaptation to pregnancy by translating and cross-culturally adapting a specific assessment instrument to be used with Brazilian women. METHODS: this was a cross-sectional observational study. the translation and cross-cultural adaptation and of the Prenatal Self-evaluation Questionnaire (PSeQ) was performed following all the required methodological steps. another questionnaire was applied to characterize the sociodemographic and clinical status of the pregnant women (n=36). Statistical analysis consisted of the determination of the mean and standard deviation (SD) and of absolute and relative frequency. the statistical test used for the analysis of internal consistency was Cronbach's alpha coefficient, using SPSS version 17.0. RESULTS: the volunteers were of low socioeconomic status, aged on average 25.1 years ( 5.5), and had an average gestational age of 25.9 weeks ( 8.1). 58.3% of these volunteers had not planned their current pregnancy. the pretest showed that 75% of the pregnant women found the questionnaire easy to understand. Regarding the PSeQ instrument, the identification with the maternal role was the subcategory which showed the highest average, 24.8 ( 5.6), while the relationship with the mother had the lowest average 15.4 ( 7.7). the internal consistency ranged from 0.52 to 0.89. CONCLUSION: the assessment of psychosocial adaptation to pregnancy in pregnant women is very important during the progress of pregnancy and permits intervention through obstetric-neonatal actions of promotion and prevention regarding the well-being of mother and child.

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  • Original Article

    Comparison of quality of life in women with sexual dysfunction

    Rev Bras Ginecol Obstet. 2015;37(6):266-271

    Summary

    Original Article

    Comparison of quality of life in women with sexual dysfunction

    Rev Bras Ginecol Obstet. 2015;37(6):266-271

    DOI 10.1590/SO100-720320150005254

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    PURPOSE:

    To investigate the relationship between sexual function and quality of life in
    pregnant women living in two cities of Northeastern Brazil.

    METHODS:

    The sample consisted of 207 pregnant women. The data were collected through a
    questionnaire containing questions about socio-demographic, gynecological and
    obstetrical data, body and sexual knowledge. Quality of life was assessed by
    applying the Ferrans & Powers Quality of Life Index (QLI Ferrans and Power).
    Sexual function was assessed using the Female Sexual Function Index (IFSF). Data
    were statistically analyzed using the Shapiro-Wilk, Mann-Whitney and Wilcoxon
    tests.

    RESULTS:

    The pregnant women studied had a median age of 30 years (quartile 26-33 years)
    and were approximately at the 26th gestational week. A significant
    decrease in the monthly frequency of sexual relations of the couple was observed,
    with a median of 12 to 4 times per month (Z=-10.56; p<0.001). Sexual dysfunction was detected in 35.7% of the pregnant women studied, whose quality of life was lower when compared to women with unchanged sexual function (Z=-2.9; p=0.004).

    CONCLUSION:

    The results of this study show that sexual dysfunction negatively affected the
    quality of life of pregnant women, and this should be an important aspect for
    review during prenatal consultations.

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  • Original Article

    Modulation by progesterone of pain sensitivity to mechanical and ischemic stimuli in young and healthy women

    Rev Bras Ginecol Obstet. 2008;30(6):306-311

    Summary

    Original Article

    Modulation by progesterone of pain sensitivity to mechanical and ischemic stimuli in young and healthy women

    Rev Bras Ginecol Obstet. 2008;30(6):306-311

    DOI 10.1590/S0100-72032008000600007

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    PURPOSE: to investigate the relationship between pain perception (experimental pain threshold and tolerance, in response to ischemia and pressure) in young and healthy young women and female sexual hormone seric levels (estradiol and progesterone). METHODS: 18 volunteers have participated of this study, during three consecutive menstrual cycles. A pressure algometer and a manual dynamometer have been used to measure painful responses to pressure and ischemia algesic stimuli. Blood has been collected for assessment of both hormonal and painful variables, during three menstrual cycles, whose characterization was based on daily oral temperature record, a diary of the menstrual cycles with the onset and end of each cycle, and on estradiol and progesterone plasmatic levels. The average for the algesic variables measured has been compared by analysis of variance (ANOVA) and the Tukey-Kramer's post-test, among the menstrual cycle phases (follicular, periovulatory, early luteal, late luteal and menstrual). The Pearson's test has been used for correlation analysis between algesic and hormonal variables. Statistical significance has been defined as p<0.05. RESULTS: no significant change in pain parameters among the menstrual cycle phases has been observed. Nevertheless, there have been significant negative correlations between progesterone and ischemic threshold (r=-0.23; p<0.01), and pressure tolerance (r=-0.23; p<0.01) at the early luteal phase. CONCLUSIONS: these results indicate that the increase in progesterone levels correlates with a decrease of ischemic threshold and pressure tolerance, suggesting that progesterone plays a role in the pain modulation during the early luteal phase.

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    Modulation by progesterone of pain sensitivity to mechanical and ischemic stimuli in young and healthy women

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