cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14285619
title: The effectiveness on health education to prevent nipple trauma from breastfeeding: a systematic review

description: Abstract Objectives: to analyze the effectiveness on health education to prevent nipple trauma in breastfeeding compared to other interventions. Methods: systematic literature review was carried out in January 2019, according to PRISMA recommendations. The searches were conducted in Cinahl, PubMed, Web of Science, Scopus, and in the references cited in the selected articles. The studies were assessed for quality and level of evidence according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results: twelve studies were selected, all conducted at the maternities. The interventions were classified in two categories: health education on breastfeeding and the use of nipple covers. Health education on breastfeeding presents a moderate level of evidence on the prevention of nipple trauma. There is a moderate to high level of evidence on the positive effects of guaiazulene, gel or peppermint water applied in the postpartum period to prevent nipple trauma. Conclusion: health education on breastfeeding with clinical demonstration is an important strategy to prevent nipple trauma and requires more than one educational approach. The use of nipple covers requires some consideration, since they must be removed prior to breastfeeding. All interventions were conducted in the postpartum period, which points out for the necessity of clinical research to prevent nipple trauma in prenatal care.
DOI: 10.6084/m9.figshare.14285618
title: Effect of an educational intervention on the breastfeeding technique on the prevalence of exclusive breastfeeding

description: Abstract Objectives: to evaluate the effect of an intervention directed to the breastfeeding technique in the prevalence of exclusive breastfeeding in the first month of life. Methods: this is a quasi-randomized intervention study conducted in a public maternity ward accredited in the Baby-Friendly Hospital Initiative. The intervention consisted of individual orientations on the breastfeeding technique in the first 48 hours after delivery, with the help of a breast model, doll, and movie. The control group was oriented by researchers about the importance of breastfeeding, and received hospital orientations. Data were collected in the maternity ward, and at the end of the first month in the hospital’s outpatient service by implementing a questionnaire, observing the baby’s breastfeeding technique and examining breasts. Results: the prevalence of exclusive breastfeeding in the first month of life of the infant was 76.6% in the experimental group, and 52.2% in the control group. RR=1.46 (CI95%=1.16-1.84); NNT=4.09; p=0.001. The trained women presented a correct breast-feeding technique in 64.04%, much higher when compared to those who did not receive training (15.11%;RR=4.87[CI95%=2.93-8.34]; NNT=1.96;p&lt;0.001). Conclusions: the use of audiovisual resources, use of instruments (model breast and doll), and type of individualized approach contributed to an increased prevalence of exclusive breastfeeding up to 30 days after delivery.
DOI: 10.6084/m9.figshare.14285616
title: Contribution of rs1799998 polymorphism in CYP11B2 gene in susceptibility to preeclampsia

description: Abstract Objectives: the present study aimed to evaluate the association between the rs1799998 polymorphism of the CYP11B2 gene and the susceptibility to preeclampsia (PE) in a Brazilian population. Methods: the study group comprised 61 women who were diagnosed with PE. The control group included 116 women who did not show changes in their blood pressure levels during their pregnancies. The rs1799998 polymorphism of the CYP11B2 gene was amplified by allele-specific polymerase chain reaction (PCR). A multiple logistic regression analysis was performed using the SNPStat program to evaluate the risk of the CYP11B2 gene rs1799998 polymorphism contributing to PE. Results: the PE group had the following genotypes: 1.64% CC, 91.80% CT, and 6.56% TT. In the control group, the observed genotypic frequencies were: 11% CC, 73% CT, and 16% TT. The genotypic frequency distribution did not fit the Hardy Weinberg Equilibrium (HWE) in either study group. The multiple logistic regression analysis showed a statistically significant difference for the rs1799998 polymorphism in the recessive model. Conclusion: the results suggest an association between the recessive model of C/C genotype of the rs1799998 polymorphism of the CYP11B2 gene and susceptibility to PE.
DOI: 10.6084/m9.figshare.14285615
title: Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS)

description: Abstract Objectives: to identify the main indications and reasons for discontinuing the use of the Levonorgestrel-Releasing Intrauterine System (LNG-IUS). Methods: a cross-sectional study was carried out from medical records of 327 women who used the LNG-IUS 52mg between January 2011 and December 2016 at a public hospital in the Northeast of Brazil. Results: the main indications for the use of the LNG-IUS were: contraception (32.7%), myoma/metrorrhagia (28.7%) and endometriosis/pelvic pain (22.3%). Of the 327 women, 68 (20.8%) had discontinued using the device. The most frequent reasons for discontinuation were: expulsion (9.2%), LNG-IUS expiration (3.7%), bleeding (2.4%) and pain (1.5%). Most patients had no difficulty in the insertion and did not require anesthesia/sedation. Among the 30 women who expelled the device, 17 (56.7%) had used it for metrorrhagia and myoma, 8 (26.7%) for contraception, and 5 (16.6%) for endometriosis/pelvic pain. Conclusions: the LNG-IUS is a well-accepted contraceptive method, with therapeutic applications for some gynecological conditions and a low expulsion rate.
DOI: 10.6084/m9.figshare.14285613
title: Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study

description: Abstract Objectives: to evaluate the relation between breastfeeding and postpartum weight reten-tion. Methods: this prospective cohort study involved 641 newborns and their mothers, followed up to twelve months postpartum. Data were collected from June 2015 to February 2017. In the first interview, we investigated data regarding socioeconomic and demographic characteristics, obstetric history, weight, and gestational age of the infant at birth. Maternal weight and breastfeeding status were obtained at 3, 6, 9 and 12 months postpartum at the mother’s home. A descriptive analysis of maternal weight retention according to the lactation status was performed. Multiple linear regression models evaluated the effect on exclusive breastfeeding and total breastfeeding duration on maternal weight retention at 6 and 12 months postpartum, considering potential confounders. Results: 512 and 490 mothers were evaluated at six months and at twelve months post-partum, and the mean weight retention was 1.79 (SD=5.52) and 1.69 (SD=6.69) kg, respectively. Regardless of the confounders, the mean postpartum weight reduction for each day of exclusive breastfeeding was 11 (CI95%= -0.019 to -0.003) and 16 grams (CI95%= -0.026 to -0.007) for 6 and 12 months, respectively. The total maternal breastfeeding duration had the same effect. Conclusions: longer periods of exclusive breastfeeding and total breastfeeding are associated with lower postpartum weight retention.
DOI: 10.6084/m9.figshare.14285611
title: Violence against women before and during gestation: differences in prevalence rates and perpetrators

description: Abstract Objectives: to analyze differences in prevalence and perpetrators of violence against women before and during pregnancy. Methods: this is a cross-sectional study with a sample of 1,446 pregnant women interviewed in 2010 and 2011 in the São Luís municipality (Brazil). Thirteen questions measured psychological, physical and sexual violence in the 12 months before and during pregnancy. Psychological/physical/sexual violence was defined as any type of violence perpetrated against the interviewees. The perpetrators were categorized into intimate partner, other family members, community members, and multiple perpetrators. Differences between violence before and during pregnancy were analyzed by the chi-square test. Results: psychological/physical/sexual and psychological violence were more prevalent during pregnancy than before gestation (p&lt;0.001). Insults, humiliation and intimidation (p&lt;0.05) were more frequently reported during pregnancy. An intimate partner was the most frequent perpetrator. There were no differences in the percentage of moderate and severe forms of physical violence and sexual violence, recurrence of aggressions and perpetrators in both periods (p&gt;0.05). Conclusions: gestation did not protect users of prenatal services in São Luís municipality from psychological, physical and sexual violence. Psychological/physical/sexual and psychological violence were more commonly practiced during pregnancy. The perpetrators of violence in the year before gestation continued to abuse the interviewees during pregnancy
DOI: 10.6084/m9.figshare.14285609
title: Association between gestational weight gain and birth weight: NISAMI Cohort

description: Abstract Objectives: this study aims to evaluate the association between gestational weight gain and the weight of newborns from one municipality in Recôncavo Baiano region. Methods: this is a prospective cohort (NISAMI Cohort), conducted with 185 pregnant women living in the urban area of the municipality of Santo Antônio de Jesus, using the prenatal service of the Family Health Units, between April 2012 and June 2013. The pregestationalBMI and the third trimester of pregnancy were used to assess maternal anthropometric status.Birth weight data were collected from the Epidemiological Surveillance of the municipality. Stata 12.0 software was used for statistical analysis. Logistic regression analysis was used to evaluate to assess the association. Results: among the 185 women evaluated, 33.5% presented inadequate weight gain during pregnancy. The prevalence of inadequate birth weight was 20% (birth weight ≤ 2.999g and ≥ 4.000 g). It was observed that inadequate weight gain during pregnancy is considered an embarrassing factor for birth weight (OR= 2.6; CI95%= 1.5-3.5); adjusted for the following variables: alcohol consumption, duration of pregnancy, and gestational complications. Conclusion: the research results suggest that weight gain throughout pregnancy influences the weight of the conceptus, indicating the need for nutritional interventions in all trimesters of pregnancy, promoting a healthy weight gain throughout the gestational cycle.
DOI: 10.6084/m9.figshare.14285607
title: Profile and spatial distribution on maternal mortality

description: Abstract Objectives: to describe profile and spatial distribution on maternal mortality in a city in the North of Minas Gerais-Brazil. Methods: a descriptive, cross-sectional, documentary and quantitative study was carried out in 31 (100%) Fichas de Investigação de Óbito Materno do Comitê de Mortalidade Materna (Maternal Mortality Investigation Data Forms from the Maternal Mortality Committee) from 2009 to 2013. Results: prevalence is observed in women between 20 and 34 years old, mixed race, single and with low schooling. Of the deaths classified, 48.2% are direct obstetric death and 74.2% would be likely avoidable. The most prevalent causes of death were pregnancy-specific hypertensive disease; circulatory system disease; neoplasms; coagulopathies and post-abortion infection. In relation to prenatal care, only 20 women performed it, and most performed less than six prenatal consultations and in relation to the end of gestation, 68.1% underwent cesarean childbirth. Regarding to the descriptive spatial analysis, we identified a higher occurrence of maternal deaths in the areas of medium and high social vulnerability. Conclusions: maternal mortality is a strong indicator of women's healthcare, there is a necessity to readjust women’s healthcare in the puerperal pregnancy cycle. New healthcare practices for women are needed, due to the referred bond and responsible care.
DOI: 10.6084/m9.figshare.14285606
title: Dental anomalies in the deciduous dentition of non-syndromic oral clefts patients

description: Abstract Objectives: to investigate the prevalence of dental anomalies in complete deciduous dentition of children with NSCL/P. Methods: this study included 75 children with NSCL/P and 286 healthy control. In both groups the children had deciduous dentition with ages varying from 4 to 6 years. Clinical examination, panoramic and periapical radiographies were performed and dental anomalies of number and shape were considered. Results: there was a higher prevalence of dental anomalies in the case group, compared to the control group. In all, 42 dental anomalies were identified, 25.33% in the case group and 8.04% in control group (p&lt;0.001). Therewas a higher frequency of dental anomalies in NSCL/P (47.36%), followed by non-syndromic cleft lip (31.57%) and non-syndromic cleft palate (21.05%). The occurrence of agenesis (p= 0.005) and twinning (p = 0.029) were higher in the case group. Conclusions: the occurrence of agenesis and dental twinning was more frequent in the case group and may contribute to the definition of oral cleft subphenotype.
DOI: 10.6084/m9.figshare.14285604
title: Maternal and fetal parameters in pregnant woman undergoing tocolysis with nifedipine

description: Abstract Objectives: to evaluate the effects of nifedipine with tocolysis under maternal and fetal parameters. Methods: a cohort study with 40 pregnant women admitted at a high-risk pregnancy ward to inhibit premature labor between September/2010 to May/2012. Nifedipine was used as a 20mg sublingual attack dose and maintained 20mg every six and eight hours orally. The variables of the analysis were fetal heart rate (FHR), maternal heart rate (MHR), systolic blood pressure (SBP) and diastolic blood pressure (DBP), and amniotic fluid index (AFI). All the variables were evaluated prior to administrating nifedipine and approximately after 6 hours and every 24 hours, until hospital discharge. Results: there were no modification of the FHR (p=0.48) and the SBP (p=0.29). The MHR increased after 24 hours, but with no statistical difference (p=0.08), returning to similar levels as at admission within 48 hours. The DBP decreased at 6 (p=0.04) to 72 hours, being stable afterwards. The AFI decreased significantly at 24, 48 and 72 hours. Conclusions: the use of high doses of nifedipine with tocolysis causes a decrease of the maternal’s diastolic blood pressure and consequently decreases the amniotic fluid index, but probably without any clinical repercussions.
DOI: 10.6084/m9.figshare.14285602
title: Development and validation of the specific instrument for assistance complexity of puerperal and newborns: Fantinelli Scale

description: Abstract Objectives: to develop and validate a care complexity assessment system adapted for mothers and newborns, based on two pre-existing scales. Methods: this is a cross-sectional study of psychometric validation of instruments, applied in a roomming-in, in 2016. The instrument has 13 indicators, submitted to the evaluation of a panel of judges for validation. For the psychometric analysis of the instrument, five criteria were adopted: a) internal consistency through Cronbach's alpha (αC); (b) intraclass correlation coefficient (ICC); c) correlation between categorical items, mediating Kendall correlation; d) ceiling and floor effect; e) Kaiser-Meyer-Olkin test. Results: after evaluating the judges on the categories, the agreement was satisfactory, being equal to or greater than 80%. The mean total score of the 13 items was 22.5 ± 4.2, with an intermediate level score of 52.9%. For psychometric validation purposes, the instrument presented αC scores of 0.73 points, between minimum items of 0.70 and maximum of 0.74 points. In the correlation of αC by items and the total score, the instrument showed high relationships (r2: 0.84). In the ICC assessment of 0.73 points (CI95%= 0.71-0.75; p&lt;0.001). Conclusion: the questionnaire presented psychometric indicators of acceptable content validity, with statistical evidence of reliability, obtained by satisfactory inter-rateragreement.
DOI: 10.6084/m9.figshare.14285600
title: Front Cover, Flaps, and Back Cover as Enunciative Spaces to Promote Literary Works

description: Abstract Based on the approximation between the Theory of Enunciation and the process of book production and publishing, this paper analyzes the participation of some agents that have been involved in the publishing supply chain of the book O sol na Cabeça, by the Brazilian writer Geovani Martins, concerning the promotion/publicizing of his book. In order to discussing the editing processes, this paper uses the discussions of Araújo (2012), Cavallo and Chartier (2001), Chartier (1998), and Thompson (2012). About the discussions involving the enunciation, the theoretical bases are the studies of Benveniste (1989, 1995), Bakhtin/Volóchinov (2009) and Bakhtin (2010). Furthermore, the Marx’s (1996) view regarding the merchandise in the context of the capitalist economy.
DOI: 10.6084/m9.figshare.14285597
title: Factors associated with spontaneous abortion: a systematic review

description: Abstract Objectives: to compile studies produced regardinggenetic and non-genetic risks factors associated with occurrence of spontaneous abortion. Methods: it talks about a systematic review article, with studies between January of 2008 to November of 2018 according to SciELO, PubMed, Lilacs and BVS. Results: in total, 567 articles were found. After applying the definedeligibility criteria, 44 articles made part of the review, being the majority published on Asia between 2008 and 2011, and 10 articles published on Brazil. Not genetic causes like sociodemographic factors and healthy state were among the most associated conditions of spontaneous abortion. Asiatic continent had predominance about the correlation of spontaneous abortion with factors related to life style like obesity, smoking and labor activities, on the other hand, in the Americas, causes related to sociodemographics factors like low pay and low studies are high-lighted. Conclusions: the risk factors change about the occurrence region, being important to make local studies capable of subsidize the implantation of public politics and to reduce abortions.
DOI: 10.6084/m9.figshare.14285596
title: "Because of the baby": reduction on drug use during pregnancy

description: Abstract Objectives: evaluate changes in the use of psychoactive substances (PAS) throughout pregnancy. Methods: longitudinal study, with pregnant women users of PAS at a prenatal follow-up. Results: 76 pregnant women used: tobacco (84.2%, n=64), alcohol (73.7%, n=56), cocaine (27.6%, n=21), marijuana (26.3%, n=20) and crack (13.1%, n=10). Spontaneous interruption had occurred in 60% (n=6) of crack users, 57.1% (n=12) of cocaine and 50% (n=28) of alcohol. After the Brief Intervention, 78.9% (15 of the total of 19) of alcohol users and 70% (7 of the total of 10) of marijuana users discontinued the consumption and there was a reduction in smoking cigarettes. Conclusions: the spontaneous reduction in the consumption of PAS and after the interventions, pregnancy is a window of opportunity to reduce the use of drugs.
DOI: 10.6084/m9.figshare.14285595
title: New mothers and their understanding about breast milk donation

description: Abstract Objective: to analyze the understanding of mothers about the donation of human milk. Methods: a qualitative and quantitative study with 13 potential milk donors who answered a sociodemographic and obstetric background questionnaire, as well as a semi-structured interview guide on milk donation. Mothers were approached in the hospital environment, after delivery and the visit of the milk bank. Data were analyzed in Statistical Package for Social Sciences 20.0 and NVivo 11 Starter. Results: the mean age was 24.62 ± 3.95 years; 84.6% had more than eleven years of formal education; 38.5% declared themselves housewives; 46.2% were in a stable union and 76.9% had an income of up to two minimum wages. Most of the mothers (69.2%) experienced previous pregnancy; 76.9% had 6 or more prenatal consultations and 62.5% had previously breastfed. The motivating factors of the donation were altruism; empathy with other mothers; recognition of the primacy of breast milk; the child's understanding of breast milk need; excess milk production and family support. Unawareness of the process, limited time available, and lack of transportation and collection points can make donation difficult. Conclusions: there was a desire for information and support for breastfeeding and donation, which made the donation act complex and distant from reality.
DOI: 10.6084/m9.figshare.14285592
title: Relationship between the type of delivery and the epidemiological profile of prenatal and perinatal assistance in a municipality of Minas Gerais

description: Abstract Objectives: to describe the profile of prenatal and perinatal health by correlating it with sociodemographic and clinical conditions, verifying the effectiveness of health actions. Methods: quantitative, descriptive and retrospective research using data from the Live Birth Information System (Sinasc) of the municipality of Patos de Minas in the period of 2011 to 2015. Results: between 2011 and 2014 there was a reduction in the rate of vaginal births and a slight increase in 2015, however, the rates of cesarean delivery were higher than recommended by the Ministry of Health. In both types of delivery, most pregnant women attended seven or more prenatal consultations, however, this rate was significantly higher for pregnant women who underwent cesarean section. Maternal age &gt; 35 years was also related to cesarean delivery, however, there was no significant relationship between type of delivery, the gestation time, birth weight and occurrence of maternal death. Conclusions: during the analyzed period there were more cesarean sections in relation to vaginal deliveries, with no significant change in the number of maternal deaths. A significant association was found between the highest number of prenatal consultations and maternal age &gt; 35 years in pregnant women who underwent caesarean section. Verification of these associations can help in reorienting health practices in the region.
DOI: 10.6084/m9.figshare.14285589
title: Maternal knowledge on infant feeding in São Luís, Maranhão, Brazil

description: Abtract Objectives: to describe the knowledge of infant feeding on breastfeeding and the introduction of complementary feeding among mothers of children under one-year-old in São Luís, MA. Methods: a cross-sectional descriptive study using a single questionnaire, standardized by trained interviewers, who visited all the residents in 20 communities chosen by convenience. This questionnaire searched for socioeconomic, demographic information, care received during pregnancy, and the knowledge about infant feeding. The analysis was performed through the creation of knowledge scores, frequency listing, central tendency and dispersion measurements. Results: among the 709 interviewees, 53.5% presented satisfactory knowledge. The score on the percentage mean of knowledge on infant feeding was 66.7%. The specific score on the introduction of complementary feeding was 60.7% and breastfeeding was71.4%. The benefits of breastfeeding for the babies were better known than the advantages it confers on mothers. The worst result was related to porridge preparation,(13.5%). Conclusion: the proportion of mothers who did not know about the basic teachings of infant feeding is high. This can lead to reduce exclusive breastfeeding time, increase rates of improper introduction of food and drink, and in favor early weaning.