http://repositorio.ufgd.edu.br/jspui/handle/prefix/5076 Thu, 15 Jan 2026 16:03:12 GMT 2026-01-15T16:03:12Z http://repositorio.ufgd.edu.br/jspui/handle/prefix/6100 Título: Os desafios do atendimento humanizado às pacientes indígenas na visão da equipe multiprofissional de saúde da maternidade do hospital universitário de Dourados/MS Autor(es): Moreira, Rafaela Primeiro Orientador: Andrade, Gabriela Rieveres Borges de Abstract: Primary healthcare for indigenous peoples is the responsibility of the Indigenous Healthcare Subsystem, while secondary and tertiary care includes outpatient clinics and general hospitals within the Unified Health System (SUS), such as the University Hospital of the Federal University of Grande Dourados (HU-UFGD). The aim of this study was to understand the challenges faced by professionals in the maternity ward of HU-UFGD in providing assistance to indigenous pregnant women, parturients, and puerperal women and their companions. To achieve this, we sought to identify the knowledge of the multidisciplinary team about the indigenous peoples of the Dourados macro-region, identify the main problems faced by professionals in providing care to indigenous patients, and discuss the challenges based on the principles of the National Humanization Policy and the Rede Cegonha. A descriptive qualitative research was conducted through interviews using a semi-structured questionnaire with seven professionals from the multidisciplinary team of the HU-UFGD maternity ward. The interviews were subjected to content analysis, opting to work with thematic analysis of the material. Fourteen specific categories were delimited, grouped into five general categories: (1) characterization of the interviewees; (2) prior familiarity with the indigenous theme; (3) knowledge about indigenous culture; (4) institutional support to serve the indigenous population; (5) perceptions about serving the indigenous population at HU. The results showed that the training process of healthcare professionals, when contributing to work in interethnic and intercultural contexts, is superficial and insufficient. Although they learn from practice, professionals recognize significant gaps in their knowledge about the ways of life of indigenous communities and traditional care during the gestational and puerperal period. The need for differentiated attention to the indigenous population was recognized, guaranteed by the National Policy of Healthcare for Indigenous Peoples, by the principle of equity established in SUS and in the Rede Cegonha. It is important to emphasize the different understandings of the word "differentiated" by professionals. It was found that the main challenges faced by professionals are: communication difficulties, hospital routine/structure, and cultural differences between professionals and patients. It was concluded, considering the results, that the valorization of the biomedical perspective is very present in the institution, often leaving issues related to the humanization of care in the background. The results also indicate that slow but procedural changes are occurring at HU-UFGD, related to the consolidation of collective discussion spaces, which is promising for the promotion of more comprehensive and humanized care to all maternity users. Editor: Universidade Federal da Grande Dourados Tipo: Trabalho de Conclusão de Residência Fri, 08 Mar 2024 00:00:00 GMT http://repositorio.ufgd.edu.br/jspui/handle/prefix/6100 2024-03-08T00:00:00Z http://repositorio.ufgd.edu.br/jspui/handle/prefix/6095 Título: Perfil de mortalidade neonatal no Brasil Autor(es): Vieira, Leila Rosa Primeiro Orientador: Pereira, Ana Carla Tamisari Abstract: The number of infant deaths is an important indicator, which represents the living and health conditions of a population. The World Health Organization (WHO) considers ten deaths per thousand births acceptable (Noronha et al., 2012). This indicator can be analyzed into two components: neonatal mortality, which is the death of children aged 0 to 27 days, and post-neonatal mortality, which is the death of children aged 28 days to 1 year of age. Neonatal mortality is divided into early neonatal mortality (deaths from 0 to 6 days of life) and late neonatal mortality (deaths from 7 to 27 days of life) (Paula et al., 2016). Objective: To evaluate the epidemiological profile of neonatal deaths from 2018 to 2022 in Brazil. Method: This is a retrospective, descriptive study with a quantitative approach, based on secondary analysis of information available in the Mortality Information System (SIM), Live Birth Information System (SINASC) and DATASUS in the corresponding period from 2018 to 2022. Results: According to the study carried out, a total of 166,709 neonatal deaths were recorded in Brazil in the period from 2018 to 2022. The year 2018 presented the highest number of deaths (21.5), it was found that there was a greater notification of deaths in the Southeast region with 59,386 (35.6%) deaths, it was observed that births between 37 and 41 weeks were those that had the most deaths, weighing between 500 and 999 grams (25.1%), range aged 0 to 6 days, 87,177 (52.3%), and male (55%). Conclusion: The main characteristics related to neonatal deaths were identified in the study, providing knowledge about the reality of newborns and health care in Brazil. The causes described point to preventable deaths through measures aimed at access and healthcare. Knowing the characteristics of Neonatal Mortality in Brazil contributes to eliminating risks and achieving equitable health care. It is possible to formulate actions that promote the improvement of care provided to newborns, thus reducing Infant Mortality Rates. Editor: Universidade Federal da Grande Dourados Tipo: Trabalho de Conclusão de Residência Wed, 01 Feb 2023 00:00:00 GMT http://repositorio.ufgd.edu.br/jspui/handle/prefix/6095 2023-02-01T00:00:00Z http://repositorio.ufgd.edu.br/jspui/handle/prefix/6094 Título: Perfil de internação em uma unidade de terapia intensiva neonatal, segundo a via de parto. Autor(es): Martins, Iris Messa Primeiro Orientador: Aguiar, Wagner Florentin Abstract: The study aimed to examine the admission profile and clinical outcomes of newborns in a Neonatal Intensive Care Unit (NICU), considering the mode of Parturition. For this purpose, a retrospective observational/descriptive study was conducted, approved by the Research Ethics Committee, using medical records data of newborns admitted to the NICU over a two-year period, from November 2019 to December 2021. The results revealed that the majority of newborns underwent cesarean section (68.64%) compared to vaginal Parturition (31.36%). Although no significant differences were observed between the groups regarding birth severity, it was found that the length of hospital stay was longer for those born vaginally. It was also noted that approximately 80% of newborns were exposed to oxygen therapy. The diagnostic profile at birth revealed a high prevalence of respiratory distress syndrome (RDS), followed by meconium aspiration syndrome (MAS) and persistent pulmonary hypertension of the newborn (PPHN) in vaginal deliveries. In cesarean deliveries, there was also a prevalence of RDS, PPHN, MAS, and convulsive crises. Additionally, the main maternal comorbidities were syphilis, gestational hypertension, and gestational diabetes mellitus. Although the study did not find significant differences in respiratory profiles, birth severity, or mortality rate between the Parturition groups, the importance of strategies to reduce hospital stay and implement public health policies aiming at adequate prenatal care with lower risk for mother and baby was emphasized. These results underscore the need for an individualized approach in the choice of Parturition mode and the importance of specialized intensive care to ensure the well-being of newborns in the NICU. Editor: Universidade Federal da Grande Dourados Tipo: Trabalho de Conclusão de Residência Mon, 26 Feb 2024 00:00:00 GMT http://repositorio.ufgd.edu.br/jspui/handle/prefix/6094 2024-02-26T00:00:00Z http://repositorio.ufgd.edu.br/jspui/handle/prefix/6092 Título: Relações entre gestação na adolescência, saúde emocional materna e projeto de vida Autor(es): Ferreira, Nathalia Betim Primeiro Orientador: Chiodelli, Tais Abstract: Adolescence is considered a complex social construct in which individuals undergo physical, psychological, sexual, emotional, and social transitions. Sexual behavior developed during adolescence, without proper community guidance, can lead to health problems and early pregnancy, potentially resulting in family, educational, and social repercussions. Considering the particularities of pregnancy during adolescence and its impacts on the life of the adolescent, there is a need to investigate the emotional health and life plans of these women. This research identified relationships between emotional health, life plans, and adolescent pregnancy. It is a descriptive and exploratory study with a cross-sectional design conducted from May to August 2023. Six pregnant adolescents admitted to the Obstetric Clinic of the University Hospital of the Federal University of Grande Dourados (HU-UFGD), aged 15 to 19 years old and in the third trimester of pregnancy, participated in the study. They were identified through medical records and responded to three instruments: 1) Sociodemographic Questionnaire, 2) Depression, Anxiety, and Stress Scale for Adolescents (EDAE-A), and 3) Life Plan Questionnaire adapted for this research, administered through interviews during the hospitalization period. Subsequently, feedback was provided to the participants regarding the investigated aspects, particularly their emotional health. Those who obtained clinical indicators on the EDAE-A were welcomed and referred to psychological services. Interview data were transcribed and analyzed using thematic analysis, while descriptive statistics were used for quantitative data. It was observed that the participants had life plans predominantly associated with family and material goals, such as starting a family and acquiring a house. However, these plans were considered poorly elaborated as they did not encompass how these objectives would be achieved. The life plan of some participants was modified due to pregnancy, either through adapting their plans or facing difficulties or postponing some goals. Regarding emotional health, high scores were identified on the EDAE-A, indicating indicators of stress, depression, and anxiety. Most participants scored at moderate, severe, or very severe risk levels in two subscales, with the majority of scores for anxiety and stress. Risk factors for emotional health were also identified, such as difficulty accepting pregnancy, especially by the family. As protective factors for pregnant adolescents, a support network and positive feelings associated with pregnancy/motherhood were identified. The results obtained assist in understanding the phenomenon of adolescent pregnancy and indicate factors that should be considered in psychosocial interventions aimed at this population, such as offering psychological prenatal care. Editor: Universidade Federal da Grande Dourados Tipo: Trabalho de Conclusão de Residência Thu, 01 Feb 2024 00:00:00 GMT http://repositorio.ufgd.edu.br/jspui/handle/prefix/6092 2024-02-01T00:00:00Z