Browsing by Author "Figueiredo, B."
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- Crescimento e actividade fetal às 20-24 semanas de gestação (estudo preliminar)Publication . Conde, A.; Figueiredo, B.; Tendais, I.; Pereira, A.; Nogueira, R.BACKGROUND: Recent researches show that psychological development begins much before birth and prenatal influences can explain a significant part of the future variability in infants' behaviour and development. AIMS: The aim of this study was to characterize the fetal development between 20 and 24 weeks of gestation, related to the measures of fetal growth-- iparietal diameter, abdominal circumference, head circumference, femur length and fetal weight-- and fetal activity--fetal heart rate and fetal movements. We also tried to establish if there are any differences in these measures related to the mothers' and fetus' sociodemographic features, obstetrical conditions and exposure to drugs. METHOD: The sample of this study involved 48 fetus (52.1% female and 47.9% male) with an estimated gestational age (GA) between 20-24 weeks (Mean = 21 weeks and 1 day), whose mothers had appointments at the Obstetric and Gynaecological medical consultation of Júlio Dinis Maternity Hospital (MJD, Oporto). A video tape of the fetal behaviour was made and ultrasound biometry measurements were collected from the morphological ultrasound report. RESULTS: A statistical analysis of fetal data, after gestational age control, showed differences in fetal growth measures related to mothers' occupational status [F(1,41) = 7.28; p = .000], marital status [F(1,41) = 2.61; p = .04], household arrangements [F(1,41) = 2.91; p = .03] and coffee consumption [F(1,40) = 2.55; p = .05]. Differences in fetal activity measures (fetal heart rate) associated to fetus gender [F(1,16) = 5.84; p = .009] were also found. CONCLUSIONS: We can conclude about the sensibility of fetal development to prenatal factors related to the mothers' and fetus' sociodemographic features and exposure to drugs.
- Fathers’ emotional involvement with the neonate: impact of the umbilical cord cutting experiencePublication . Brandão, S.; Figueiredo, B.Abstract Aims. This paper is a report on a study analysing the effect of the umbilical cord cutting experience on fathers’ emotional involvement with their infants. Background. Participation in childbirth offers an opportunity for father and mother to share the childbirth experience, so it is vital that midwives improve the fathers’ participation in this event. Design. A quasi-experimental study with a quantitative methodology was implemented. Methods. One hundred and five fathers were recruited as part of a convenience sample in a Maternity Public Hospital in a Metropolitan City in Portugal, between January and May of 2008. The Bonding Scale, the Portuguese version of the ‘Mother-to-Infant Bonding Scale’ was used to evaluate the fathers’ emotional involvement with the neonate at different moments: before childbirth, first day after childbirth and first month after childbirth. After childbirth, the fathers were divided into three separate groups depending on their umbilical cord cutting experience. Results. The results demonstrate that the emotional involvement between father and child tends to increase during the first days after childbirth and to decrease when evaluated 1 month after birth, for fathers who did not cut the umbilical cord. However, fathers who cut the umbilical cord demonstrate an improvement in emotional involvement 1 month later. Conclusion. Results suggest that the umbilical cord cutting experience benefits the father’s emotional involvement with the neonate, supporting the benefits of his participation and empowerment in childbirth.
- Grávidas adolescentes e grávidas adultas. Diferentes circunstâncias de risco?Publication . Figueiredo, B.; Pacheco, A.; Magarinho, R.Resumo: Este estudo teve por objectivo caracterizar as circunstâncias em que decorre a gravidez na adolescência e na idade adulta e analisar as principais diferenças, ao nível das condições demográficas, sociais, anteriores de existência e actuais da gravidez. Uma amostra de 130 utentes da Maternidade Júlio Dinis (Porto) (66 grávidas adolescentes e 64 grávidas adultas) foi entrevistada através da Contextual Assessment of the Maternity Experience (CAME, Bernazzani, Marks, Siddle, Asten, Bifulco, et al, 2004), no último trimestre de gravidez. Os resultados mostram que à gravidez na adolescência se associa um elevado número de condições menos favoráveis, que podem comprometer a gestação e os cuidados ao bebé, como por exemplo: desemprego, monoparentalidade, consumo de tabaco, condições anteriores de existência adversas e gravidez não desejada. No entanto, outras circunstâncias adversas estão associadas à gravidez na idade adulta, como seja: história de problemas de fertilidade e de problemas psicológicos com tratamento ou internamento e ausência por morte de pelo menos um dos pais. Conclui-se que um número considerável de grávidas adolescentes vive em condições desfavoráveis, pelo que, não obstante a sua variabilidade, o grupo enquanto um todo pode ser considerado de risco, quando comparado ao grupo de grávidas adultas. Conclui-se ainda que grávidas adolescentes e adultas vivem a gravidez em condições específicas; observam-se diferentes circunstâncias de risco junto de cada um destes dois grupo, que devem ser atendidas na adequação da ajuda prestada pelos técnicos de saúde às reais necessidades das mães.
- THE FATHER’S EMOTIONAL INVOLVEMENT WITH THE NEONATE: THE IMPACT OF CHILDBIRTH EXPERIENCEPublication . Brandâo, S.; Figueiredo, B.