Brazil: the emerging epicenter of COVID-19 pandemic

Abstract INTRODUCTION Five months after the first confirmed case of COVID-19 in Brazil, the country has the second highest number of cases in the world. Without any scientifically proven drug or vaccine available combined with COVID-19's high transmissivity, slowing down the spread of the infection is a challenge. In an attempt to save the economy, the Brazilian government is slowly beginning to allow non-essential services to reopen for in-person customers. METHODS: In this study, we analyze, based on data analysis and statistics, how other countries evolve and under which conditions they decided to resume normal activity. In addition, due to the heterogeneity of Brazil, we explore Brazilian data of COVID-19 from the State Health Secretaries to evaluate the situation of the pandemic within the states. RESULTS: Results show that while other countries have flattened their curves and present low numbers of active cases, Brazil continues to see an increase in COVID-19 patients. Furthermore, a number of important states are easing restrictions despite a high percentage of confirmed cases. CONCLUSIONS: All analyses show that Brazil is not ready for reopening, and the premature easing of restrictions may increase the number of COVID-19-related deaths and cause the collapse of the public health system.

Cuidado no parto e nascimento: percepção de puérperas / Atención en el parto y nacimiento: percepción de puérperas / Care during labor and birth: mothers' perception

Objetivo descrever o cuidado oferecido à mulher durante o trabalho de parto e parto na percepção de puérperas. Métodos pesquisa com abordagem qualitativa, desenvolvida em um hospital da região norte do Estado do Ceará, com 14 puérperas. A análise explorou o conteúdo a luz das boas práticas de atenção ao parto e nascimento, preconizados pela Política Nacional de Humanização. Resultados os discursos das puérperas revelaram a necessidade de tornar o ambiente mais acolhedor e o atendimento humanizado durante o parto, contemplando à escuta dos seus problemas e dúvidas; satisfação com uso de métodos não farmacológicos utilizados para alívio da dor e com os cuidados oferecidos durante o parto. Conclusão revelou-se o quanto o envolvimento humano e a busca por uma atenção qualificada às puérperas nas maternidades têm contribuído significativamente para a qualidade destas ações.

Objetivo describir la atención prestada a la mujer durante el trabajo de parto y parto en la percepción de puérperas. Métodos investigación cualitativa, desarrollada en un hospital en la región norte del Estado de Ceará, con 14 madres. El análisis exploró el contenido a la luz de las mejores prácticas de la atención durante el parto y el nacimiento, recomendado por la Política Nacional de Humanización. Resultados los discursos de las puérperas revelaron la necesidad de hacer el ambiente más acogedor y la atención humanizada del parto, contemplando escucha a sus problemas y preocupaciones; satisfacción con el uso de métodos no farmacológicos utilizados para alivio del dolor y el cuidado dado durante el parto. Conclusión demostró lo mucho que la intervención humana y la búsqueda de una asistencia calificada a las madres en las salas de maternidad han contribuido significativamente a la calidad de estas acciones.

Objective to describe the care provided to women during labor and delivery in their perception. Methods study with qualitative approach, developed in a hospital in the northern region of the state of Ceará, with 14 mothers. The analysis explored the content in the light of good care practices during labor and birth, recommended by the National Humanization Policy. Results the mothers' speeches revealed the need to make the environment more welcoming and the care more humanized during childbirth, contemplating listening to their problems and their concerns; satisfaction with the use of non-pharmacological methods used for pain relief and with the care given during labor. Conclusion it was revealed how much human involvement and the search for a qualified assistance to mothers in maternity wards have contributed significantly to the quality of these actions.