ABSTRACT
OBJECTIVES: estimate the prevalence and track the risk factors associated with, Maternity blues (MB). METHODS: a transversal study was performed with 113 women, on the tenth day of puerperium. The following instruments were used: Pitt Scale (1968), Stein (1980), Inventory for stressful life events by Holmes & Rahe (1967), and a questionnaire with sociodemographic and obstetric data. RESULTS: the prevalence of MB was 32.7% according to the Stein scale. In the univariated analysis, civil status and tobacco use were associated with MB. Legally married women and nonsmokers showed a risk approximately 4 times lower of experiencing the problem. CONCLUSIONS: MB was very prevalent in this sample. Obstetricians must be aware of this condition which may be associated with postpartum depression.
Subject(s)
Depression, Postpartum/epidemiology , Adolescent , Adult , Brazil , Cross-Sectional Studies , Depression, Postpartum/psychology , Female , Health Surveys , Humans , Life Change Events , Marital Status , Personality Inventory , Risk Factors , Smoking/adverse effects , Smoking/epidemiology , Socioeconomic Factors , Young AdultABSTRACT
A evisceraçåo vaginal de intestino através da vagina é uma entidade rara. Embora a laceraçåo vaginal após trauma sexual seja bem conhecida, a evisceraçåo vaginal por rotura espontânea de enterocele recorrente parece ser uma complicaçåo extremamente rara. A maioria de casos descritos ocorreu em pacientes na pós-menopausa, meses ou anos após uma cirurgia vaginal. Este artigo apresenta o caso de uma doente de 74 anos com evisceraçåo vaginal de intestino delgado, que apresentava multiparidade, atrofia vaginal e cirurgia ginecológica prévia como fatores predisponentes. Rotura espontânea, assim como rotura traumática, fatores etiológicos e tratamento cirúrgico, såo discutidos