Name: Dherik Fraga Santos
Type: MSc dissertation
Publication date: 04/12/2018

Namesort descending Role
Franciéle Marabotti Costa Leite Advisor *

Examining board:

Namesort descending Role
Cândida Caniçali Primo Internal Examiner *
Fabio Lucio Tavares External Examiner *
Franciéle Marabotti Costa Leite Advisor *
Paulete Maria Ambrosio Maciel Internal Alternate *
Renata Santos de Souza External Alternate *

Summary: INTRODUCTION: Developing the importance and magnitude of the experience of violence and its impact on health, as well as how much depression negatively affects the health of the mother and baby, or changing the author of this research propitiates to study an association between violence and the signs and symptoms of postpartum depression in a qualified maternity hospital, as elaborated in an information folder on a strategy to combat violence against a woman. This project is in line with the line of research Caring for Nursing in the Human Development Process, and seeks to meet the demand for continuous improvement in the quality of the institution´s assistance. OBJECTIVES: General - To study the implications of the experiences of violence in the postnatal depression signs and symptoms. Specific - To identify the prevalence of postnatal depression signs and symptoms; To assess the association between postnatal depression signs and symptoms and the experience of violence. METHOD: This is a transversal study done with women who have recently given birth hospitalized at the Municipal Maternity of Cariacica, Espirito Santo. Data collection was done by properly trained interviewers, using a form containing demographic, economic, behavioural and clinical characteristics. For the screening of violence perpetrated by an intimate partner the World Health Organization instrument was applied, enabling the identification of psychological, physical and sexual violence. The identification of the study’s endpoint – postnatal depression – was done using the Edinburgh Postnatal Depression Scale. This instrument was validated in Portuguese for the self-evaluation of postnatal depression risk. The data collected was typed in the Excel software, and was later analysed in the Stata 13.0 software, WHERE the bivariate analysis was done with the Chi-square Test, and the multivariate analysis was done with the Poisson Regression with robust variance. RESULTS: 36.7% (IC 95%: 31.6-42.0) of the participants presented postnatal depression signs and symptoms. The women who have had the experience of intimate partner violence throughout their lives had 1.9 times higher prevalence of depression signs and symptoms. Those who experienced violence during their pregnancy presented a raise of 38.0% in this disorder (p=0.037). PRODUCT: An educational and informative folder was prepared and registered, and its content is about the main assistance services for women in a situation of violence; besides this, screening questions for violence against women were added to the maternity’s data collection instrument. CONCLUSION: the data point to a high prevalence of postpartum women with signs and symptoms of postpartum depression and that the experience of violence was associated with higher frequencies of this event. The insertion of tracking questions in the data collection instrument of the maternity nursing process contributes to directing the professional towards the identification and coping with the phenomenon and the promotion of qualified nursing care. The results presented here have the potential to generate impact and be applied at local, regional and national levels, and are expected to contribute to the expansion of debates on the themes.

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