OBJETIVOS: avaliar a prevalência de cegueira noturna entre gestantes adolescentes atendidas em uma maternidade pública do Nordeste brasileiro e verificar sua associação com as variáveis socioeconômicas, nutricionais e obstétricas.
MÉTODOS: estudo prospectivo e descritivo, com 126 gestantes adolescentes, acompanhadas do início ao final da gestação. Utilizaram-se informações sobre cegueira noturna no tempo inicial e final da pesquisa, estado nutricional pré-gestacional e no final da gestação, ganho de peso, anemia, consumo de vitamina A, além de alguns dados socioeconômicos e obstétricos. Para análise estatística, foram utilizados o Teste Exato de Fisher (p<0,05) e software Nutwin.
RESULTADOS: a prevalência de cegueira noturna foi de 20,6%. Embora não tenha havido diferenças estatísticas significativas, observou-se que o agravo foi mais frequente entre as adolescentes menores de 16 anos, que viviam em condições de saneamento inadequada, sem companheiro, com menor escolaridade e renda per capta, idade ginecológica menor que dois anos, primíparas, que tiveram anemia, parto cesáreo e prematuro, com excesso de peso e ganho ponderal acima do recomendado.
CONCLUSÃO: a prevalência encontrada indica elevada vulnerabilidade nutricional e social desse grupo. Investigar a cegueira noturna durante o pré-natal contempla uma importante estratégia para prevenção e controle da deficiência de vitamina A e reduzir suas complicações durante a gestação e perinatais.

Palavras-chave: Deficiência de vitamina A, Cegueira noturna, Gravidez na adolescência

OBJECTIVES: to develop and validate an educational booklet for pregnant women experiencing pelvic girdle pain.
METHODS: this was a methodological development study conducted at the Federal University of São Carlos, Brazil. The educational booklet was developed following a comprehensive literature review and subsequently validated by healthcare professionals and pregnant women. Content and appearance were assessed using the Content Validity Index (threshold: 0.8 or higher) and the percentage of absolute agreement among participants (threshold: 75% or higher).
RESULTS: in the first stage, healthcare professionals rated the material with a mean global content validity of 0.93. In the second stage, pregnant women indicated an 89.2% agreement regarding its clarity, relevance, and usability. The final version, titled "What You Need to Know About Gestational Pelvic Pain", includes an introduction, the definition and location of pain, its relationship with pregnancy, and practical guidance for prevention and self-management.
CONCLUSION: the educational booklet met the acceptability standards established for validation and may contribute to improving prenatal care and self-management of pelvic girdle pain.

Palavras-chave: Pregnancy, Health education, Pelvic girdle pain, Physical therapy, Validation study

OBJECTIVES: to assess the COVID-19 pandemic impact on breastfeeding rates during birth hospitalization in a Baby-Friendly certified perinatal hospital in Portugal.
METHODS: observational retrospective study comparing pre-pandemic (2019) and pandemic (April-December 2020) periods. A total of 900 healthy term mother-newborn dyads in rooming-in were included. Maternal and neonatal variables associated with breastfeeding at discharge were analyzed using chi-square, Student's t-test, and multivariable logistic regression (p<0.05).
RESULTS: breastfeeding rates were higher in the pandemic period (99.3%) than in the pre-pandemic period (97.6%; p=0.031). Exclusive breastfeeding (80.2% vs. 81.6%; p=0.611) and skin-to-skin contact (56.2% vs. 58.0%; p=0.590) did not differ significantly. Exclusive breastfeeding was associated with vaginal delivery (pre-pandemic OR=3.07; 95%CI=1.83-5.13; p<0.001; pandemic OR=2.29; 95%CI=1.39-3.77; p=0.001), weight loss <10% (p<0.001), and absence of phototherapy in the pre-pandemic period (OR=3.38; 95%CI=1.96-7.12; p<0.001). No associations were found with maternal age, parity, sex, or gestational age.
CONCLUSIONS: exclusive breastfeeding rates were not negatively affected by pandemic restrictions. Maintaining Baby-Friendly practices preserved essential breastfeeding support.

Palavras-chave: Breastfeeding, COVID-19 pandemic, Newborn