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OBJECTIVES: To investigate the impact of an accompanying person on the basic parameters of perinatal outcome [e.g. length of stages of labour, proportion of Caesarean sections (CS), vaginal surgical delivery, perineal injury, Abgar score, epidural analgesia] were analysed. MATERIAL AND METHODS: A retrospective single-institution study analysed data from 872 deliveries during three periods: March, 2020 ( COVID-19 government restriction on accompanying person), February, 2020 (control 1) and March, 2019 (control 2). RESULTS: In all, 872 deliveries were evaluated. There was no delivery with accompanying person in group 1 and 181 and 254 in groups 2 and 3. Groups were balanced in caesarean section rate. There were more acute CS in the group 1 than in the group 3 (36% vs 25%, p = 0.028), however there were no diferrence when compared with the group 2 (36% vs 33%, p = 0.602). No difference was found in the length of the labour between the groups. There was no difference in Apgar score in 5th or 10th minute either and also in the incidence of perineal tear IIIrd grade. CONCLUSIONS: The absence of accompanying person or father at the delivery does not affect the the basic parameters of perinatal outcome. This finding provides more freedom in the mother's decision about the presence of an accompanying person at the birth. And also may be an argument for reducing the remorse (bad feelings) of fathers who cannot or do not want to be present at birth.

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BACKGROUND: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients' perspective regarding the role and influence of the companion in the consultation process. MATERIALS AND METHODS: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS) software version 18 using the Chi-square test. RESULTS: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90%) and/or emotional support (90%). Immediate relatives had a role in mobility (P = 0.016) and decision making (P = 0.006). Most companions remained passive and did not contribute to the doctor patient relationship (P = 0.058). Male companions were relatively helpful (54% vs. 25%, P = 0.008) in achieving the expectations from the visit. The companion played a supportive role in 62% of the consultations. CONCLUSION: This study signifies a supportive role of companion in a consultation which emphasizes the need of consultation models to include the "companion."

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Este estudo teve por objetivo identificar problemas de saúde percebidos pelo familiar cuidador que participa das atividades de um serviço extra-hospitalar em saúde mental. Optou-se por uma metodologia de caráter qualitativo. Foram entrevistados cinco familiares. As entrevistas tiveram como eixo norteador questões referentes aos problemas de saúde por eles percebidos. Os dados encontrados foram submetidos à análise de conteúdo, privilegiando a análise temática. Assim, emergiram os seguintes temas: assistência à saúde e à família que permitiram compreender a necessidade de inclusão dos familiares no projeto terapêutico, bem como a elaboração de programas de educação em saúde, privilegiando as orientações grupais e, sobretudo, a implantação de visita domiciliária atrelada ao acompanhante terapêutico baseado no referencial da reabilitação psicossocial.

The objective of this study was to identify health problems recognized by the family accompanying person who participates in activities outside the hospital service regarding mental illness. A methodology with qualitative character was opted. Five family members were interviewed. The interviews had as a guiding point, questions regarding health problems perceived by them. Data collected were submitted to content analysis, favoring the thematic analysis. Thus, the following themes emerged: assistance to health and family which allowed to comprehend the need to include family members in the therapeutic project as well as the elaboration of education programs in health, favoring the group orientations and, especially, to schedule the home visit in conjunction with the therapeutic accompanying person based on the referential of the psychosocial rehabilitation.

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