Background: The aim of prenatal care is to promote good maternal and foetal health and to identify risk factors for adverse pregnancy outcomes in an attempt to promptly manage and solve them. Although high prenatal care attendance is reported in most areas in Brazil, perinatal and neonatal mortalities are disproportionally high, raising doubts about the quality and performance of the care provided. The objective of the present study was to evaluate the adequacy of prenatal care use and the risk factors involved in inadequate prenatal care utilization in the metropolitan area of Aracaju, Northeast Brazil.
Anemia is estimated to affect half the school-age children and adolescents in developing countries. The main causes are parasitic infections, malaria, and low iron intake. This
OBJECTIVE:The objective of this study was to evaluate whether adolescent pregnancy is a risk factor for low birth weight (LBW) babies. METHODS:This was a cross-sectional study of mothers and their newborns from a birth cohort in Aracaju, Northeastern Brazil. Data were collected consecutively from March to July 2005. Information collected included socioeconomic, biological and reproductive aspects of the mothers, using a standardized questionnaire. The impact of early pregnancy on birth weight was evaluated by multiple logistic regression. RESULTS:We studied 4,746 pairs of mothers and their babies. Of these, 20.6% were adolescents (< 20 years of age). Adolescent mothers had worse socioeconomic and reproductive conditions and perinatal outcomes when compared to other age groups. Having no prenatal care and smoking during pregnancy were the risk factors associated with low birth weight. Adolescent pregnancy, when linked to marital status "without partner", was associated with an increased proportion of low birth weight babies. CONCLUSIONS:Adolescence was a risk factor for LBW only for mothers without partners. Smoking during pregnancy and lack of prenatal care were considered to be independent risk factors for LBW.
Resumo O artigo objetiva descrever o planejamento e a construção das Redes de Atenção à Saúde (RAS), por meio da Planificação da Atenção à Saúde (PAS), na Região Leste, Distrito Federal. Trata-se de um relato de experiência sobre a PAS, realizada de 2016 a 2018. As atividades foram desenvolvidas a partir de um conjunto de oficinas teóricas temáticas, de tutorias realizadas na Atenção Primária à Saúde (APS) e na Atenção Ambulatorial Especializada (AAE). Os resultados apontam uma melhor organização da RAS, especificamente para a linha de cuidado das condições crônicas, hipertensão e diabetes. Na APS foram organizados os macroprocessos: territorialização, cadastramento das famílias, estratificação de risco, classificação de riscos familiares, diagnóstico local, atendimento por bloco de horas, eliminando filas, dentre outros. Na AAE foi implantado o Ambulatório de Especialidades com a tecnologia de atenção continua, realizada por equipe multiprofissional para hipertensos e diabéticos de alto e muito risco, estratificados na APS, compartilhando o cuidado. Uma das potencialidades da integração da APS e AAE foi o matriciamento realizado por profissionais da AAE, nas unidades laboratórios. A PAS configurou-se como um importante instrumento de gestão das RAS.
Realizou-se estudo de corte transversal, com o objetivo de identificar, em escolares do ensino médio, informações relativas aos métodos anticoncepcionais. A amostra compreendeu 816 adolescentes de ambos os sexos de escolas públicas de Aracaju, Sergipe. Em relação a essas informações, foram investigados também aspectos demográficos, pedagógicos, comportamentais e reprodutivos. Verificou-se que 59% dos adolescentes possuíam vida sexual ativa e 57,7% afirmaram não receber informações sobre métodos anticoncepcionais nas escolas. As fontes de informações, revistas, livros e jornais, alcançaram o percentual de 28% e o condon masculino (84,5%) foi o método mais conhecido. A análise possibilitou identificar a necessidade de maior discussão na escola e a inserção dos pais nesse processo.
How to cite this article: Nardello DM, Guimarães AMDN, Barreto IDC, Gurgel RQ, Ribeiro ERO, Gois CFL. ABSTRACT Objective: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classifi ed with near miss and the factors associated with this outcome. Method: a cross-sectional study of 79 women identifi ed with near miss and their newborns. The variables were analyzed using Fisher's exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with signifi cance for p <0.05. Results: hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be signifi cant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%). Conclusion: prematurity, neonatal asphyxia, and early respiratory distress were signifi cant characteristics for the outcome among newborns. Descriptors: Pregnancy Complications; Near Miss; Fetal Death; Perinatal Death; Epidemiology. RESUMO Objetivo: identifi car os aspectos epidemiológicos dos óbitos fetais e neonatais precoces em fi lhos de pacientes classifi cadas com near miss e os fatores associados a este desfecho. Método: estudo transversal realizado com 79 mulheres identifi cadas com near miss e seus recém-nascidos. As variáveis foram analisadas utilizando-se o teste Exato de Fisher. Os fatores de risco foram estimados com base nas razões de chances não ajustadas e ajustadas, e por meio de análise de correspondência múltipla, com signifi cância para p < 0,05. Resultados: as desordens hipertensivas totalizaram 40,5%; destas, 58,3% tiveram desfecho fetal e neonatal adverso. Mostraram-se signifi cantes para o desfecho os recém-nascidos admitidos na Unidade Terapia Intensiva Neonatal (70,8%), idade gestacional < 32 semanas (41,6%), peso ao nascer < 2500 (66,7%), asfi xia neonatal (50%) e desconforto respiratório precoce (72,2%). Conclusão: prematuridade, asfi xia neonatal e desconforto respiratório precoce constituíram características signifi cantes para o desfecho entre os recém-nascidos. Descritores: Complicações na Gravidez; Near Miss; Morte Fetal; Morte Perinatal; Epidemiologia. RESUMEN Objetivo: identifi car los aspectos epidemiológicos de los óbitos fetales y neonatales precoces en hijos de pacientes clasifi cados con near miss y los factores asociados a este desenlace. Método: estudio transversal realizado con 79 mujeres identifi cadas con near miss y sus recién nacidos. Las variables fueron analizadas utilizando la prueba Exacta de Fisher. Los factores de riesgo fueron estimados con base en las razones de posibilidades no ajustadas y ajustadas, y por intermedio de análisis de correspondencia múltiple, con signifi cación para p < 0,05. Resultados: los desórdenes hipertensivos totalizaron el 40,5%; de los cuales el 58,3% tuvieron desenlace fetal y neonatal adverso. Se han mostrado signi...
BackgroundThe high frequency of alterations of the stomatognathic system associated with premature birth may suggest that prematurity is an important risk factor in the development of this system. Prematurity has an incidence between 6-11% of births and is associated with factors such as genetic, maternal conditions (obstetric problems, nutritional status, infections) and antenatal care. In addition, undesirable situations, such as changes in enamel and the development of the skeletal structure, also appears to be associated with prematurity. This study aimed to look for changes in the stomatognathic system at five years of age associated with premature birth.MethodsWe estimated the prevalence of developmental disorders of the stomatognathic system in the primary dentition of preschool children at five years of age. Changes in preterm infants (n = 32) compared with term born (n = 381) were evaluated . Clinical examinations and questionnaire with sociodemographic and health of mothers and children information. Gestational age, birth weight, head circumference, Apgar score and mechanical ventilation, were collected from the medical records to birth records. The explanatory variable was preterm (<37 weeks gestational age).ResultsResults: Prevalence of 7.7% of preterm infants was found. Of these, 40.6% had atresic palate, 56.2% malocclusion and 21.8% enamel hypoplasia. Forty (9.6%) children were not breastfed at the breast, and 26 (65.0%) had some type of malocclusion, showing association between not breastfeeding with an abnormal development of the stomatognathic system. The group of preterm infants showed five times more changes in head circumference and three times more mechanical ventilation use at birth. Change in head circumference at birth and mechanical ventilation has a significant association between groups of preterm and term infants.ConclusionsMechanical ventilation at birth directly contributed to an increased risk of developmental disorders of the stomatognathic system in preterm infants, especially dental hypoplasia. Non-breastfed children had a higher risk of developing malocclusion. Alterations in head circumference were related effective on dental malocclusion. The results suggest that changes in the stomatognathic system are influenced by premature birth and points to the imperative need of using methods of preventive.
O diabetes mellitus é uma doença que apresenta alta prevalência e está relacionado às elevadas taxas de morbimortalidade. Com este estudo, objetivou-se avaliar a qualidade de vida relacionada à saúde (QVRS) de pessoas com diabetes mellitus e sua relação com sexo, idade, tempo de diagnóstico do diabetes e prática de atividade física. Trata-se de estudo descritivo, tipo transversal, no qual foi utilizado o SF-36 para avaliar a QVRS. Dentre os 170 participantes, 74, 1% eram mulheres, 52,9% casados e as médias (desvio-padrão) da idade e do tempo de diagnóstico da doença foram, respectivamente, 61,8 anos (11,3) e 15,9 anos (7,9). As médias entre os componentes do SF-36 variaram de 46,2 (Capacidade funcional) a 84,8 (Aspectos sociais). Os homens apresentaram melhor avaliação da QVRS. A prática de atividade física se associou à melhor QVRS. Não se constatou associação entre QVRS, idade, estado civil e anos de diabetes. Concluiu-se que os participantes do estudo apresentaram maior comprometimento nos componentes que avaliam a saúde física.
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