Hipóxia perinatal é considerada como uma das condições fetais que pode está relacionada à gemelaridade. Este estudo teve como objetivo quantificar a prevalência de hipóxia perinatal em gemelares.Trata-se de um estudo transversal, utilizando a revisão de prontuários de gemelares nascidos vivos, de janeiro a dezembro de 2013, no Hospital Municipal São Lucas, em Juazeiro do Norte-CE. O número total dos partos gemelares foi de 34 partos dos quais, a hipóxia apresentou um percentual de 50% ou seja, 17 casos. A maior prevalência dos dados maternos foi: 94% das mulheres tinham entre 16 e 35 anos de idade; 65% eram solteiras; 59% tinham o ensino fundamental completo; 94% tiveram entre 1 a 5 gestações; 65% fizeram entre 6 a 10 consultas de pré-natal; 88% tinham menos de 37 semanas de idade gestacional; 32% eram fumantes e 68% não. Os resultados dos dados de RNs foram:65% foram de parto cesário; 76% apresentação cefálica; 41% tiveram menos de 12 horas no tempo de bolsa rota durante o parto; 65% com Apgar acima de 5 no quinto minuto de vida; 34% do sexo masculinos e 47% femininos; 50% tinham menos de 34 semanas de vida e 53% tinham baixo peso ao nascer. Ressalvamos que muitas das causas que contribuíram para a hipóxia em gemelaressão passíveis de serem modificados através de medidas preventivas no serviço de saúde. Para isso é fundamental uma adequada assistência à gestante durante o pré-natal, assim como, uma atenção humanizada ao parto e ao recém-nascido.
The most mental disorders, including depression, involve the children in a way of great influence in their development processes. Similarly, say the researchers, it is imperative to explore the role of prenatal exposure and develop interventions to reduce the long-term negative impact of low socioeconomic status state in childhood on cognitive ability. On this way, parental practices and communication strategies with the child and the adolescent in the understanding of child depression happen thought the analysis of involvement narratives of disease, affective practices, empathic and linked in describing the itineraries of psychic pain and suffering. It is also important to know that there are "prohibited words" in the family and that these words said and prohibited by relatives appears to make the encounter with the brands and the representations that make up the child depression in search of another character, as a way to associate the words the other access codes, and with this to situate pain and psychic sufferings in the return bedding of voices interpretation, especially in the recognition of what transforms life in mental disease possibilities. Because of that, the discourse have been pointed as one of the steps in the treatment of this disease. In the talk it is important to understand the relationship that requires understanding the child, through contact with the dynamics that seek to explain it by words spoken and prohibited in the face of life reality. In this way, in terms of depression, the word heard with ethics and commitment, combined with the medication and its monitoring can be a powerful icon in the treatment of disease.
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