A eclâmpsia é definida pela presença de convulsões generalizadas em gestantes com pré-eclâmpsia, isto é, mulheres que apresentam hipertensão após a 20 a semana de gestação, acompanhada de pelo menos um sinal clínico, laboratorial ou hemodinâmico de hiperatividade endotelial vascular. É uma patologia grave que reflete a qualidade da assistência pré-natal e de maternidades no Brasil. Apontar o perfil epidemiológico das mulheres falecidas por eclâmpsia no Brasil no período de 2009 a 2019. Trata-se de um estudo observacional e descritivo com informações coletadas a partir do banco de dados TabNet-DataSUS, usando o CID-10 "O15-Eclâmpsia", filtrando os resultados sob os critérios de "cor/ raça", "faixa etária", "escolaridade", "estado civil", "região" e período de 2009 a 2019. Foram registrados 1.745 óbitos no tempo estudado, sendo a maioria com idade entre 30 a 34 anos (20,17%), pardas (56,6%) e com escolaridade entre 8-11 anos (32,6%). O perfil delineado segue com 45,3% de solteiras, contra 28,2% de casadas e as 26,5% restantes alocadas entre viuvez, divorciadas e ignorado/ outros. Por fim, entre as 5 regiões do país, o Nordeste lidera números com 718 mortes (41,14%), seguido do Sudeste com 449 (25,7%), e as demais mortes estão distribuídas nas outras regiões. O perfil epidemiológico das mães que falecem por eclâmpsia são mulheres jovens, pardas, solteiras, de média escolaridade e nordestinas.
The intrauterine device (IUD) is a long-acting reversible contraceptive (LARC) option and has a low cost to the health system. It is an excellent cost-effective strategy for contraception. This study aimed to characterize the epidemiological profile of women who had an IUD inserted, in addition to evaluating the degree of pain during insertion, correlating it with age and obstetric variables. This is a retrospective study with women who inserted an IUD in a reference service in Sergipe between November 2018 and February 2021. Information such as age, number of pregnancies, deliveries and abortions before IUD insertion, pathology or reason for IUD indication, pain scale, hysterometry and wire size after insertion was analyzed. The study included 346 women who inserted copper IUDs and 47 who inserted hormonal IUDs. The mean age of patients was 27.1 years and 33.7 years, mean pain was 4.6 and 5.5 and mean hysterometry was 8.29 and 8.55, respectively. It was noticed that more than 60% of women had at least one pregnancy prior to insertion of the device, in both cases. There was no correlation between pain level and age and parity. Most women who inserted IUDs were in the post-adolescent phase. In addition, most had already had at least one previous pregnancy and experienced moderate pain during IUD insertion.
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