Impacto do monitoramento telefônico de gestantes na prevalência da prematuridade e análise dos fatores de risco associados em Piracicaba, São Paulo, Brasil

Tuon, Rogério Antônio; Ambrosano, Gláucia María Bovi; Silva, Sandra Maria Cunha Vidal e; Pereira, Antônio Carlos

doi:10.1590/0102-311x00107014

Cited by 9 publications

(10 citation statements)

References 37 publications

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“…Tobacco use during pregnancy can lead to placental malformation and increase the chances of both prematurity and low birth weight. 8,26 Factors such as inadequate pre-gestational BMI, malnutrition in adolescents in the 12-16 years old age group and overweight in pregnant women in the 17-19 years old age group can also contribute to negative outcomes in babies. On the other hand, adolescents presenting adequate pre-gestational weight demonstrate better neonatal outcomes, such as adequate birth weight (p=0.018), as observed in a research carried out at a public maternity hospital in Rio de Janeiro, with 542 puerperal adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Brazil, similar to other countries, also registers high probability of premature childbirth, low birth weight , and maternal and neonatal mortality in adolescent mothers. 7,8 The chance to have other complications during pregnancy, such as urinary infections, abortion, pre-eclampsia, pregnancy-associated hypertensive disease and premature rupture of the membranes are also high. [9][10][11] Studies have corroborated that womenin the 16years old age group, or older, have obstetric behavior similar to adult women; therefore, they have less unfavorable neonatal and maternal outcomes than the young ones.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy in adolescence in Brazil: associated factors with maternal age

Assis

Martinelli

Silva

et al. 2021

Rev. Bras. Saude Mater. Infant.

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Objectives: describing maternal characteristics, risk behavior, obstetric data, prenatal care and childbirth in adolescent mothers in Brazil (age groups: 12-16 years and 17-19 years). Methods: hospital-based cross-sectional study substantiated by Nascer no Brasil”, (Born in Brazil) data. The study encompassed puerperal adolescent mothers from all regions in the country, and their newborns. Chi-square test was used to compare adolescents in the 12-16 years old age group and those in the 17-19 years old age group. Results: pregnant women in the 12-16 years old age group mostly lived in the Northeast of Brazil (p=0.014); most of them did not have a partner (p<0.001), unplanned pregnancy (p<0.001), they had inadequate schooling for their age (p=0.033), had less than six prenatal consultations (p=0.021), were subjected to episiotomy (p=0.042) and accounted for the largest number of premature babies (p=0.014). Conclusions: puerperal women in the 12-16 years old age group presented vulnerability in their socioeconomic conditions, inadequate assistance at the prenatal and childbirth care, as well as their babies showed neonatal complications that pointed towards these adolescent mothers’ need of multidisciplinary care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pregnancy in adolescence in Brazil: associated factors with maternal age

Assis

Martinelli

Silva

et al. 2021

Rev. Bras. Saude Mater. Infant.

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“…It is the main cause of neonatal morbidity and mortality (25)(26) , and a major challenge for public health. In a recent study, adolescents, tobacco users, those with a diagnosis of diabetes or hypertension, multiple pregnancies, a history of gestational diabetes, fetal anomaly and miscarriages were associated with a higher incidence of prematurity (27) . In Porto Alegre, low birth weight (< 2,500 grams), inadequate prenatal care, 5-minute Apgar between 0 and 3, Cesarean delivery, multiple pregnancies, mothers below the age of 19 or above 34, and inadequate maternal education were also associated with prematurity (28) .…”

Section: Discussionmentioning

confidence: 91%

High risk pregnancies and factors associated with neonatal death

Demitto

Gravena

Dell’Agnolo

et al. 2017

Rev. esc. enferm. USP

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Objective:To identify the factors associated with intra-hospital neonatal mortality based on the individual characteristics of at-risk pregnant mothers, delivery and newborns. Method: This was a cross-sectional epidemiological study of live newborns delivered by women attended at the high-risk outpatient unit of a philanthropic hospital in Maringá, Paraná, Brazil between September 2012 and September 2013. Results: Six hundred and eighty-eight women participated in the study. The neonatal mortality coefficient found was 17.7/1,000 live births, most in the early neonatal phase. Premature labor, fetal malformation and multiple gestations were associated with neonatal death. Premature, very low birth weight newborns and those with an Apgar score of less than seven, five minutes after birth were at high risk of death. Conclusion: Identifying risk factors can help plan actions to consolidate the perinatal network. Specific programs should be incentivized in other countries, in the search for significant perinatal results such as reducing neonatal mortality. . If we break down infant mortality by age, worldwide, neonatal (0 to 27 days) deaths account for 44% of all deaths among children under the age of five (3) . In Brazil this component is even larger, and can be as high as 70% in all regions (2) , with 11.2 deaths per thousand live births between 2011 and 2012 (4) . In the state of Paraná, neonatal deaths dropped from 2,426 in 1996 to 1,279 in 2014 (94.8% less). However, in spite of all the progress made, 71.8% of infant deaths in 2014 were in the neonatal period (5) . According to the Report on Levels and Trends in Infant Mortality (Relatório de Níveis e Tendência em Mortalidade Infantil), the main goal is to reduce mortality in the neonatal period, which is where most infant deaths occur (1) . To reduce maternal and infant mortality, and the high percentage of avoidable deaths, in 2012 a public policy for prenatal care and for the care of newborns at risk was created in Paraná. It focuses on early detection of pregnant women at risk, their prenatal care, risk stratification of mothers and infants, specialized ambulatory care for pregnant women and infants (under the age of one) at risk, and ensured delivery via a system that is linked to the hospital (6) . Numerous studies have attempted to analyze the causes of neonatal deaths. Studies show a strong link between neonatal deaths and maternal and infant life conditions and health, economic situation, and access to healthcare, and to biological conditions such as gestational age, weight at birth and Apgar index (7) . We also call attention to the risk in the current and previous pregnancy (prior stillbirth, premature or low birth weight infants), the movement of the pregnant woman to delivery and women giving birth to low-weight babies (< 1,500 grams) in hospitals not equipped with a Neonatal Intensive Care Unit (NICU) (4) . Studies show that among newborns in NICU, Cesarean birth, failure to use steroids, pre-eclampsia, oligohydramnios, <2,500 grams ...

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“…No tocante à frequência de consultas pré-natais, observa-se que 100% das mães que compareceram a sete ou mais consultas apresentaram parto pré-termo, o que destoa dos achados da literatura. Em estudo realizado com dados de nascimentos dos anos de 2010 a 2012 no município de Piracicaba/SP, observou-se que gestantes com maiores números de consultas pré-natais apresentaram menor incidência de trabalho de parto prematuro comparadas às gestantes com menor número de consultas [14]. Corroborando ainda, outro estudo realizado em 2015 na Bahia, evidenciou que gestantes que realizaram menos de seis consultas pré-natais apresentaram chance 2,94 vezes maior de ter um filho prematuro e com baixo peso ao nascer [15].…”

Section: Discussionunclassified

Associação dos fatores sociodemográficos e patológicos com os resultados perinatais de gestantes adolescentes no sul do Brasil

et al. 2020

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Objetivou-se analisar a associação dos fatores sociodemográficos e patológicos com os resultados perinatais em gestantes adolescentes entre 12 a 18 anos, classificadas como alto risco e acompanhadas por um serviço especializado. Trata-se de um estudo exploratório, descritivo de abordagem quantitativa. Foram analisados 920 prontuários de gestantes de alto risco, no período de setembro de 2012 a setembro de 2013. Os dados foram submetidos aos testes qui-quadrado (x²) e teste exato de Fisher. Do total, 6,7% eram gestantes adolescentes, das quais 5,2% foram selecionadas para esse estudo por realizarem o parto no hospital referência. A média de idade foi de 16,7anos e em relação ao número de gestações 18,8% adolescentes já estavam na segunda gestação, predominou-se o parto normal com 52,1%. Em relação às condições de riscos, nas condições clínicas pré-existentes, destaca-se a prevalência de hipertensão arterial (8,3%) e dependência de drogas lícitas (8,3%), nos antecedentes obstétricos o parto prematuro apresentou prevalência de 8,3%. Já nas intercorrências na atual gestação, destacou-se a malformação fetal (16,7%), seguido do trabalho de parto prematuro (12,5%). Quando analisado o desfecho perinatal das adolescentes, aquelas que apresentaram condições clínicas pré-existentes obtiveram associação estatística significativa para baixo peso ano nascer (p=0,03), intercorrência clínica na atual gestação apresentaram associação com o parto pré-termo (p=0,04) e baixo peso ao nascer (p=0,001). Conclui-se que a gestação na adolescência se relaciona com os riscos maternos tendo como consequência as complicações neonatais, destacando o parto pré-termo e o baixo peso ao nascer.

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Impacto do monitoramento telefônico de gestantes na prevalência da prematuridade e análise dos fatores de risco associados em Piracicaba, São Paulo, Brasil

Cited by 9 publications

References 37 publications

Pregnancy in adolescence in Brazil: associated factors with maternal age

Pregnancy in adolescence in Brazil: associated factors with maternal age

High risk pregnancies and factors associated with neonatal death

Associação dos fatores sociodemográficos e patológicos com os resultados perinatais de gestantes adolescentes no sul do Brasil

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