Resultados perinatais em grávidas com mais de 35 anos: estudo controlado

Andrade, Priscilla Chamelete; Linhares, José Juvenal; Martinelli, Silvio; Antonini, Marcelo; Lippi, Umberto Gazi; Baracat, Fausto Farah

doi:10.1590/s0100-72032004000900004

Cited by 29 publications

(53 citation statements)

References 22 publications

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“…However, the data available in the literature are controversial. Whereas research indicates greater adherence to prenatal care among women aged 40 years or more, owing to the higher prevalence of maternal and fetal complications 11,12 , especially preeclampsia, gestational diabetes, miscarriage, chromosomal abnormalities, maternal mortality, intrapartum meconium, low birth weight, fetal growth restriction, and macrosomia 11,12 , other studies suggest that pregnant women in older ages tend to perform less than seven prenatal visits because they are multiparous, they became pregnant long after the last pregnancy, and they also justify not attending prenatal visits owing to the existence of priority events 13 . The level of education was another factor significantly associated with the occurrence of seven or more prenatal visits.…”

Section: Discussionmentioning

confidence: 99%

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Anjos

Boing

2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To investigate factors associated with seven or more prenatal visits, in Brazil, in 2013. Methods: Cross-sectional study from the database of Information System on Live Births. The association of explanatory variables was tested with prenatal visits by means of the analysis of single and multiple multinomial regressions. The spatial distribution of prenatal visits according to the Brazilian municipalities was also analyzed. Results: It was found that 2.7% of pregnant women attended no prenatal visit and 63.1% attended 7 or more. The chance to attend 7 or more prenatal visits was higher among pregnant women aged 40 years or more, with 12 years or more of schooling, living with a roommate, living in the South and Southeast regions, who had a triplet or more pregnancy, with gestational age of 42 weeks or more, and who had children with normal birth weight. Significant regional disparities were identified in the prevalence of women with seven or more prenatal visits. Conclusion: Although Brazil has a Unified Health System that provides universal prenatal care, the use of this service is uneven according to geographic, demographic, and socioeconomic characteristics. Keywords 836Rev BRas epidemiol oUT-deZ 2016; 19(4): 835-850 INTRODUCTIONAccess to prenatal care is associated with better health outcomes for pregnant women and newborns. This care is essential to prevent and/or early detect maternal and fetal pathologies, promoting the healthy development of the baby and reducing the risk to the pregnant women 1 . By monitoring the pregnancy since the first quarter there is greater possibility of the mother undergo laboratory tests, reducing maternal and child morbidity and mortality. Consequently, the results are better intrauterine growth, higher birth weight, fewer occurrences of prematurity and neonatal mortality, and, for the mother, lower rate of complications during pregnancy and at delivery 1 . Studies show that the higher the number of prenatal visits, the lower the neonatal 2 and maternal 3,4 mortality rates, the prevalence of prematurity 3 , the low birth weight 5,6 , and the hypertension during pregnancy 3,4 . In this scenario, the anti-tetanus vaccination coverage 7 and supplementation with ferrous sulfate 7 are also greater. Owing to these benefits indicated by the literature and in order to improve access, coverage, and quality of prenatal care in Brazil, the Ministry of Health launched, in 2000, the Program of Humanization in Prenatal and Birth (PHPN). Among other guidelines, the document recommends that pregnant women attend at least six prenatal visits during pregnancy: one in the first quarter, two in the second, and three in the third 1 . Studies that analyzed the factors associated with low number of prenatal care visits found that this negative outcome is more common among women with low education 8 , pregnant adolescents 2,8 , with high parity 6,8 , and living without a partner 6 . However, in Brazil, RESUMO: Objetivo: Investigar os fatores associados à realização de sete ou ma...

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Section: Discussionmentioning

confidence: 99%

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Anjos

Boing

2016

Rev. bras. epidemiol.

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“…These observations are consistent with authors who argue that the pregnancy should be delayed for 18-24 months for the stabilization of graft function, of the maintenance dose of immunosuppressive therapy and complete recovery after surgery (MILHEIRAS et al, 2005, MCKAY;JOSEPHSON, 2005;KDIGO, 2009). Considering only the patient's age (41 years) the obstetric risk was already greater than usual because of the possibility of fetal malformation, gestational diabetes, and preeclampsia, in addition to increased fetal mortality and morbidity (CECATTI et al, 1998;AZEVEDO et al, 2002;ANDRADE et al, 2004). But fortunately this fact did not change the pregnancy course in this patient.…”

Section: Discussionmentioning

confidence: 78%

Pregnancy after kidney transplantation: when is the best time?

Zimmermmann

Sanders-Pinheiro

Camargo

et al. 2012

Acta Sci. Health Sci.

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ABSTRACT. The authors report a case of a patient underwent kidney transplantation that went through an unplanned pregnancy, at 41 years old, as well as the implications for both mother and fetus.Keywords: Transplantation, Pregnancy, Prenatal care. Gravidez após transplante renal: qual o momento ideal?RESUMO. Os autores relatam o caso de uma paciente submetida à transplante renal que evoluiu com uma gravidez não planejada, aos 41 anos de idade, bem como suas implicações para o binômio mãe e feto.Palavras-chave: Transplante, Gravidez, Cuidado pré-natal.

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“…These results were similar to the findings from a study in São Luiz do Maranhão, Brazil, in which women in this age group showed a four times higher risk of preeclampsia and nine times higher fore premature membrane rupture. 23 In addition, in this study, it was demonstrated that worsened clinical conditions were proportionately more frequent among pregnant women of advanced age and that, therefore, they were attended in the hospital environment, a fact that can bring about higher demands for surgical interruption of pregnancy.…”

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confidence: 70%

Programa "Casa das Gestantes": perfil das usuárias e resultados da assistência à saúde materna e perinatal

Pimenta

Nazareth²,

Souza³

et al. 2012

Texto contexto - enferm.

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This is a cross-sectional, descriptive and exploratory study, which was aimed at characterizing the profile and results of health care delivery to 820 users of the "House of the Pregnant Women" at a philanthropic maternity in Belo Horizonte, Minas Gerais, Brazil, admitted from March 2008 till December 2009. Statistical analysis was based on absolute and relative frequencies. The most common obstetric diagnoses on admission were related to preterm labor and blood pressure. Most pregnant women were discharged (44.1%) or gave birth at the maternity after the stabilization of their clinical condition (45.5%); in 10.2% of cases, the clinical condition worsened and the women returned to the hospital. Among newborns, 2.8% had Apgar <7 at 5 minutes, and the frequencies of stillbirths and neonatal deaths were, respectively, 2.6% and 3.5%. Health care delivery at the "House of the Pregnant Women" promotes improvements in patients' clinical conditions and potentially prevents factors that contribute to increase maternal and perinatal mortality rates. DESCRIPTORS:Pregnancy. Pregnancy, high-risk. Delivery of health care. Nursing. PROGRAMA "CASA DAS GESTANTES": PERFIL DAS USUÁRIAS E RESULTADOS DA ASSISTÊNCIA À SAÚDE MATERNA E PERINATALRESUMO: Estudo transversal, descritivo-exploratório, cujo objetivo foi caracterizar o perfil e os resultados da assistência prestada a 820 usuárias da "Casa das Gestantes" de uma maternidade filantrópica de Belo Horizonte, Minas Gerais, Brasil, entre março/2008 e dezembro/2009. A análise estatística baseou-se na apresentação de frequências absolutas e relativas das variáveis. Os diagnósticos obstétricos mais frequentes à internação foram relacionados ao trabalho de parto prematuro e à pressão arterial. A maioria das gestantes recebeu alta (44,1%) ou teve parto na maternidade após a estabilização do quadro clínico (45,5%); 10,2% tiveram seu quadro clínico agravado e retornaram ao hospital. Dos recém-nascidos, 2,8% tiveram Apgar no 5º minuto <7 e as frequências de natimortos e de óbitos neonatais foram, respectivamente, 2,6% e 3,5%. A assistência prestada na "Casa das Gestantes" promove melhoria clínica do quadro de internação e, potencialmente, previne fatores que colaboram para o aumento dos índices de mortalidade materna e perinatal. DESCRITORES:Gravidez. Gravidez de alto risco. Assistência à saúde. Enfermagem.

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Resultados perinatais em grávidas com mais de 35 anos: estudo controlado

Cited by 29 publications

References 22 publications

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Pregnancy after kidney transplantation: when is the best time?

Programa "Casa das Gestantes": perfil das usuárias e resultados da assistência à saúde materna e perinatal

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