Gravidez e contracepção na doença falciforme

Zanette, Angela Maria Dias

doi:10.1590/s1516-84842007000300023

Cited by 11 publications

(13 citation statements)

References 11 publications

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“…For that reason, contraception linked to genetic counseling, enables adequate family planning and is an important factor in the health care of women with SCA ( 9) .…”

Section: Discussionmentioning

confidence: 99%

“…Sexuality is an essential characteristic of the human being, present in all stages of life ( 7) despite its assertion during adolescence. In the broad setting where sexuality intersects with SCA, there are other factors to consider such as the clinical emergency of priapism ( 8) , the risk of pregnancy in women with SCA ( 9) and genetic counseling ( 10) .…”

Section: Introductionmentioning

confidence: 99%

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Sexuality and sickle cell anemia

Côbo¹,

Chapadeiro²,

Ribeiro³

et al. 2013

Revista Brasileira De Hematologia E Hemoterapia

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Background Sickle cell disease, the most common hereditary blood disease in the world, is the result of an atypical hemoglobin called S (Hb S) which, when homozygous (Hb SS) is the cause of sickle cell anemia. Changes of puberty, correlated with a delayed growth spurt, begin late in both male and female sickle cell anemia individuals with repercussions on sexuality and reproduction. The objectives of this exploratory and descriptive study were to characterize the development of sexuality in adults with sickle cell anemia by investigating the patient's perception of their sex life, as well as the information they had and needed on this subject. Methods Twenty male and female sickle cell anemia patients treated at the Hemocentro Regional de Uberaba (UFTM) with ages between 19 and 47 years old were enrolled. A socioeconomic questionnaire and a semi-structured interview on sexuality, reproduction and genetic counseling were applied. Results This study shows that the sickle cell anemia patients lacked information on sexuality especially about the risks of pregnancy and the possible inheritance of the disease by their children. Moreover, the sexual life of the patients was impaired due to pain as well as discrimination and negative feelings experienced in close relationships. Conclusion The health care of sickle cell anemia patients should take into account not only the clinical aspects of the disease, but also psychosocial aspects by providing counseling on sexuality, reproduction and genetics, in order to give this population the possibility of a better quality of life.

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“…For that reason, contraception linked to genetic counseling, enables adequate family planning and is an important factor in the health care of women with SCA ( 9) .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexuality and sickle cell anemia

Côbo¹,

Chapadeiro²,

Ribeiro³

et al. 2013

Revista Brasileira De Hematologia E Hemoterapia

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show abstract

“…15 These women have high morbimortality, with increased risk of prematurity, low birth weight, restricted intrauterine growth, and perinatal mortality. 18 The majority of women who got pregnant reported that they did not plan to get pregnant, despite having received counseling about pregnancy risks. This supports the idea that the final decision in using a contraceptive method is complex, and difficult to assess in quantitative studies.…”

Section: Discussionmentioning

confidence: 99%

Profile of Reproductive Issues Associated with Different Sickle Cell Disease Genotypes

Carvalho

Souza

Ferreira

et al. 2017

Rev Bras Ginecol Obstet

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To describe the reproductive variables associated with different sickle cell disease (SCD) genotypes and the influence of contraceptive methods on acute painful episodes among the women with the homozygous hemoglobin S (HbSS) genotype. A cross-sectional study was conducted between September of 2015 and April of 2016 on 158 women afflicted with SCD admitted to a hematology center in the Northeast of Brazil. The reproduction-associated variables of different SCD genotypes were assessed using the analysis of variance (ANOVA) test to compare means, and the Kruskal-Wallis test to compare medians. The association between the contraceptive method and the acute painful episodes was evaluated by the Chi-square test. The mean age of women with SCD was 28.3 years and 86.6% were mixed or of African-American ethnicity. With respect to the genotypes, 134 women (84.8%) had HbSS genotype, 12 women (7.6%) had hemoglobin SC (HbSC) disease genotype, and 12 (7.6%) were identified with hemoglobinopathy S-beta (S-β) thalassemia. The mean age of HbSS diagnosis was lower than that of HbSC disease, the less severe form of SCD ( < 0.001). The mean age of menarche was 14.8 ± 1.8 years for HbSS and 12.7 ± 1.5 years for HbSC ( < 0.001). Among women with HbSS who used progestin-only contraception, 16.6% had more than 4 acute painful episodes per year. There was no statistically significant difference when compared with other contraceptive methods. With respect to reproduction-associated variables, only the age of the menarche showed delay in HbSS when compared with HbSC. The contraceptive method used was not associated with the frequency of acute painful episodes among the HbSS women.

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“…Quando questionadas em relação às orientações educativas em saúde na gestação, 17 das mulheres do presente estudo (60,7%) afirmaram ter recebido informações apenas sobre hipertensão arterial, prática de atividade física e nutrição, destas, oito (28,5%) obtiveram também informação sobre diabetes mellitus e dentre elas apenas duas (7,1%) tiveram informações sobre anemia falciforme, porém, onze mulheres (39,2%) afirmaram não terem recebido nenhuma informação. Na gestação, a doença falciforme -de caráter genético e hereditário que atinge grande parte da população negra (ZANETTE, 2007). -Está associada a um aumento de complicações clínicas materno-fetais, intensificando as crises álgicas, as complicações pulmonares, anemia, pré-eclâmpsia, podendo também prejudicar a evolução da gestação.…”

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Atenção à saúde da mulher negra no ciclo gravídico puerperal: percepções em primeira pessoa

Cardoso

Cockell

2019

Cad. Gên. Tecnol.

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Altas taxas de morte materna por causas evitáveis têm se apresentado entre as mulheres negras e de baixa renda. Não dissociar as variáveis raça/cor/classe social possibilita compreender as disparidades na atenção à saúde. Objetivo: Compreender a percepção de mulheres negras quanto às suas experiências acerca das redes de apoio no ciclo gravídico-puerperal. Materiais e Métodos: Um estudo analítico de natureza qualitativa em que foram elegíveis 28 mulheres negras que responderam a um questionário via Formulário Online do Google composto de questões abertas sobre o tema. Resultados: O apoio às mulheres negras no ciclo gravídico-puerperal mostrou-se ineficiente. Como desdobramento da pesquisa, foi elaborado uma vídeo performance com as narrativas das entrevistadas. Conclusão: A experiência vivida pelas mulheres negras na atenção obstétrica ainda é marcada por violências, invisibilidade e silenciamentos, seja na rede pública ou privada de saúde.

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Gravidez e contracepção na doença falciforme

Cited by 11 publications

References 11 publications

Sexuality and sickle cell anemia

Sexuality and sickle cell anemia

Profile of Reproductive Issues Associated with Different Sickle Cell Disease Genotypes

Atenção à saúde da mulher negra no ciclo gravídico puerperal: percepções em primeira pessoa

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