Factors associated with Specific Hypertensive Gestation Syndrome (SHGS) in postpartum adolescent and young adult mothers in the Northeast of Brazil: a multiple analysis of hierarchical models

Bacelar, Eloisa Barreto; Costa, Maria Conceição Oliveira; Gama, Silvana Granado Nogueira da; Amaral, Magali Teresópolis Reis; Almeida, André Henrique do Vale de

doi:10.1590/1806-93042017000400004

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…7 Vale destacar que na vigência de gestação de alto risco e quando a resolução do parto ocorre antes do previsto, a mãe desconstrói o ideal de maternidade e passa a conviver com a realidade de um filho que inspira cuidados e tem risco de morrer. 15 Dessa forma, a necessidade de um acompanhamento mais eficiente do ganho de peso durante a gestação e atendimento nutricional não apenas para as gestantes com baixo peso, mas para todas, contribuindo para evitar déficit ou excesso ponderal ao final da gravidez, reduzindo-se ao mínimo os riscos obstétricos e de obesidade pósparto. 16 Estudos epidemiológicos indicam que a inadequação do estado nutricional materno gestacional constitui um problema de Saúde Pública, por favorecer o aparecimento de intercorrências na gravidez, como diabetes e PE, influenciando as condições de saúde maternas e fetais.…”

Section: Introductionunclassified

Perfil antropométrico de gestantes internadas com diagnóstico de pré-eclâmpsia grave

Júnior

Lima

et al. 2019

J. nurs. health.

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Objetivo: descrever o perfil sociodemográfico e antropométrico de gestantes internadas com diagnóstico de pré-eclâmpsia grave em maternidade de referência. Métodos: estudo descritivo e transversal, realizado em Teresina – Piauí, com 114 prontuários de gestantes internadas com diagnóstico de pré-eclâmpsia grave. Resultados: as gestantes com baixo peso possuem idade entre 19 a 25 anos, são solteiras e escolaridade até o ensino fundamental. Mulheres com índice de massa corporal adequado têm entre 12 a 19 anos de idade, são majoritariamente casadas e com renda familiar de um a três salários mínimos. E as obesas estão na faixa etária de 33 a 39 anos, sendo predominantemente casadas, com grau de instrução até o ensino fundamental e renda de um salário mínimo. Conclusão: a descrição do perfil antropométrico é relevante para que os profissionais de saúde realizem o planejamento da assistência integral, a fim de reduzir os agravos decorrentes de síndromes hipertensivas.

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Section: Introductionunclassified

Perfil antropométrico de gestantes internadas com diagnóstico de pré-eclâmpsia grave

Júnior

Lima

et al. 2019

J. nurs. health.

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“…Um estudo transversal, parte da Pesquisa Nacional sobre o Parto e Nascimento intitulado "Nascer no Brasil", foi realizado com puérperas adolescentes e adultas jovens atendidas nas maternidades da Região Nordeste, totalizando 2960 mulheres. A prevalência dos DHG foi de 5%; destas, 98% apresentaram hipertensão arterial crônica, pré-eclâmpsia e síndrome de HELLP (BACELAR et al, 2017).…”

Section: Epidemiologia Dos Dhg E Complicações Maternas E Neonataisunclassified

“…Three levels of determinants were defined: Distal (variables of socioeconomic and demographic characteristics), Intermediate (lifestyle, reproductive and prenatal care information) and proximal (morbidities in pregnancy) (Victora et al, 1997;Bacelar et al, 2017). Initially, the selection of independent variables considered association with HDP according to p-value <0.20 or due to their significance in the literature, adopting the multiple adjustments by the level of proximity to the outcome, inserting first those of the distal level (maternal age, maternal schooling, Bolsa Família conditional cash transfer program, wealth index), followed by the intermediate (primigravidae, abortion history, planned pregnancy, pre-pregnancy BMI, prenatal care visits, initiation of prenatal care in the first trimester of pregnancy, and gestational weight gain), and proximal level (chronic hypertension, diabetes during pregnancy, and malaria diagnosis in pregnancy).…”

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confidence: 99%

Gestantes em Cruzeiro do Sul, Acre: características demográficas e socioeconômicas, ocorrência e fatores associados aos distúrbios hipertensivos na gravidez

Damasceno¹

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Introduction:Pregnancy is a period of several physiological, anatomical, psychological and social changes in a woman's life. Pregnant women and their babies need specific care.Adequate health care during the gestational period is essential for the prevention or reduction of maternal and child health problems. Objective: a) To identify the available evidence on the role of nursing in assisting pregnant women with hypertensive syndromes during pregnancy (Article 1); b) To analyze the agreement between data on pregestational weight, gestational weight gain, height, and systolic (SBP) and diastolic (DBP) blood pressure data recorded both in the prenatal care card and in the information obtained in the MINA-Brazil study (Article 2); c) To investigate the occurrence and factors associated with hypertensive disorders in pregnancy (HDP) and neonatal complications in women living in the Brazilian Western Amazon (Article 3); d) To investigate the socioeconomic and obstetric characteristics of adolescent parturients and their complications on maternal and neonatal health among participants of the MINA-Brasil birth cohort in the municipality of Cruzeiro do Sul, Acre ( Article 4). Methods: Baseline data from the MINA-Brazil cohort study were analyzed. Between February 2015 and May 2016, pregnant women enrolled in prenatal care in the urban area were screened and two evaluations were performed: 1st evaluation in the second trimester and the 2nd evaluation in the third trimester of pregnancy. Information on socioeconomic and demographic conditions, health and lifestyle history, and anthropometric measurements were obtained by the research team. Subsequently, between July 2015 and June 2016, a daily record of admissions for childbirth was carried out in the only maternity hospital in the municipality, starting the population-based birth cohort of the MINA-Brazil study.First, an integrative literature review was performed (Article 1), following data analyzes of agreement between anthropometric and blood pressure measurements recorded in the prenatal care card and measured by the MINA-Brazil study team (Article 2). Multiple Poisson regression models with robust variance were also used to assess factors associated with hypertensive disorders at childbirth (Article 3), and factors associated with adolescent parturients (Article 4). The level of statistical significance adopted was p <0.05. Results: In Article 1, overall 13 studies were selected for analysis, divided into 3 categories: 1. Nursing professionals' knowledge about hypertensive syndromes during pregnancy; 2. Nursing care for pregnant women with hypertensive syndromes during pregnancy and their newborns; 3. The systematization of nursing care in the care of hypertensive syndromes during pregnancy. In Article 2, data from 428 pregnant women were analyzed. There was moderate agreement between the information for self-reported pre-pregnancy weight (0.935) and height (0.913), and substantial agreement for the pregnant woman's weight in the second (0.993) and third (0.988) trim...

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Hypertensive disorders of pregnancy in Western Brazilian Amazon: Associated factors and neonatal outcomes

Damasceno,

Matijasevich,

Mosquera

et al. 2023

American J Hum Biol

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ObjectiveHypertensive disorders of pregnancy (HDP) are responsible for several maternal and fetal complications. This study investigated the occurrence of HDP, associated factors, and neonatal complications in women living in the Western Brazilian Amazon.MethodsThis is a population‐based cross‐sectional study with 1521 mother–child pairs enrolled in the Maternal and Child Health and Nutrition in Acre birth cohort (MINA‐Brazil study). All parturients with HDP (registered in the medical records) were identified. Crude and adjusted prevalence ratios were calculated in Poisson regression models with robust variance.ResultsThe prevalence of HDP was 11.0% (95% CI: 9.5–12.7). Factors associated with the prevalence of HDP were maternal age ≥ 35 years (PR: 1.9; 95% CI: 1.3–3.0), primigravida status (PR: 2.0; 95% CI: 1.5–2.7), pre‐pregnancy obesity (PR: 2.7; 95% CI: 1.9–4.0), higher gestational weight gain (highest quartile RP: 2.5; 95% CI: 1.6–3.8), chronic hypertension (RP: 3.6; 95% CI: 2.7–4.9), and diabetes in pregnancy (RP: 1.9; 95% CI: 1.1–3.2). HDP was associated with risk for caesarean delivery (PR: 1.8; 95% CI: 1.6–2.0) and prematurity (PR: 2.0; 95% CI: 1.3–3.2). Gestational malaria was not associated with HDP in Amazonian pregnant women.ConclusionsEvaluating risk factors before pregnancy and during the prenatal period is essential for reducing adverse maternal and neonatal outcomes.

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Factors associated with Specific Hypertensive Gestation Syndrome (SHGS) in postpartum adolescent and young adult mothers in the Northeast of Brazil: a multiple analysis of hierarchical models

Abstract: Objectives: to analyze possible associations between Specific Hypertensive Gestation Syndrome (SHGS) and socio-demographic, prenatal, and

Cited by 5 publications

References 15 publications

Perfil antropométrico de gestantes internadas com diagnóstico de pré-eclâmpsia grave

Perfil antropométrico de gestantes internadas com diagnóstico de pré-eclâmpsia grave

Gestantes em Cruzeiro do Sul, Acre: características demográficas e socioeconômicas, ocorrência e fatores associados aos distúrbios hipertensivos na gravidez

Hypertensive disorders of pregnancy in Western Brazilian Amazon: Associated factors and neonatal outcomes

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