Health care to immigrant and Portuguese pregnant women in Portugal

Coutinho, Emília; Silva, Alcione Leite da; Pereira, Carlos; Almeida, Alexandra Isabel; Nelas, Paula; Parreira, Vitória; Amaral, Maria Odete

doi:10.1590/s0080-623420140000800003

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…A higher rate (50% of those women had completed university education) was found in a study from the Centro de Saúde da Região Central do Porto , in Portugal, with immigrant and Portuguese pregnant women. ( 19 )…”

Section: Discussionmentioning

confidence: 99%

“…Índice maior (50% com Ensino Superior completo) foi encontrado em estudo no Centro de Saúde da Região Central do Porto, em Portugal, com gestantes imigrantes e portuguesas. ( 19 )…”

Section: Discussionunclassified

“…( 8 , 14 - 16 ) The most severe situation, however, is when the disease progresses to preeclampsia, eclampsia, or hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, which are high-risk syndromes for maternal life. ( 17 - 19 ) In this way, it is important to investigate which epidemiologic factors contribute to the appearance of HTN in pregnant women.…”

Section: Introductionmentioning

confidence: 99%

“…( 8 , 14 - 16 ) A situação mais grave, no entanto, é quando a doença evolui para pré-eclâmpsia, eclâmpsia ou síndrome hemólise, elevação de enzimas hepáticas e baixa contagem de plaquetas (HELLP), que são síndromes de elevado risco para a vida materna. ( 17 - 19 ) Desta forma é importante pesquisar quais fatores epidemiológicos contribuem para o surgimento da HAS em gestantes.…”

Section: Introductionunclassified

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Epidemiology of artherial hypertension in pregnants

Sousa¹,

Lopes²,

Rocha³

et al. 2019

Einstein (São Paulo)

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Objective To investigate the epidemiological data of hypertension in pregnant women, as well as to identify its possible associated events.Methods Data collection was performed at the high-risk prenatal outpatient clinic and in the maternity ward at a public hospital in the São Paulo city, during the morning and afternoon periods, from October 2015 to July 2016. A questionnaire with 22 questions prepared by the researchers was used. The margin of error was 5% and the confidence level was 95%. For the calculation, the two-proportion equality, Pearson correlation and ANOVA tests were used.Results Among the interviewees, 43% had chronic hypertension, 33.3% presented with up to 20 weeks of gestation, 23.7% presented after the 20th week of gestation, 62.3% were between 18 and 35 years of age, 78.1% had a family history of hypertension, and among those aged 36 to 45 years, 11.4% were in the first gestation, and 26.3% in the second gestation. Considering the associated conditions, diabetes prevailed with 50%; obesity with 22.2%, and the most selected foods for consumption among pregnant women, 47.5% had high energy content (processed/ultraprocessed).Conclusion After an epidemiological analysis of the prevalence of hypertension, pregnant women with chronic hypertension, preexisting hypertension diagnosed during pregnancy, and hypertensive disease of pregnancy were identified. Regarding the possible factors associated with arterial hypertension, higher age, family history of hypertension, preexistence of hypertension, late pregnancies, diabetes, obesity and frequent consumption of processed/ultraprocessed foods were found.

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Section: Discussionmentioning

confidence: 99%

“…Índice maior (50% com Ensino Superior completo) foi encontrado em estudo no Centro de Saúde da Região Central do Porto, em Portugal, com gestantes imigrantes e portuguesas. ( 19 )…”

Section: Discussionunclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Epidemiology of artherial hypertension in pregnants

Sousa¹,

Lopes²,

Rocha³

et al. 2019

Einstein (São Paulo)

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Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal

Doetsch

Almendra

Carrapatoso

et al. 2021

European Journal of Public Health

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Background Migrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics and gynaecology (GYN/OBS) departments on equitable migrant-friendly perinatal healthcare quality and access during the intrapartum and postpartum period at public maternities in Portugal. Methods In this cross-sectional study, two indicators on Healthcare access and Quality of care were developed to compare how adult migrant women who gave birth between April 2017 and March 2019 and GYN/OBS department directors assessed offered care. The one-sample Wilcoxon test was used to compare directors’ with migrants’ assessments and the Kruskal–Wallis one-way analysis of variance to test for country regional differences. A stratified analysis by sex, spoken language, and country of birth tested for potential effect modifiers. Results Migrants rated Healthcare access significantly better (P<0.05), but perceived Quality of care worse (P<0.01) than GYN/OBS department directors. Migrants’ and directors’ perceptions differed significantly according to directors’ gender (P<0.05). Migrants’ and directors’ assessments on Healthcare access (P<0.05) and Quality (P<0.01) changed significantly across regions. Conclusions Migrants’ and directors’ self-perceived appraisal of Healthcare access and Quality of care significantly varied. Identifying these discordances allows to deliver insights into existing barriers in access and provision of care and raises awareness to improve quality assurance, essential to inform practice and policies.

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Health care to immigrant and Portuguese pregnant women in Portugal

Cited by 2 publications

References 5 publications

Epidemiology of artherial hypertension in pregnants

Epidemiology of artherial hypertension in pregnants

Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal

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