Infecção urinária na gestação e sua correlação com a dor lombar versus intervenções de enfermagem

Abstract

BACKGROUND AND OBJECTIVES:This study aimed at evaluating the prevalence of urinary tract infection (UTI) during pregnancy and its correlation with low back pain, as well as at analyzing prenatal assistance and orientations provided by two nurses during pregnant women assistance. METHOD: This was a transversal, exploratory and descriptive study carried out with 124 pregnant women divided in 2 comparative groups (GI and GII), who received prenatal assistance in different moments by different professionals in a Family Health Unit between June 2009 and June 2010. Data were collected through perinatal records and semi-structured questionnaire. RESULTS: Data analysis has shown that most pregnant women were aged between 20 and 29 years (67%), education has varied from no education (42%) to elementary school (33%). GI had 42% prevalence of UTI and GII 33%. As to genital hygiene habits, it has been observed that 17% of GI patients would not carry out any genital hygiene after vesical and intestinal eliminations and intercourse during pregnancy. In GII, 66% would carry out genital hygiene. Other study data have shown that 100% of GI patients have reported not having attended orientation groups during prenatal assistance versus 100% attendance of GII. As to low back pain, 85% of GI women and 84% of GII women with UTI have referred low back pain, being this association statistically significant. CONCLUSION: The prevalence of UTI during gestation was 42% for GI and 33% for GII. Low back pain was the primary symptom reported by patients with confirmed UTI. There has been progressive spread of health and education knowledge during prenatal assistance provided by the GII professional with possible association with decreased incidence of UTI. This study proposes a topographic low back pain evaluation during patient's history for early UTI diagnosis and its potential association with low back pain; and suggests more emphasis on educational ac-

Incapacidade e fatores associados à lombalgia durante a gravidez

“…A gravidez predispõe a maior incidência de infecção urinária que representa a terceira intercorrência clínica mais comum nesse período, acometendo de 10 a 12% das gestantes. A infecção urinária pode ser responsabilizada por várias complicações da gravidez 23 . E a lombalgia pode ser a única manifestação clínica de uma infecção de trato urinário superior.…”

Tecnologia educacional para a prevenção da infecção urinária nagravidez: estudo descritivo

“…Um grupo um recebeu educação em saúde sobre a infecção urinária e o outro não. Observou-se uma redução significativa na ocorrência dessa infecção no primeiro grupo (12) . Assim, refletindo sobre a importância da educação na promoção à saúde e prevenção de agravos, salienta-se o importante papel do enfermeiro como educador em saúde, ajudando o ser humano na resolução/enfrentamento dos seus problemas; e da utilização da Metodologia da Problematização como estratégia de discussão favorecedora de uma análise crítica da realidade, capaz de motivar o indivíduo a transformá-la.…”

Relevant studies focused on health sciences

“…For Rett MT, et al (2012) obesity, multiparity, multiple gestations, fetal macrossomia, polyhydramnios, flaccidity and weakness of the abdominal musculature, constipation and any other condition that may cause an increase in intra-abdominal pressure are also considered risk factors. In addition, the abdominal muscles have important stabilizing functions, so the weaker they are, the greater the joint instability and consequently the greater the back pain (SANTOS MD, et al, 2016).…”