Perfil das patologias prevalentes na gestação de alto risco em uma maternidade escola de Maceió, Alagoas, Brasil

Abstract

Perfil das patologias prevalentes na gestação de alto risco em uma maternidade escola de Maceió, Alagoas, BrasilProfile of pathological conditions prevalent in high-risk pregnancies in a maternity teaching hospital in Maceió, Alagoas state, Brazil Perfil de patologías prevalentes en el embarazo de alto riesgo en una maternidad escuela de Maceió, Alagoas, Brasil AbstractObjectives: To outline the epidemiological profile of pathological conditions which are prevalent in high-risk pregnancies at the Santa Mônica Maternity Teaching Hospital in Maceió, Alagoas state. Methods: A cross-sectional epidemiological retrospective study conducted through the descriptive analysis of medical records of pregnant women at delivery, from January 2006 to November 2010. Records of high-risk pregnant women attending the maternity ward during the study period were included in this research, and the records not correctly filled in or incomplete, regarding prevalent diseases in high-risk pregnancy, were excluded. Sample size calculation was performed using the hypothesis test for a proportion, according to Lwanga and Lemeshow. Data collection was carried out by filling out a form that had been developed for this study, taking information from the medical files. The following variables were analyzed: prevalent diseases in high-risk pregnancy, maternal age, parity, mode of delivery, and gestational age. Results: three hundred and sixteen medical records were analysed. Premature delivery labour was the most prevalent pathology, representing 31.4% (98/312, 95%CI: 26.5-36.8) of the high-risk pregnancies. In relation to maternal age, 72.7% (227/312, 95%CI: 67.5-77.4) of the women were young (<30 years old). Concerning the number of pregnancies, multiparous women accounted for 52.9% (165/312,. With respect to the type of delivery, 59.0% (184/312,3) were caesarean. Regarding the length of gestation, 47.4% (148/312, 95%CI: 42.0-53.0) were premature. Conclusions: The epidemiological profile found consisted of premature delivery labour among young multiparous pregnant women who evolved to preterm caesarean delivery. Fonte de financiamento:declaram não haver.

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

“…30 The bivariate analysis of the present study verified the statistical association of this variable with SGHS, which diverges from the findings of Queiroz et al, 23 in assessing the frequency of hypertensive syndromes in pregnancy and associated factors in the pregnancy region of Southeast Brazil.…”

Perfil das gestantes de alto risco hospitalizadas em uma maternidade: estudo descritivo

“…Hypertension was also identified as one of the main causes of hospitalization of pregnant women, according to a study carried out in a maternity hospital in the south of the country (13) . In another study, the hospitalization of high-risk pregnant women was mainly due to preterm labor and pre-eclampsia/eclampsia (14) , characterized by high blood pressure during pregnancy accompanied by proteinuria or other signs and symptoms such as thrombocytopenia and increased liver enzymes (1) . Hypertension, because it is a chronic disease that is closely related to life behaviors, requires periodic clinical care, which is monitored at the basic level and focuses on health education.…”

<b>Perfil obstétrico de usuárias do Sistema Único de Saúde após implantação da Rede Mãe Paranaense/Obstetric profile of public health system users after implantation of the Network Mother from the State of Paraná-Brazil<b>

“…O grau de escolaridade materno também é considerado fator de risco, já que possui relação direta com adesão às consultas de pré-natal e com a taxa de mortalidade infantil, além de ser um indicador da condição social (2,17) . (18) . Com relação às características reprodutivas, 48,0% estavam na segunda ou terceira gestação, 41,2% eram primigestas e apenas 10,8% eram multigestas de quatro ou mais gestações (Tabela 1).…”