Perfil De Pacientes Obstétricas Admitidas Na Unidade De Terapia Intensiva De  Um Hospital Público

Silva, Djailma Cinthia Ernesto; Lopes, Laryssa Grazielle Feitosa; Nunes, Marília Gabrielle Santos; Souza, Maria Aparecida Farias de; Moura, Rebeca Nascimento de; Medeiros, Hortência Héllen de Azevedo

doi:10.18471/rbe.v34.35874

Cited by 4 publications

(2 citation statements)

References 5 publications

(6 reference statements)

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“…No Brasil, aproximadamente 92% das mortes maternas são consideradas evitáveis, e ocorrem, principalmente, por causas como hipertensão, hemorragia ou infecções puerperais. A Organização Mundial da Saúde (OMS) considera que essas causas são evitáveis, seja por ações relacionadas ao acompanhamento no pré-natal, ao atendimento durante o parto, ou por ações durante o puerpério (SILVA et al, 2020;MENEZES et al, 2020;SAINTRAIN et al, 2016).…”

Section: C a R A C T E R í S T I C A S D E P A C I E N T E S O B S T ...unclassified

Características de pacientes obstétricas admitidas em Unidade de Terapia Intensiva

Araújo¹,

Saraiva²,

Oliveira³

et al. 2023

Ciências Da Saúde: Atualização De Área - Janeiro E Fevereiro De 2023

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Na assistência à saúde da mulher, é necessária atenção especial durante o ciclo gravídico-puerperal, quando esta pode desenvolver diversas complicações obstétricas e não obstétricas que podem requerer internação em Unidade de Terapia Intensiva (UTI) (FERRACINI et al., 2017). O período gestacional é um fenômeno marcado por alterações sistêmicas e fisiológicas que para a maioria das mulheres se desenvolve sem grandes intercorrências. Entretanto, há gestantes que por condições genéticas ou por situações traumáticas tendem a ter maiores chances de desfechos desfavoráveis, tanto para o feto quanto para a genitora. Os dados indicam que as internações em UTI periparto estão aumentando em frequência com um número notável de mulheres afetadas, que comumente apresentam múltiplas comorbidades, despertando um alerta para o risco de morte materna, ou seja, aquela que ocorre durante a gestação ou dentro de 42 dias após o término, devido a qualquer causa relacionada à gravidez ou por medidas relacionadas a ela (SILVA et al., 2020; FARR et al., 2017; SAINTRAIN et al., 2016). Esse é um grave problema de Saúde Pública, pois evidencia o nível de desenvolvimento de uma população. Cerca de 99% de todas as mortes maternas ocorrem nos países em desenvolvimento. A maioria destes óbitos poderia ser evitada se os sistemas de saúde permitissem o acesso das usuárias a serviços com qualidade. No Brasil, aproximadamente 92% das mortes maternas são consideradas evitáveis, e ocorrem, principalmente, por causas como hipertensão, hemorragia ou infecções puerperais. A Organização Mundial da Saúde (OMS) considera que essas causas são evitáveis, seja por ações relacionadas ao acompanhamento no pré-natal, ao atendimento durante o parto, ou por ações durante o puerpério (SILVA et al., 2020; MENEZES et al., 2020; SAINTRAIN et al., 2016). Segundo Menezes et al., (2020), a falta de investimento em saúde pública e a desigualdade social são fatores que afetam diretamente a saúde das gestantes e puérperas, que dependendo da localização regional, o acesso aos serviços de saúde são baixos ou inexistentes. Assim como as complicações médicas decorrente de um mau acompanhamento durante a gestação, representando um desafio para os médicos na UTI que muitas vezes necessita do envolvimento de uma equipe multidisciplinar (LATAIFEH et al., 2010). Diante disso, o objetivo deste estudo é identificar as características de pacientes obstétricas admitidas em Unidade de Terapia Intensiva.

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Section: C a R A C T E R í S T I C A S D E P A C I E N T E S O B S T ...unclassified

Características de pacientes obstétricas admitidas em Unidade de Terapia Intensiva

Araújo¹,

Saraiva²,

Oliveira³

et al. 2023

Ciências Da Saúde: Atualização De Área - Janeiro E Fevereiro De 2023

View full text Add to dashboard Cite

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“…The rates of marriage ranged from 10.6% [47] in Brazil to 96.4% in Israel [48]. A higher rate of married women treated in the ICU has been described in some studies, and being married (aOR 3.86, 95% CI 1.27, 11.73) was signi cantly associated with SAMM in the ICU in a study from Peru [32].…”

Section: Marital Statusmentioning

confidence: 99%

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Quintanilla

Taft

McDonald

et al. 2023

Preprint

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Background Studying severe acute maternal morbidity in the intensive care unit improves our understanding of potential factors affecting maternal health. Aim To review evidence on maternal exposure to intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit. Methods The protocol for this review was registered in PROSPERO (registration number CRD42016037492). A systematic search was performed in MEDLINE, CINAHL, ProQuest, LILACS and SciELO using the search terms “intensive care unit”, “intensive care”, “critical care” and “critically ill” in combination with “intimate partner violence”, “social determinants of health”, “severe acute maternal morbidity”, pregnancy, postpartum and other similar terms. Eligible studies were i) quantitative, ii) published in English and Spanish, iii) from 2000 to 2021, iv) with data related to intimate partner violence and/or social determinants of health, and v) investigating severe acute maternal morbidity (maternity patients treated in the intensive care unit during pregnancy, childbirth or within 42 days of pregnancy termination). Of 52,866 studies initially identified, 1087 full texts were assessed and 156 studies included. Studies were independently assessed by two reviewers for screening, revision, quality assessment and abstracted data. Studies were categorised into high/middle/low-income countries and summarised data were presented using a narrative description, due to heterogenic data as: i) exposure to intimate partner violence and ii) social determinants of health. Results One study assessed intimate partner violence among mothers with severe acute maternal morbidity in the intensive care unit and found that women exposed to intimate partner violence before and during pregnancy had a nearly four-fold risk of severe acute maternal morbidity requiring ICU admission. Few social determinants of health other than age were reported in most studies. Conclusion This review identified a significant gap in knowledge concerning intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit, which is essential to better understand the complete picture of the maternal morbidity spectrum and reduce maternal mortality.

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Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Ayala Quintanilla,

Taft,

McDonald

et al. 2023

BMC Pregnancy Childbirth

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Background Studying severe acute maternal morbidity in the intensive care unit improves our understanding of potential factors affecting maternal health. Aim To review evidence on maternal exposure to intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit. Methods The protocol for this review was registered in PROSPERO (registration number CRD42016037492). A systematic search was performed in MEDLINE, CINAHL, ProQuest, LILACS and SciELO using the search terms “intensive care unit”, “intensive care”, “critical care” and “critically ill” in combination with “intimate partner violence”, “social determinants of health”, “severe acute maternal morbidity”, pregnancy, postpartum and other similar terms. Eligible studies were (i) quantitative, (ii) published in English and Spanish, (iii) from 2000 to 2021, (iv) with data related to intimate partner violence and/or social determinants of health, and (v) investigating severe acute maternal morbidity (maternity patients treated in the intensive care unit during pregnancy, childbirth or within 42 days of pregnancy termination). Of 52,866 studies initially identified, 1087 full texts were assessed and 156 studies included. Studies were independently assessed by two reviewers for screening, revision, quality assessment and abstracted data. Studies were categorised into high/middle/low-income countries and summarised data were presented using a narrative description, due to heterogenic data as: (i) exposure to intimate partner violence and (ii) social determinants of health. Results One study assessed intimate partner violence among mothers with severe acute maternal morbidity in the intensive care unit and found that women exposed to intimate partner violence before and during pregnancy had a nearly four-fold risk of severe acute maternal morbidity requiring ICU admission. Few social determinants of health other than age were reported in most studies. Conclusion This review identified a significant gap in knowledge concerning intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit, which is essential to better understand the complete picture of the maternal morbidity spectrum and reduce maternal mortality.

show abstract

Perfil De Pacientes Obstétricas Admitidas Na Unidade De Terapia Intensiva De Um Hospital Público

Cited by 4 publications

References 5 publications

Características de pacientes obstétricas admitidas em Unidade de Terapia Intensiva

Características de pacientes obstétricas admitidas em Unidade de Terapia Intensiva

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

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