Introdução: A assistência pré-natal (PN) é um dos pilares do cuidado à saúde materno-infantil, cuja relevância para a redução da morbimortalidade dessa população já se encontra estabelecida. A ausência ou inadequação da assistência durante o período PN pode trazer graves consequências para a saúde da mãe e do feto. Segundo a Organização Mundial da Saúde, calcula-se que, em 2015, 303 mil mulheres morreram de causas evitáveis inerentes à gravidez, 2,7 milhões de bebês morreram no período neonatal e 2,6 milhões de fetos eram natimortos. No Brasil, entre 1990 e 2015, houve queda na razão de mortalidade materna de 141 para 60 mortes a cada 100 mil vivos. Essa queda ocorreu em virtude de avanços significativos nas políticas de saúde, entre eles a implantação do Sistema Único de Saúde (SUS) e das políticas de saúde materno-fetal associadas a ele. Objetivo: Avaliar a assistência PN prestada a gestantes de baixo risco usuárias do SUS da cidade de Joinville. Métodos: Trata-se de um estudo observacional transversal realizado de março de 2018 a fevereiro de 2019, mediante entrevista e análise do Cartão da Gestante de puérperas maiores de 18 anos, procedentes de Joinville, que realizaram o PN no SUS, sendo excluídas as puérperas desistentes. Avaliou-se a assistência PN por critérios preconizados pelo Programa de Humanização do Pré-Natal e Nascimento. Resultados e conclusão: Foram entrevistadas 683 puérperas. Os critérios com maiores índices de adequação foram acessibilidade (99,6%), início precoce do PN (92,7%) e realização de seis ou mais consultas (87,15). Os critérios que apresentaram as menores taxas de adequação foram o conjunto de orientações (17,7%) e os exames do terceiro e primeiro trimestre (42,5% e 63,5%, respectivamente). Conclui-se que a assistência PN realizada pelo SUS da cidade de Joinville, não obstante a acessibilidade praticamente universal, o início precoce e a prevalência de puérperas com mais de seis consultas, demonstrou declínio acentuado na análise dos indicadores preconizados.
Objective: To evaluate the changes in the venous system during pregnancy and childbirth in pregnant and postpartum women without previous venous disease. Methods: This is an observational, analytical prospective cohort study carried out from May 2021 to October 2021, in pregnant women undergoing caesarean section on their first postoperative day, with duplex mapping being performed to assess the diameter and reflux of the great and small saphenous veins, mean venous flow velocity in the common femoral veins in dorsal decubitus and the comparison of velocities when adopting the left and right lateral decubitus position before caesarean section and on the first postpartum day. Result: 49 pregnant women were evaluated, and an increase in flow velocity was observed when adopting the right and left lateral positions in relation to pre- and post-cesarean section in dorsal decubitus. The mean velocity of venous flow from the common femoral vein increased in the postpartum period, regardless of the decubitus adopted. Conclusion: There was an improvement in flow in the femoral vein with the change from dorsal decubitus to right and left lateral decubitus and after termination of pregnancy.
Objective: Evaluate the influence of isolated and associated prepregnancy obesity and gestational diabetes mellitus (GDM) on adverse perinatal outcomes. Materials and methods: Cross-sectional observational study with women who delivered at a Brazilian Maternity Hospital, between August and December 2020. Data were collected by interview with application form, and medical records. Sample was stratified by body mass index (BMI) and GDM screening in four groups: no obesity (BMI < 30 kg/m 2 ) no GDM -reference; isolated GDM; isolated obesity (BMI ≥ 30 kg/m 2 ); and obesity with GDM. Preeclampsia (PE), cesarean section (CS), large-for-gestational-age (LGA) newborn and admission to neonatal intensive care unit (NICU) were analyzed by odds ratio (OR) adjusted for confounding factors, adopting 95% confidence interval (CI) and P ˂ 0.05 statistically significant.
Assess associations and perinatal adverse outcomes related to macrosomia. An observational, analytical and cross-sectional study was carried out, focusing on adverse perinatal outcomes related to macrosomia, carried out in a Public Maternity Hospital in the south of Brazil, from August to December 2020. The sample consisted of postpartum women, divided into two groups, with and without associated macrosomia. In calculating the adjusted odds ratio (OR), a confidence interval (CI) of 95% was used. Confounding factors adopted were: age, prematurity, previous cesarean sections, smoking, alcoholism and other drugs. Postpartum women who had macrosomic newborns >4000 g (n=119/7.1%) and non-macrosomic <4000 g (n=1551/92.8%). Regarding maternal characteristics, patients with macrosomic newborns had greater weight gain during pregnancy, when compared to pregnant women with non-macrosomic newborns. After calculating the adjusted odds ratio, it was observed that only the significance of excessive weight gain increases the chance of macrosomic newborns with OR 2.0 (95%CI 1.3-2.9).
Introduction: Abnormal pregestational and gestational maternal nutritional status is an undeniable health problem which can result in gestational changes and interfere in fetal and maternal health conditions. Objective: To analyze the influence of pre-pregnancy nutritional status on mother-newborn pair outcomes. Methods: This is an observational, analytical, and cross-sectional study carried out in a public Maternity Hospital in Joinville, SC, Brazil. A total of 1,670 puerperal women were interviewed and classified according to BMI. The outcomes evaluated were: cesarean delivery, Gestational Diabetes Mellitus, Pregnancy-induced Hypertension, small for Gestational age newborns, large for gestational age newborns, premature birth, low weight at birth and admission to the neonatal intensive care unit. Results: Low-weight pregnant women had a higher risk of cesarian delivery. Overweight and obese patients had a greater chance of GDM, with the odds ranging from 1.5 to 7.2 times, and PIH with the odds ranging from 1.7 to 4.6 times. Conclusion: Low-weight pregnant women have a higher chance of cesarian delivery. Meanwhile, overweight and all classes of obesity in pregnancy progressively increase the risk of GDM and PIH.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.