Three of those articles that described the pathophysiology and clinical presentation were published by nurses. One of the publications, using Roy's adaptation model, described the nursing process to clients with falciform anemia. Eleven publications (52.0%) were worldwide epidemiological studies. Seven publications (34.0%) described the diagnosis, neonatal screening, and programs for the management of falciform anemia in Brazil. Conclusion: There is a need for further research in the topic by health care professionals, especially by nurses regarding preventive measures, and the management and rehabilitation of patients with falciform anemia. Keywords: Anemia , sickle cell anemia; Sickle cell trait; Neonatal screening. Con relación a los descriptores, tres referencias (14%) son del área de enfermería, describen el cuadro clínico y la fisiopatología, siendo que una de ellas sistematiza la asistencia a la clientela con anemia falciforme bajo el marco teórico de adaptación de Roy; 11 (52%) destacaron estudios epidemiológicos y la distribución mundial; y siete (34%) contemplaron el diagnóstico médico, la clasificación neonatal y los programas dirigidos a la población con anemia falciforme, en Brasil. Conclusión: Los resultados apuntan la necesidad de realizar investigaciones en esa área por profesionales de la salud, principalmente los del área de enfermería, en relación a los cuidados de prevención, promoción y rehabilitación de los pacientes con anemia falciforme.
Objective: To estimate the prevalence of gestational complications and perinatal outcomes in women with and without hemoglobinopathies.Method: This is a cross-sectional study with a quantitative approach, performed from 110 medical records of pregnant women who underwent prenatal, childbirth, postpartum and perinatal care in a gynecology and obstetrics service of the University Hospital at the Federal University of Mato Grosso do Sul, Brazil, between 2010 and2011. Results: Gestational complications in women with and without hemoglobinopathies in the variables: obstetric (preterm labor, preeclampsia, ruptured membranes for more than six hours (17.06 times; 12.19 times; 4.27 times respectively); clinical: urinary tract infection, heart failure, severe anemia (2.97 times; 12.6 times; 9.75 times, respectively), and perinatal: cesarean delivery, neonatal infection; the newborn in the neonatal intensive care unit; fetal death, stillbirth (1.57 times; 39.00 times; 12.19 times; 12.9 times; 9.75 times; respectively) were higher in the presence of hemoglobinopathies. Conclusion:The pregnancy outcomes of women with hemoglobinopathies, perinatal and their newborns showed a higher prevalence of complications than women without this change. Pregnancy Complications and Perinatal Outcomes of Women with Hemoglobinopathies ORIGINAL
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