Lábio leporino é a anomalia congênita mais comum da cabeça e pescoço. É o desenvolvimento incompleto do lábio e/ou do palato (céu da boca) visto que eles se desenvolvem separadamente, durante a oitava e a décima segunda semana. A classificação mais utilizada por profissionais é a de Spina baseada no forame incisivo do palato: Grupo I- fissuras pré-forame (lábio e lábio-gengival), Grupo II- fissuras transforame (labiopalatal), Grupo III fissuras pós- forame ( palatal ) e Grupo IV- fissuras raras da face (fissuras faciais). Esse tipo de anomalia ainda não tem as causas bem definidas, provavelmente ocorre por uma combinação de fatores ambientais e genéticos. O objetivo deste estudo foi capacitar os profissionais da saúde sobre a fissura labiopalatinas e suas implicações. Tratou-se de um estudo de revisão integrativa fissura labiopalatinas em busca ativa em banco de dados da scielo, BIREME, Pubmed, para elaboração de um curso de capacitação multiprofissional e um e-book com principais orientações sobre os cuidados ao paciente relacionadas a amamentação, distúrbios de fala, odontológicos, auditivos e as etapas de reabilitação propostas pelos diferentes centros de atendimento e como os pais lidam com esta nova situação.
Background: Gestational Diabetes Mellitus (GDM) is a very prevalent disease and can cause several morbidities for women and their offspring. The literature demonstrates the necessity for a better approach during prenatal assistance to detect and treat the disease. We aimed to evaluate the model and efficacy of GDM screening and diagnosis in a referenced low-risk obstetrical center of the municipality of Assis, Sao Paulo state, Brazil. Moreover, the specific objective was to evaluate the prevalence of GDM. Methods: We conducted a retrospective cross-sectional study of pregnant women, in which 257 prenatal cards and the clinical approaches used for GDM diagnosis and their results. We observed the consecutive patients admitted to the low-risk referenced obstetrical service of the "Santa Casa de Assis-SP" for childbirth from January to August 2021. Results: There were 257 pregnant women, 227 prenatal cards obtained. Of these, 24.6% of the cards were considered incomplete, 25 (9.72%) did not contain the initial fasting plasma glucose information, and 93 (36.18%) did not describe this information in the second to the third trimester. The prevalence of GDM in the population was 14.78%. Conclusion: We observed many pregnant women not screened according to the recommended guidelines and many prenatal cards with incomplete information. According to the screening and diagnosis guidelines, GDM prevalence was underestimated. The lack of prenatal card information and inadequacy of screening and diagnoses were observed in this population.
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