Aspectos Sociodemográficos E Obstétricos Da Morbidade Materna Grave

Loureiro, Camila Marcelino; Cataño, Claudia Rios; Torricelli, Lailla; Monteiro, Juliana Cristina dos Santos; Gomes-Sponholz, Flávia Azevedo

doi:10.4067/s0717-95532017000200021

Cited by 7 publications

(8 citation statements)

References 16 publications

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“…Aspectos sociodemográficos y obstétricos de la morbilidad materna grave (35) 2017 -Related conditions: complications of pregnancy and compromised oxygen transfer.…”

Section: Title Year Attributes Antecedentsmentioning

confidence: 99%

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

et al. 2020

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Objective: to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy. Method: an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). Result: the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. Conclusion: concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.

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“…Aspectos sociodemográficos y obstétricos de la morbilidad materna grave (35) 2017 -Related conditions: complications of pregnancy and compromised oxygen transfer.…”

Section: Title Year Attributes Antecedentsmentioning

confidence: 99%

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

et al. 2020

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“…The adopted labels were thus Pregnant women with low education level and Economically disadvantaged pregnant women. Low education level and low purchase power, present in 22% of pregnancies, were factors which made pregnant women vulnerable to highrisk pregnancy, which harms, for example, the nutritional state of the pregnant woman and fetus and may have repercussions for the pregnancy outcome (27) .…”

Section: Discussionmentioning

confidence: 99%

“…Four of these were on NANDA-I: Pregnancy complication, Alteration in glucose metabolism, Treatment regimen, and Compromised fetal oxygen transport. All these conditions are emphasized to possibly pose risk for the maternal-fetal dyad and its morbimortality (27) .…”

Section: Discussionmentioning

confidence: 99%

Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

Mendes

Frazão

Lacerda

et al. 2021

Rev. esc. enferm. USP

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Objective: To validate the content of the diagnosis Risk for disturbed maternal-fetal dyad in high-risk pregnant women. Method: Nursing diagnosis content analysis study in which 48 nurses evaluated agreement regarding title, definition, class, and domain of the studied nursing diagnosis, as well as the relevance of its antecedents. The items were considered relevant when the Confidence Interval of the Content Validity Index was 0.8 or higher. When lower, the item was modified or excluded according to the experts’ suggestions. Results: Out of 21 antecedents, 14 were considered relevant. The labels of five elements considered irrelevant were changed, and one item was excluded. The experts did not choose the title and definition proposed by NANDA-I, preferring instead the ones suggested in this study. The experts agreed with the class and domain proposed by the taxonomy. Conclusion: Ten risk factors, four populations at risk, and six associated conditions for this nursing diagnosis were maintained; these may provide a basis for nursing practice. The phase of clinical validation is suggested to be conducted to corroborate this study’s results.

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“…En la morbilidad y mortalidad materna intervienen factores relacionados con edad, antecedentes patológicos, vía del parto. En este estudio las gestantes admitidas a los servicios de hospitalización y UCEO estaban en edades comprendidas entre 14 años y 45 años una media de edad de 28 años; en estudio realizado en un hospital de tercer nivel en Brasil (9) la edad media de las mujeres del estudio era de 28,8 años, con una desviación estándar de 7,81, un mínimo de 15 años y un máximo de 43 años, el 4.8% tenían más de 39 años. En estudio realizado en Beijing encontró la prevalencia de diabetes e hipertensión incrementa con la edad (10) .…”

Section: Discussionunclassified

Signos de vida en la morbilidad de la gestante

Urrea

Torres²,

Ortiz³

2021

Enf Global

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Para la valoración de las gestantes es indispensable incorporar parámetros que permitan la identificación de alteraciones de parte del personal de enfermería y medicina. Esta valoración en la atención de salud no se realiza en todas las instituciones en las cuales consultan las gestantes, llevarlo a cabo permite detectar a tiempo las alteraciones clínicas que incrementan la morbilidad y la mortalidad materna. El estudio determina las alteraciones en gestantes cuando se aplica la Escala de Alerta Temprana en una institución de alta complejidad en Colombia.Método: Investigación observacional descriptiva, en 308 gestantes con más de un día de encontrarse en hospitalización y unidad de cuidados especial obstétrico, recolectando información contenida en las historias clínicas digitales y las evaluaciones realizadas por el personal de salud durante el periodo enero a diciembre del 2017, a través de un formato general de condiciones de salud y la escala de alerta temprana en una institución de alta complejidad.Resultados: La edad de las gestantes se encuentra entre 14 y 45 años. El diagnóstico más frecuente de ingreso fue preclampsia con un 38.2% IC95% (32.62-43.98). La mayor frecuencia de alteraciones está en la tensión arterial sistólica con un 70.1% IC95% (50.75-62.07), tensión diastólica 56.5% IC 95% (50.75-62.07) y alteración respiratoria 28.9% IC (23.97-34.36). Se encontró significancia estadística entre la estancia y los antecedentes patológicos con p<0.03. Los procedimientos de valoración, diagnóstico y registro oportuno por el personal de enfermería y médico son de vital importancia en la detección precoz de la morbilidad materna extrema. For the assessment of pregnant women, it is essential for nursing and medical staff to incorporate parameters to identify alterations in antenatal health status. This health care assessment is not performed by all institutions that provide antenatal care to pregnant women. Performing antenatal health care assessment assists in the early detection of clinical alterations that can increase morbidity and maternal mortality. The study aims to determine the alterations in pregnant women with the application of the Early Warning Scale in a highly complex institution in Colombia.Method: This research is observational, descriptive, and was carried out on 308 pregnant women who were hospitalized or admitted in a Special Obstetric Care Unit (SOCU) for more than one day in a highly complex institution. Data contained in digital medical records were collected and evaluations were carried out by healthcare staff between January 2017 and December 2017, by way of an overall format for health conditions and the Early Warning Scale.Results: The age of pregnant women ranged between 14 and 45 years. The most common diagnosis for admission was preeclampsia with 38.2% CI 95% (32.62–43.98). The highest frequency of alterations was found in systolic blood pressure with 70.1% Confidence Interval (CI) 95% (50.75–62.07), diastolic blood pressure 56.5% CI 95%(50.75–62.07), and respiratory distress 28.9% CI (23.97–34.36). Statistical significance was found between hospital stay and pathological history with p < 0.03. Timely assessment, diagnosis, and registration procedures by nurses and medical staff are of vital importance in the early detection of extreme maternal morbidity.

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Aspectos Sociodemográficos E Obstétricos Da Morbidade Materna Grave

Cited by 7 publications

References 16 publications

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

Signos de vida en la morbilidad de la gestante

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