Automedicação em Gestantes de Alto Risco: Foco em Atenção Farmacêutica

Santos, Sandra Larissa Freitas dos; Pessoa, Cinara Vidal; Arraes, Maria Luíza Bezerra de Macedo; Barros, Karla Bruna Nogueira Torres

doi:10.17921/2447-8938.2018v20n1p50-54

Cited by 9 publications

(14 citation statements)

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“…Selfmedication, reported by 12.7% (n=49) of pregnant women is also of concern, despite the value being low compared to other studies with high-risk pregnant women conducted in Brazil, in which the prevalence was around 30%. 24,25 Analgesics were used with or without prescription by most pregnant women (63.2 %), which is justified by the positional, pelvic, and musculoskeletal pain of pregnancy. Due to its relative safety, acetaminophen is the first line in the treatment of pain and fever throughout the gestational period, which is reflected in the high prevalence of use found in this study (58 %).…”

Section: Variablesmentioning

confidence: 99%

High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors

Nagai

Zanetti

Lemos

et al. 2022

Rev. Bras. Saude Mater. Infant.

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Objectives: describe the profile of medication use and adherence, and the association with clinical and sociodemographic characteristics of high-risk pregnant women attended at a university hospital. Methods: cross-sectional study with data collected through a questionnaire applied on 386 pregnant women. Results: most participants were seen only by the gynecologist (75.1%), started prenatal in the first gestational trimester (86.8%), did not plan the pregnancy (61.9%), and performed an average of 8.2 (SD=4.4) prenatal consultations. The most frequent diagnoses were arterial hypertension (20.5%) and diabetes mellitus (19.7%). Prevalence of medication use was 99.7%, with an average of 5.1 (SD=2.1) medication per woman and 12.7% self-medication. Antianemics (88.9%) and analgesics (63.2%) were the most prevalent classes and 17.9% of the women reported the use of medication with significant gestational risk. Only 36.5% were considered adherent, 32.9% declared they were unaware of the indication of the medication in use and 42% did not receive guidance on the use of the medication during pregnancy. There is no evidence of association between the number of the medication used and clinical and sociodemographic aspects. Conclusions: there is a need to develop strategies to improve the care of this population, with emphasis on strengthening multi-professional care.

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Section: Variablesmentioning

confidence: 99%

High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors

Nagai

Zanetti

Lemos

et al. 2022

Rev. Bras. Saude Mater. Infant.

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“…Isso só reforça a importância precoce da assistência pré-natal, especialmente no primeiro trimestre, a qual é apontada na literatura como um dos parâmetros utilizados para avaliar qualidade de assistência materno-fetal (ZUGAIB, 2019) FONSECA; BERGSTEN-MENDES, 2002;MENGUE et al, 2004;BRUM et al, 2011). (ANDRADE et al, 2004;GEIB et al, 2007) O teratogênicos no feto, principalmente no primeiro trimestre (SANTOS et al, 2018). Além do que já é observado também maior ocorrência de ansiedade e depressão entre fumantes grávidas (BERTANI et al, 2015).…”

Section: Metodologiaunclassified

Estudo Farmacoepidemiológico De Gestantes Assistidas Em Unidades Básicas De Saúde Do Município De Caruaru-Pe / Pharmacoepidemiological Study of Pregnant Women Assisted in Basic Health Units in the Municipality of Caruaru-Pe

Alencar

Lima

Santos

et al. 2021

BJD

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RESUMO O uso de medicamentos durante a gravidez se configura como um desafio, uma vez que pode resultar em prejuízos tanto para a gestante quanto para o feto. Diante da importância da orientação adequada quanto ao uso de medicamento durante a gestação e os riscos procedentes desta prática, o presente estudo teve como objetivo estabelecer o perfil farmacoepidemiológico de gestantes em atendimento pré-natal no município de Caruaru, Pernambuco, contribuindo para a promoção do uso racional de medicamentos, e educação em saúde local. Trata-se de um estudo observacional de base populacional, descritivo; cujos dados foram obtidos a partir de um questionário estruturado. Setenta gestantes participaram do estudo. Observou-se uma maior frequência de pardas, casadas, nível médio de escolaridade, em atividades laborais, com renda inferior a 1,5 salários mínimos, idade média de 28 anos, baixa adesão ao planejamento familiar e uso incorreto de métodos contraceptivos. As frequências de uso de medicamentos antes e depois da gestação foram de 37 e 90%, respectivamente; destes, 36,36% de risco fetal A e B e 27,27% na C;

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“…Apesar dos riscos, a pesquisa de Santos et al (2018) mostra que automedicação na gravidez se caracteriza como um fenômeno frequente, pois 33,75% das gestantes entrevistadas citaram a prática da automedicação, bem como perigoso, uma vez que 11,1%…”

Section: Automedicação Na Gestaçãounclassified

A importância do cuidado farmacêutico em mulheres no período gestacional

Guedes¹,

Brito²,

Silva³

2020

RSD

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Pharmaceutical care is a relevant service to promote the rational drug use and pharmacotherapeutic success, due to the pharmacist's knowledge and accessibility. On this regard, there is a great relevance on providing this service to pregnant women, due to the possible maternal-fetal risks associated with some drugs. As well as pre-existing diseases and conditions for instance, arterial hypertension and gestational diabetes mellitus which require the use of pharmacological therapies and are of great relevance in Brazilian public health. Due to the high incidence and the complications they may cause, it is an opportune period for the pharmaceutical care to assist treatment adherence and consequently achieve therapeutic success. In this context, the aim of this study is to understand the importance of clinical pharmacists in the pharmacological care during pregnancy. A research was carried out in the databases Scielo, Google Scholar, PubMed and ScienceDirect databases, using the descriptors: risk categories; hypertension; diabetes mellitus; self-medication; pregnancy; nausea; vomiting; eclampsia and pharmaceutical assistance, all selected from DeCS in the languages: Portuguese and English. The importance of pharmaceutical care in pregnancy was evidenced through this study regarding not only the safety and adequate guidance to the use of drug therapies to reduce self-medication, but also the therapeutic adherence process through continuous and regular monitoring. Hence, contributing to the improvement of both maternal and fetal life quality by the pharmaceutical care that highlights whenever necessary the importance of correct treatment compliance and advises the need of therapeutic interventions. Therefore, this study has a unique relevance once it explained the pharmaceutical care importance for pregnant women. Furthermore, it collaborates for the development of plans and actions that aim to expose and conscientize the importance of the clinical pharmacist during this period.

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Automedicação em Gestantes de Alto Risco: Foco em Atenção Farmacêutica

Cited by 9 publications

References 0 publications

High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors

High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors

Estudo Farmacoepidemiológico De Gestantes Assistidas Em Unidades Básicas De Saúde Do Município De Caruaru-Pe / Pharmacoepidemiological Study of Pregnant Women Assisted in Basic Health Units in the Municipality of Caruaru-Pe

A importância do cuidado farmacêutico em mulheres no período gestacional

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