Navegando por Palavras-chave "Perinatal care"

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    Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos?
    (Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2006-08-01) Magalhães, Maria de Lourdes Caltabiano; Furtado, Felipe Magalhães; Nogueira, Marcelo Bezerra; Carvalho, Francisco Herlânio Costa [UNIFESP]; Almeida, Francisco Manuelito Lima de; Mattar, Rosiane [UNIFESP]; Camano, Luiz [UNIFESP]; Universidade Federal do Ceará Maternidade-Escola Assis Chateaubriand; Universidade Federal do Ceará; Universidade Federal do Ceará Departamento de Matemática e Estatística; Universidade Federal do Ceará Departamento de Saúde Materno-Infantil; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: to describe the obstetric outcomes in pregnant adolescents at a tertiary hospital and to compare the maternal and labor outcomes between precocious and late adolescents. METHODS: in a transversal analytical study, 2058 cases were evaluated, considering 322 (15.65%) from the precocious group and 1736 (84.35%) from the late group that delivered at the Maternidade Escola Assis Chateaubriand/UFC from January 1, 2000 to December 31, 2000. The clinical complications in the prenatal period, kind of delivery, indications for cesarean section, birth gestational age at birth, birth weight, comparison of birth weight and gestational age, Apgar score at the first and fifth minute, presence of malformations, and neonatal death were analyzed. The exact Fisher and the chi2 tests were used to compare both groups. The prevalence ratio was calculated. RESULTS: from of total of deliveries, 25.95% belonged to adolescents. The average age was 17.19 years. Prenatal visits were made by 88% of the patients, but 60% had an insufficient number of visits. The most frequent clinical situations were preeclampsia (14.72%), anemia (12.97%) and urinary tract infections (6.37%), with no statistical difference between the groups. Thirty-one and three percent of the births were by cesarean section, preeclampsia being the main indication in the two age groups (25 and 23%, respectively). The frequency of an Apgar score less than 7 at the first minute was 19,9% in the precocious adolescent group and 14,2% in the late adolescent group (x²=6,96, p=0.008). There was no statistical difference regarding prematurity rate (20.2 vs 16.1%), low-birth weight infants (12.4 vs 10.4%), low Apgar score at the fifth minute (5.3 vs 3.3%), congenital malformations (3.1 vs 2.7%), and neonatal death (5.3 vs 3.3%). CONCLUSIONS: the precocious and late pregnant adolescents presented similar pregnancy evolution and obstetric outcomes, except for the differences of the first minute Apgar scores.
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    Saúde infantil: condições de vida e utilização de serviços de saúde em área da Região Metropolitana de São Paulo, 1996
    (Instituto de Medicina Integral Prof. Fernando Figueira, 2002-08-01) Puccini, Rosana Fiorini [UNIFESP]; Silva, Nilza Nunes da; Araújo, Norma Sueli de; Pedroso, Glaura César [UNIFESP]; Silva, Edina Mariko Koga da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); município do Embu Secretaria de Saúde Assessoria Técnica
    OBJECTIVES: to identify segments of the population excluded from the health system or requiring specific and oriented action from the health services. METHODS:household survey using a two-stage cluster sample comprised of 1.099 children under five years old, residing in the municipality of Embu, São Paulo in 1996. Living conditions were stratified into four bands; the sampling process considered two independent populations: children under one year old and children between one and four years old. Indicators of prenatal and perinatal care and child's health attention were investigated. Statistical analysis: estimates of proportions, standard errors and confidence intervals (95%) were calculated, utilizing the Csample: Epi-info 6.04 program. RESULTS: in all the bands, over 90% of the mothers had prenatal assistance, although with a tendency towards later access in band four (shantytowns). Around 80% of the children under one year old were followed up by healthcare clinics; the basic health units were principally utilized for vaccinations (97,4%) and checkups (79,0%), especially for band four, and the other healthcare facilities were utilized for medical visits without appointments. For band one (best conditions), there was a greater demand for private and health insurance services. For acute affections healthcare facilities services were the option for almost 100% of the cases. CONCLUSIONS: no segments of the population were identified as being excluded from the health system; some indicators pointed towards deficiencies for all bands, some of which were more accentuated for band four.