Diagnósticos de enfermagem e resultados perinatais em gestações múltiplas resultantes de reprodução assistida
Arquivos
Data
2007
Autores
Graner, Viviane Rodrigues 
Orientadores
Barros, Sonia Maria Oliveira de
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Desde o primeiro nascimento por técnica de reprodução assistida
em 1978, a comunidade científica pode interferir no processo de reprodução
humana. Porém a geração de múltiplos fetos é uma das complicações desta
técnica que vem desafiando a medicina. Objetivo: Conhecer os diagnósticos
de enfermagem e os resultados perinatais em gestações múltiplas resultantes
de técnicas de reprodução assistida. Métodos: Trata-se de um estudo
observacional, transversal, descritivo e retrospectivo, realizado no Hospital e
Maternidade Santa Joana, a população estudada foi constituída por 131
prontuários de mulheres internadas com patologias clínicas e trabalho de
parto, advindas de gestações múltiplas, resultantes de técnicas de reprodução
assistida, internadas no período de janeiro de 2004 a dezembro de 2005.
Resultados: a idade materna média foi de 33,1 anos, as primigestas
representaram 70,2% e a resolução do parto se deu entre 30ª e a 36ª semana
de gestação, 67,2% destas gestações resultaram da técnica de fertilização in
vitro e 90,9% destas mulheres apresentaram alguma complicação no período
gestacional, durante o trabalho de parto ou no puerpério. O Trabalho de parto
prematuro foi a complicações maternas predominante representando 65,6%
das pacientes, seguida pela Amniorexe prematura 42%. Dentre as
complicações neonatais, as doenças respiratórias se destacaram em 65,1%
dos fetos, o diagnóstico de enfermagem Mobilidade Física Prejudicada
apresentou-se em todas as patologias relacionadas. Conclusões: As técnicas
de reprodução assistida parecem influenciar nos resultados maternos e
perinatais pela geração de múltiplos fetos, o trabalho de parto prematuro foi a
maior complicação materna encontrada em todas as técnicas de reprodução
assistida, gerando prematuridade e baixo peso ao nascer.
Introduction: Since the first birth through assisted reproduction technique in 1978, the scientific community may interfere in the process of human reproduction. However, the incidence of multiple fetuses is one of the complications of this technique, which is challenging medicine. Objective: To get to know the nursing diagnoses and the perinatal results in multiple pregnancies resulting from assisted reproduction techniques. Methods: This report is about a transversal observational descriptive and retrospective study carried out at Hospital e Maternidade Santa Joana. The studied population was composed of 131 women patients medical records admitted with clinical pathologies and under labor, coming from multiple pregnancies resulting from assisted reproduction techniques, admitted into the hospital from January 2004 to December 2005. Results: the average maternal age was 33.1 years; the primiparous women represented 70.2% and the delivery outcome occurred between the 30th and the 36th week of pregnancy; 67.2% of these pregnancies resulted from IVF technique; and 90.9% of these women presented some type of complication in the gestational period, during the labor or in the puerperium. The premature labor was due to prevailing maternal complications, representing 65.6% of the patients, followed by Premature Rupture of Membranes (premature Amniorrexe) in 42% of the cases. Among the neonatal complications, the respiratory diseases stood out in 65.1% of the fetuses; the nursing diagnosis of Impaired Physical Mobility was present in all of the related pathologies. Conclusions: The assisted reproduction techniques seem to influence in the perinatal and maternal results by raising the incidence of multiple fetuses, where the premature labor was the major maternal complication found in all the assisted reproduction techniques, causing prematurity and low birth weight
Introduction: Since the first birth through assisted reproduction technique in 1978, the scientific community may interfere in the process of human reproduction. However, the incidence of multiple fetuses is one of the complications of this technique, which is challenging medicine. Objective: To get to know the nursing diagnoses and the perinatal results in multiple pregnancies resulting from assisted reproduction techniques. Methods: This report is about a transversal observational descriptive and retrospective study carried out at Hospital e Maternidade Santa Joana. The studied population was composed of 131 women patients medical records admitted with clinical pathologies and under labor, coming from multiple pregnancies resulting from assisted reproduction techniques, admitted into the hospital from January 2004 to December 2005. Results: the average maternal age was 33.1 years; the primiparous women represented 70.2% and the delivery outcome occurred between the 30th and the 36th week of pregnancy; 67.2% of these pregnancies resulted from IVF technique; and 90.9% of these women presented some type of complication in the gestational period, during the labor or in the puerperium. The premature labor was due to prevailing maternal complications, representing 65.6% of the patients, followed by Premature Rupture of Membranes (premature Amniorrexe) in 42% of the cases. Among the neonatal complications, the respiratory diseases stood out in 65.1% of the fetuses; the nursing diagnosis of Impaired Physical Mobility was present in all of the related pathologies. Conclusions: The assisted reproduction techniques seem to influence in the perinatal and maternal results by raising the incidence of multiple fetuses, where the premature labor was the major maternal complication found in all the assisted reproduction techniques, causing prematurity and low birth weight
Descrição
Citação
GRANER, Viviane Rodrigues.Diagnósticos de enfermagem e resultados perinatais em gestações múltiplas resultantes de reprodução assistida. 2007. 97 f. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2007.