Trabalho de Conclusão de Curso - Graduação

Síndromes hipertensivas: influência do pré-natal nas internações hospitalares

The Hypertensive Syndromes Specific to Gestation (SHEG) is the important set of signs and symptoms in obstetrics, since it affects about 10% of the primiparae, being the major cause of maternal and perinatal mortality in Brazil. During the attempt to change this scenario, we see throughout the hi...

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Autor principal: FONSECA, Jackeline Chaves
Outros Autores: LOPES, Karina Barros
Grau: Trabalho de Conclusão de Curso - Graduação
Publicado em: 2019
Assuntos:
Acesso em linha: http://bdm.ufpa.br/jspui/handle/prefix/1701
Resumo:
The Hypertensive Syndromes Specific to Gestation (SHEG) is the important set of signs and symptoms in obstetrics, since it affects about 10% of the primiparae, being the major cause of maternal and perinatal mortality in Brazil. During the attempt to change this scenario, we see throughout the history of public health in the country, the creation of strategies, policies and programs that aim to assist women especially pregnant in a satisfactory way. However, the number of women who develop complications during pregnancy leading to premature delivery, delayed fetal development, maternal, fetal and neonatal death, among others, are expressive numbers that can not be ignored. Therefore, it is known through research that SHEG can be detected and treated early in prenatal care, and according to the Ministry of Health should be classified as high risk. This study aims to investigate the prenatal care of hospitalized pregnant women with a diagnosis of SHEG in an obstetric clinic in order to show if the way in which the prenatal care of pregnant women with SHEG has been performed can influence the evolution of this pathology, leading these pregnant women to hospitalization hospital, making it possible to trace the sociodemographic profile of this public, to detect the behaviors taken during prenatal care in view of the signs and symptoms of SHEG and to identify the risk factors present in the participants' history. This is a descriptive, prospective study with a quantitative approach. The sample consisted of 33 pregnant women in good clinical and psychological conditions, diagnosed with SHEG, admitted from November 01 to 30, 2018, at the “Santa Casa de Misericórdia do Pará”, a reference hospital in the care of high-risk pregnant women. to the newborn. As for the profile found by the researchers, the participants were in the age group between 19 and 34 years old, had a high school education, were considered to be brown, resided in the metropolitan area of Belém, reported to be from the home and were in a stable union. Most were primigravidae, were in a premature gestation, approximately half were classified with Pre-eclampsia, and on average each presented 5 risk factors. They started prenatal care in the first trimester of pregnancy, participated in an average of 7 consultations, most of them were performed by the nurse practitioner, almost half of the pregnant women were not classified for gestational risk. And through the signs and symptoms of SHEG did not receive any kind of care. In this study, there were some limitations, such as the number of participants and the time of collection, perhaps the results were different if the study was performed with a larger number of women and with a longer time for the research, nevertheless it is believed that this number is important given the similarity with other studies and relevant research on the topic addressed. We conclude that prenatal care may directly influence hospital admissions by SHEG, demonstrating the relevance of this research to the scientific community, health service managers and society in general. These results can contribute as indicators of prenatal quality in the Metropolitan Region of Belém and strengthen studies on the subject.