Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 158
Filter
1.
Enferm. foco (Brasília) ; 13(n.esp1): 1-7, set. 2022. ilus, tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1396606

ABSTRACT

Objetivo: Analisar produção científica sobre satisfação de gestantes atendidas na Atenção Primária à Saúde. Métodos: Revisão integrativa, realizada em setembro de 2020, na Biblioteca Virtual em Saúde, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature e Excerpta Medica Database, cruzando descritores com operadores booleanos. Foram incluídos estudos primários, excluídos estudos realizados em hospitais, mulheres não gestantes, resumos de congresso, teses e artigos duplicados. Não houve delimitação temporal ou de idioma. A busca gerou 355 artigos. Após leitura de títulos e resumos, exclusão dos duplicados e leitura completa, incluiuse 20 artigos. Os dados foram discutidos com bibliografias atualizadas. Por se tratar de revisão, não houve necessidade de parecer em Comitê de Ética. Resultados: A maioria dos artigos foi publicada em 2012 e realizada fora do Brasil. Os resultados indicam satisfação das gestantes pela assistência recebida na Atenção Primária à Saúde, considerando algumas lacunas: continuidade do cuidado após o parto, acolhimento e aspectos da estrutura física das unidades. Conclusão: As pesquisadas apresentaram satisfação pela assistência, atestando a qualidade do atendimento. (AU)


Objective: To analyze scientific production on satisfaction of pregnant women attended in Primary Health Care. Methods: Integrative review, carried out in September 2020, at the Virtual Health Library, Online Medical Literature Analysis and Retrieval System, Cumulative Index to Nursing and Allied Health Literature and Excerpta Medica Database, crossing descriptors with Boolean operators. Primary studies were included, studies performed in hospitals, non-pregnant women, congress abstracts, theses and duplicate articles were excluded. There was no temporal or language delimitation. The search generated 355 articles. After reading the titles and abstracts, excluding duplicates and completely reading, 20 articles were included. Data were discussed with updated bibliographies. As this is a review, there was no need for an opinion from the Ethics Committee. Results: Most articles were published in 2012 and carried out outside Brazil. The results indicate the satisfaction of pregnant women with the assistance received in Primary Health Care, considering some gaps: continuity of care after childbirth, reception and aspects of the physical structure of the units. Conclusion: The respondents were satisfied with the care, attesting to the quality of care. (AU)


Objetivo: Analizar la producción científica sobre la satisfacción de gestantes atendidas en Atención Primaria de Salud. Métodos: Revisión integradora, realizada en septiembre de 2020, en la Biblioteca Virtual en Salud, Sistema de Análisis y Recuperación de Literatura Médica en Línea, Índice Acumulativo de Enfermería y Literatura en Salud Afín. y Excerpta Medica Database, cruzando descriptores con operadores booleanos. Se incluyeron estudios primarios, se excluyeron estudios realizados en hospitales, mujeres no embarazadas, resúmenes de congresos, tesis y artículos duplicados. No hubo delimitación temporal ni lingüística. La búsqueda generó 355 artículos. Después de leer los títulos y resúmenes, excluyendo duplicados y lectura completa, se incluyeron 20 artículos. Los datos se discutieron con bibliografías actualizadas. Al tratarse de una revisión, no fue necesaria la opinión del Comité de Ética. Resultados: La mayoría de los artículos se publicaron en 2012 y se realizaron fuera de Brasil. Los resultados indican la satisfacción de las gestantes con la atención recibida en Atención Primaria de Salud, considerando algunas brechas: continuidad de la atención posparto, recepción y aspectos de la estructura física de las unidades. Conclusión: Los encuestados se mostraron satisfechos con la atención, lo que da fe de la calidad de la atención. (AU)


Subject(s)
Pregnant Women , Primary Health Care , Patient Satisfaction
2.
Gac. méd. Méx ; 158(2): 72-80, mar.-abr. 2022. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1375531

ABSTRACT

Resumen Introducción: En las mujeres embarazadas se identifica mayor riesgo de desarrollar infecciones respiratorias virales. Objetivo: Analizar características sociodemográficas, evolución, manifestaciones clínicas y complicaciones en mujeres embarazadas con COVID-19 que fueron hospitalizadas. Métodos: Estudio en 11 hospitales públicos; se incluyeron variables sociodemográficas, comorbilidades, síntomas y signos, hallazgos de laboratorio y gabinete, características del embarazo, tratamiento y desenlace de la gestación. Resultados: La edad osciló entre 15 y 40 años; 85.1 % cursaba el tercer trimestre del embarazo, 11.9 % el segundo y 3 % el primero; 27 % presentó alguna comorbilidad como obesidad, hipertensión o asma; 89.5 % presentó fiebre, 73.1 % tos, 44.8 % disnea, 43.3 % cefalea y 35.8 % mialgias. Los diagnósticos fueron enfermedad leve (55.2 %), neumonía leve (26.9 %), neumonía severa (10.4 %), neumonía severa con síndrome de distrés respiratorio agudo (4.5 %) y neumonía severa con choque séptico (3 %); 76.2 % recibió soporte de oxígeno no invasivo y 9 %, ventilación mecánica. Se interrumpió el embarazo en 53.8 %; 95.5 % egresó por mejoría y 4.5 % falleció. Conclusiones: El rango de edad y los síntomas coinciden con los señalados en la literatura especializada. En mujeres con COVID-19 se evidenció el incremento de la operación cesárea sin una indicación clara.


Abstract Introduction: In pregnant women, a higher risk for developing viral respiratory infections is identified. Objective: To analyze sociodemographic characteristics, evolution, clinical manifestations, and complications of pregnant women hospitalized with COVID-19. Methods: Study conducted at 11 public hospitals; sociodemographic variables, comorbidities, signs and symptoms, laboratory and imaging findings, pregnancy characteristics, treatment and pregnancy outcome were included for analysis. Results: Age ranged between 15 and 40 years; 85.1% were at third trimester of pregnancy, 11.9% at second and 3% at first; 27% had any comorbidity such as obesity, hypertension or asthma; 89.5% had fever, 73.1% cough, 44.8% dyspnea, 43.3% headache and 35.8% myalgia. Diagnoses were mild disease (55.2%), mild pneumonia (26.9%), severe pneumonia (10.4%), severe pneumonia with acute respiratory distress syndrome (4.5%), and severe pneumonia with septic shock (3%); 76.2% had noninvasive oxygen support, and 9%, mechanical ventilation. Pregnancy was interrupted in 53.8%; 95.5% were discharged due to improvement of their condition and 4.5% died. Conclusions: Age range and symptoms are consistent with those previously reported. Evidence was found of an increase in cesarean section without a clear indication in women with COVID-19.

3.
Article in English | LILACS | ID: biblio-1381653

ABSTRACT

Introduction: The prevention of vertical transmission of sexually transmitted diseases is the object of research by several authors, who reinforce the importance of knowing the serological status of a woman's sexual partner. Objective: To evaluate the prevalence and serodiscordance of HIV, hepatitis B, hepatitis C, and syphilis infections among women admitted to a maternity hospital in southern Brazil and their partners. Methods: 350 women and their partners were interviewed in a service-based cross-sectional study conducted from August 16 to November 23, 2018. Results: 4.0% of the women and 4.3% of the men had one of the infections studied. Among women, 2.0% already knew they were HIV positive, 2.0% had a positive rapid test for syphilis and there was no positive result for hepatitis B or C. A total of 299 (85.4%) partners were located. Of these, 293 (98.0%) agreed to answer the study questionnaire. Of all men interviewed, 281 (95.9%) agreed to undergo an rapid test. Among men, 1.4% already knew they were HIV positive and 0.4% had chronic hepatitis B disease. There was a similar percentage of men with a positive rapid test for syphilis and hepatitis C (1.4%). Regarding couples, 6.8% had some positive test. Most of the positive test subjects were in a serodiscordant relationship (16 serodiscordant couples and 3 positive concordant couples). Conclusion: These results reinforce the importance of testing men to prevent the infection of a negative partner and the vertical transmission of sexually transmitted infections. The high acceptance, by men, to undergo an rapid test at the time of the woman's hospitalization demonstrated the viability of this strategy in the maternity ward.


Introdução: A prevenção da transmissão vertical de doenças sexualmente transmissíveis é objeto de pesquisa de diversos autores, os quais reforçam a importância do status sorológico do parceiro sexual da mulher. Objetivo: Avaliar a prevalência e a sorodiscordância de infecções por HIV, hepatite B, hepatite C e sífilis em mulheres internadas em uma maternidade localizada no Sul do Brasil e seus parceiros. Métodos: Foram entrevistadas 350 mulheres e seus parceiros em um estudo transversal de base de serviço realizado de 16 de agosto a 23 de novembro de 2018. Resultados: Do grupo consultado, 4,0% das mulheres e 4,3% dos homens apresentaram alguma das infecções estudadas. Entre as mulheres, 2% já sabiam ser HIV positivas e 2% apresentaram teste rápido positivo para sífilis. Para hepatite B ou C, não se registrou nenhum resultado positivo. Foram localizados 299 (85,4%) companheiros, destes, 293 (98,0%) aceitaram responder ao questionário do estudo. Do total de homens entrevistados, 281 (95,9%) concordaram em se submeter aos testes rápidos, entre eles, 1,4% já sabiam ser HIV positivos, 0,4% eram portadores crônicos de hepatite B e 1,4% apresentaram testes rápidos positivos para sífilis e hepatite C. Em relação aos casais, 6,8% possuíam algum teste positivo, a maioria (16) era formada de indivíduos sorodiscordantes e 3 de concordantes positivos. Conclusão: Esses resultados reforçam a importância da testagem masculina com a intenção de evitar a infecção do cônjuge negativo e a transmissão vertical das infecções sexualmente transmissíveis. A alta aceitação masculina de se submeter ao teste rápido durante a internação da mulher demonstrou a viabilidade dessa estratégia de testagem na maternidade.


Subject(s)
Humans , Women , Sexually Transmitted Diseases , Infectious Disease Transmission, Vertical , Syphilis , HIV , Hepatitis C , Hepatitis B
4.
Article in Portuguese | LILACS | ID: biblio-1368306

ABSTRACT

RESUMO: Objetivo: analisar os fatores associados ao perfil psicossocial de mulheres durante o pré-natal no Hospital Universitário ­ Unidade Materno Infantil da Universidade Federal do Maranhão ­ HUUFMA. Métodos: estudo transversal realizado com 160 gestantes sem limite de faixa etária, atendidas no Ambulatório de Obstetrícia do HUUFMA no período de março a outubro de 2017. A avaliação do perfil psicossocial foi mensurada por meio do Prenatal Psychosocial Profile (PPP-VP). Resultados: a maioria das gestantes, cerca de 41,25% (66), possui somente o Ensino Médio completo, faixa etária de 15 a 35 anos , cerca de 65,66% (105), no último trimestre gestacional 46,25% (74), a maior parte primigesta, 60% (96), com menos de seis consultas pré-natais realizadas, 67,52% (108). Quanto ao trimestre gestacional, não houve significância estatística com os constructos do PPP-VP, relativo à paridade, as multíparas foram as que mais evidenciaram estresse e o teste de Tukey demonstrou que as multíparas tiveram mais estresse quando comparada com as nulíparas. Conclusão: é pertinente inferir que, em relação ao trimestre gestacional, não houve influência relativa aos constructos do perfil psicossocial, porém ao se relacionar paridade, a situação contrária foi observada, principalmente em multíparas, onde o maior número de partos refletia diretamente no nível desajustado do estresse, sendo assim é necessária uma maior atenção a essas questões para uma assistência pré-natal adequada. (AU)


ABSTRACT: Objective: analyze the factors associated with the psychosocial profile of women during prenatal care at the University Hospital ­ Maternal-Child Unit of the Federal University of Maranhão ­ HUUFMA. Methods: a cross-sectional study conducted with 160 pregnant women without age limit assisted at the HUUFMA Obstetrics Outpatient Clinic from March to October 2017. The assessment of the psychosocial profile was measured using the Prenatal Psychosocial Profile (PPP-VP). Results: most pregnant women, about 41.25% (66) had only completed high school; aged from 15 to 35 years old, about 65.66% (105); in the last gestational trimester 46.25% (74); most of them primigravid, 60% (96); with less than six prenatal appointments performed 67.52% (108). As for the gestational trimester, there was no statistical significance with the PPP-VP constructs; concerning parity, multiparas were the ones who showed more stress, and the Tukey test showed that this group had more stress when compared to nulliparas. Conclusion: it is pertinent to infer that about the gestational trimester, there was no influence on the constructs of the psychosocial profile, but when relating parity, the opposite situation was observed, especially in multiparous women, in which the greater number of births directly reflected in the maladjusted level of stress. Greater attention is necessary to these issues for adequate prenatal care.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Prenatal Care , Social Support
5.
Ciênc. cuid. saúde ; 21: e59895, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1384526

ABSTRACT

RESUMO Objetivo: Analisar o perfil sociodemográfico de gestantes em situação de risco. Métodos: Trata-se de um estudo retrospectivo, do tipo documental, com caráter quantitativo, realizado em uma instituição não governamental na região noroeste do Paraná. Foram analisados prontuários correspondentes aos anos de 2016 a 2019, totalizando 180 prontuários. Os dados foram compilados e processados por meio de estatística descritiva simples. Resultados: Foram analisados 180 prontuários, desses, constatou-se que a idade mínima das gestantes institucionalizadas estava entre 12 anos e 40 anos de idade, com a faixa etária predominante entre 21 e 30 anos. Dentre essas, 91 gestantes (50,54%) se autodeclaravam pardas ou pretas. Quanto ao grau de escolaridade, 107 (59,44%) possuíam ensino médio incompleto, e 95 (52,78%) já haviam tido uma gestação anterior. Dentre os principais motivos pelos quais as gestantes se encontravam em situação de vulnerabilidade, estavam os transtornos mentais, a violência doméstica e os conflitos familiares. Conclusão: Estudos que avaliem o perfil sociodemográfico das gestantes em situação de vulnerabilidade social são importantes para que profissionais de enfermagem possam reconhecer e elaborar estratégias para minimizar riscos para a saúde materno-infantil, estabelecer maior vínculo e assisti-las de forma integral por meio do pré-natal.


RESUMEN Objetivo: analizar el perfil sociodemográfico de gestantes en situación de riesgo. Métodos: se trata de un estudio retrospectivo, del tipo documental, con carácter cuantitativo, realizado en una institución no gubernamental en la región noroeste de Paraná-Brasil. Se analizaron registros médicos correspondientes a los años 2016 a 2019, totalizando 180 registros. Los datos fueron compilados y procesados por medio de estadística descriptiva simple. Resultados: se analizaron 180 registros médicos, de esos, se constató que la edad mínima de las gestantes institucionalizadas estaba entre 12 años y 40 años de edad, con la franja etaria predominante entre 21 y 30 años. De estas, 91 mujeres embarazadas (50,54%) se autodeclaraban pardas o negras. En cuanto al grado de escolaridad, 107 (59,44%) poseían enseñanza secundaria incompleta; y 95 (52,78%) ya habían tenido una gestación anterior. Entre los principales motivos por los cuales las embarazadas se encontraban en situación de vulnerabilidad, estaban los trastornos mentales, la violencia doméstica y los conflictos familiares. Conclusión: estudios que evalúen el perfil sociodemográfico de las gestantes en situación de vulnerabilidad social son importantes para que profesionales de enfermería puedan reconocer y elaborar estrategias para minimizar riesgos para la salud materno infantil, establecer mayor vínculo y asistirlas de forma integral por medio del prenatal.


ABSTRACT Objective: To analyze the sociodemographic profile of women at risk pregnancy. Methods: This is a quantitative retrospective study, of the documentary type, conducted in a non-governmental institution in the northwest region of Paraná. Records from the years 2016 to 2019 were analyzed, totaling 180 records. Data were compiled and processed using simple descriptive statistics. Results: A total of 180 medical records were analyzed, finding that the minimum age of institutionalized pregnant women was between 12 and 40 years, with the predominant age group between 21 and 30 years. Among these, 91 pregnant women (50.54%) declared themselves to be brown or black. As for the level of education, 107 (59.44%) had not completed high school, and 95 (52.78%) had already had a previous pregnancy. Among the main reasons why pregnant women were in a vulnerable condition were mental disorders, domestic violence, and family conflicts. Conclusion: Studies that evaluate the sociodemographic profile of pregnant women in conditions of social vulnerability are important so that nursing professionals can recognize and develop strategies to minimize risks to maternal and child health, establish a greater bond and assist them comprehensively through the prenatal.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Pregnant Women/psychology , Sociodemographic Factors , Social Vulnerability , Institutionalization/statistics & numerical data , Prenatal Care/statistics & numerical data , Women/psychology , Medical Records/statistics & numerical data , Retrospective Studies , User Embracement , Family Conflict/psychology , Maternal Health/statistics & numerical data , Nurse Practitioners/statistics & numerical data
6.
Ann. afr. méd. (En ligne) ; 15(2): e4596-e4603, 2022. tables
Article in French | AIM | ID: biblio-1366403

ABSTRACT

Contexte et objectif. La toxoplasmose est une anthropozoonose ubiquitaire qui occupe une large place en médecine humaine et vétérinaire. Mais les données y relatives chez la femme enceinte sont paradoxalement fragmentaires. L'objectif de cette étude était de déterminer la séroprévalence de la toxoplasmose chez les femmes enceintes. Méthodes. Il s'agissait d'une étude transversale réalisée, à la maternité de l'Hôpital du District de Bossembelé, entre juin et septembre 2020. La population d'étude était constituée de femmes enceintes se présentant au laboratoire du District pour la sérologie toxoplasmique. Résultats. Au total, les données sérologiques de 50 femmes enceintes ont été analysées. L'âge moyen était de 25 ± 6 ans (extrème 16 et 40 ans). Les femmes au premier geste (n=20 soit 40 %) et les primipares (n= 30 soit 60 %) étaient prépondérantes. La sérologie était positive chez 15 patientes (30 %). Selon les caractéristiques sociodémographiques, la séroprévalence de la toxoplasmose était plus élevée chez les femmes de 20 à 35 ans (35,2 %), les femmes ayant été enceintes trois fois (88,8 %) et les femmes qui habitent le quartier Onoguia (66,66%). Les IgM étaient plus élevées chez les patients de la tranche d'âge de 20 à 35 ans (n=12), les femmes au 3e geste (n=8), les multipares (n=9) et chez celles habitant Bodoukpa (n=6). Les IgG étaient élevées chez les femmes enceintes de 20 à 35 ans (n=13), les femmes au 3e geste (n=7), les primipares (n=14) et celles habitant le quartier Bodoukpa (n=6). Parmi les patientes étudiées, 16 (32 %) étaient immunisées contre la toxoplasmose. Des 50 femmes, 4 avaient connu un avortement spontané durant les grossesses précédentes. Conclusion. Dans la présente étude, la séroprévalence de la toxoplasmose chez la femme enceinte est très fréquente. Une sensibilisation sur les risques de contamination, une surveillance sérologique systématique et des mesures d'hygiène devraient être proposées lors des consultations prénatales


Context and objective. Toxoplamosis is a ubiquitous anthropozoonosis that occupies a large place in human and veterinary medicine. The objective of the present study was to determine the seroprevalence of toxoplasmosis in pregnant women. Methods. This was a cross sectional study involving pregnant women presenting at the laboratory of the Bossembele District Hospital, Central African Republic between June and September 2020 for toxoplasmic serology. Results. A total of 50 pregnant women were examined. The age of patients varied from 16 to 40 years. The average age was 25 ± 6 years. Primigravida (n=20; or 40%) and primiparous women (n=30; or 60%) were more preponderant. Serology was positive in 15 patients (30 %). According to sociodemographic characteristics, the seroprevalence of toxoplasmosis was higher among women aged 20 to 35 (35.2 %), women who had been pregnant three times (88.8 %) and women who lived in the Onoguia neighborhood (66.6 %). IgM was higher in patients aged 20 to 35 years (n=12), in 3rd gravida women (n=8), in multiparous (n=9) and in those living in Bodoukpa (n=6). IgG was high in pregnant women aged 20 to 35 years (n=13), in 3rd gravida women (n=7), in primiparous women (n=14) and in those living in the Bodoukpa neighbourhood (n=6). Of the patients in the study, 16 turned out to be immune to toxoplasmosis. Among 50 women, 4 experienced spontaneous abortions during previous pregnancies. Conclusion. The seroprevalence of toxoplasmosis in the present study is common. Awareness on the risks of contamination, the systematic serological monitoring and the hygiene measures should be raised during antenatal consultations


Subject(s)
Humans , Female , Adult , Seroepidemiologic Studies , Toxoplasmosis, Congenital , Pregnant Women , Abortion, Habitual , Risk Factors
7.
Afr. j. reprod. health ; 26(7): 1-7, 2022. tables, figures
Article in English | AIM | ID: biblio-1381700

ABSTRACT

The high maternal mortality rate caused by late detection of risk factors for pregnant women is a major health problem in Banjarnegara District. One of the efforts made to overcome this problem is the implementation of assistance for one pregnant woman by one cadre (OPOC). The application of OPOC consists of four mentoring activities, namely reminders about antenatal care schedule, detecting risk factors, monitoring fetal movements, and carrying out delivery planning and handling complications.Therefore, this study aims to describe the implementation of OPOC as well as to evaluate cadres' performance in Banjarnegara District. A quantitative cross-sectional design was used, where a total of 200 cadres were selected as respondents using a representative purposive sampling method. The results showed that reminding mothers about their antenatal care schedule,detecting risk factors, monitoring of fetal health through movements, and making commitments for birth planning and complications prevention were carried out by 199 (99.49%), 129 (64.84%), 138 (69.05%), and 159 (79.42%) respondents, respectively. More than 92% of them know their duties and responsibilities as companions for pregnant women, but only 28% have knowledge about the benefits of assisting. Furthermore, 93% often carry out OPOC assistance. The knowledge of cadres about OPOC assistance was good, but some of them are not knowledgeable about its benefits. These findings show that they need guidance, training, and motivation from public health centers. (Afr J Reprod Health 2022; 26[7]: 83-89).


Subject(s)
Humans , Female , Pregnancy , Pregnant Women , Medical Assistance , Maternal Mortality , Risk Factors , Delayed Diagnosis , International Classification of Primary Care
8.
Journal of Preventive Medicine ; (12): 248-252, 2022.
Article in Chinese | WPRIM | ID: wpr-920761

ABSTRACT

Objective@#To examine the correlation between exposure to polycyclic aromatic hydrocarbons ( PAHs ) and placental mitochondrial DNA ( mtDNA ) copy number among pregnant women, so as to provide the evidence for evaluation of potential effects of PAHs exposure during pregnancy on offspring health.@*Methods@#A total of 200 pregnant women delivered at a tertiary hospital in Urumqi City during the period from January to October 2019, and their newborns were recruited, and grouped according to the time of delivery, including the heating group [delivery during the heating period ( from January to April ) ] and the non-heating group [delivery during the non-heating period (from July to October) ]. Subjects'age, ethnicity, educational level and type of home heating were collected, and the total concentration of 16 PAHs was determined in the blood samples of pregnant women and their babies using gas chromatography-mass spectrometry. Placental DNA was extracted, and placental mtDNA copy number was measured using real-time fluorescence quantitative PCR assay. In addition, the correlation between PAHs concentration and placental mtDNA copy number was examined using the Spearman rank correlation analysis.@*Results@#There were 100 subjects in the heating group, which had a median age of 29 ( interquartile range, 3 ) years and had a mean gestational age of ( 275.06±0.72 ) days, and there were 100 subjects in the non-heating group, which had a median age of 29 ( interquartile range, 4 ) years and had a mean gestational age of ( 276.82±0.66 ) days. The total concentration of PAHs in the blood of pregnant women [15.71 (4.30) vs. 12.98 (5.49) μg/L; P<0.05 ], the total concentration of PAHs in neonatal blood [ 14.29 (4.25) vs. 11.24 (5.09) μg/L; P<0.05 ] and the placental mtDNA copy number [4.67 (1.18) vs. 4.51 (0.62); P<0.05] were all higher in the heating group than in the non-heating group. Spearman rank correlation analysis revealed that the total concentration of PAHs in the blood of pregnant women and neonates was positively correlated with placental mtDNA copy number ( rs=0.240, P=0.001; rs=0.273, P<0.001 ), and the total concentration of PAHs in the blood of pregnant women was positively correlated with the placental mtDNA copy number in the heating group ( rs=0.245, P=0.014 ), while the PAHs concentration in the neonatal blood was positively correlated with the placental mtDNA copy number in the non-heating group ( rs=0.292, P=0.003 ).@*Conclusions@#Exposure to PAHs positively correlates with placental mtDNA copy number among pregnant women, and there is a correlation between maternal exposure to PAHs and neonatal oxidative stress.

9.
Journal of Preventive Medicine ; (12): 959-963, 2022.
Article in Chinese | WPRIM | ID: wpr-941437

ABSTRACT

Objective@#To investigate the factors affecting postpartum stress urinary incontinence (PSUI) among lying-in women at ages of 35 years and older, so as to provide insights into PSUI prevention. @*Methods@#Lying-in women at ages of 35 years and older receiving postpartum examinations were sampled using a convenient sampling method from Hangzhou Obstetrics and Gynecology Hospital during the period from January 2021 to April 2022. Participants' demographic data, type of delivery, birth weight, diastasis recti abdominis, pelvic floor muscle strength injury, pelvic floor muscle training were collected, and the development of PSUI was evaluated using the International Consultation on Incontinence modular questionnaire. The factors affecting the development of PSUI were identified among lying-in women at ages of 35 years and older using a multivariable logistic regression model. @*Results@#A total of 230 questionnaires were allocated, and 226 valid questionnaires were recovered, with an effective recovery rate of 98.26%. The lying-in women had a mean age of (37.30±2.11) years, and 75.66% had a pre-pregnancy body mass index (BMI) of 18.5 to 24.0 kg/m2. There were 29 women with postpartum BMI of 24.0 kg/m2 and greater (12.83%), 201 women with gestational weeks of 37 weeks and greater at delivery (88.94%), 105 women with vaginal delivery (46.46%), 20 women with neonatal birth weights of 4 000 g and higher (8.85%), 149 women with diastasis recti abdominis (65.93%), 154 women with pelvic floor muscle strength injury (68.14%). The prevalence of PSUI was 25.22% among the study subjects. Multivariable logistic regression analysis showed that vaginal delivery (OR=4.061, 95%CI: 2.124-7.763), postpartum BMI of 24 kg/m2 and higher (OR=1.903, 95%CI: 1.275-3.288), neonatal birth weight of 4 000 g and higher (OR=2.108, 95%CI: 1.420-4.135), diastasis recti abdominis (OR=1.487, 95%CI: 1.110-2.169) and pelvic floor muscle strength injury (OR=2.924, 95%CI: 1.726-4.803) were risk factors for PSUI among lying-in women at ages of 35 years and older, and pelvic floor muscle training was a protective factor for PSUI among lying-in women at ages of 35 years and older (OR=0.410, 95%CI: 0.216-0.780).@*Conclusions@#The development of PSUI correlates with the type of delivery, postpartum BMI, neonatal birth weight, diastasis recti abdominis and pelvic floor muscle strength injury among lying-in women. Reasonable weight control and active pelvic floor muscle training may facilitate the prevention of PSUI.

10.
Article in Chinese | WPRIM | ID: wpr-940042

ABSTRACT

ObjectiveTo study the relationship between the exposure to two kinds of phthalate esters (PAEs) [Di-N-butyl phthalate,(DBP) and Di-(2-ethylhexyl)phthalate (DEHP)] and estrogen homeostasis in pregnant women. MethodsIn 2021, we classified the Jiading District of Shanghai into five geographical areas, east, west, south, north and central. A total of 151 pregnant women from each area were selected for questionnaire survey, with random urine samples during first, second, and third trimesters collected. A DBP metabolite [Mono-N-butyl phthalate (MBP)] and two DEHP metabolites [Mono(2-ethylhexyl) phthalate (MEHP), Mono(2-ethyl5-oxohexyl) phthalate, (MEOHP)] and three estrogens [estrone (E1), 17β -estradiol (E2), and estriol (E3)] in urine were determined by ultra-performance liquid chromatography tandem quadrupole time-of-flight mass spectrometry. After a natural logarithmic transformation of PAEs metabolite levels and estrogen concentration, multivariable linear regression was used to control potential confounders and determine the relationship between PAEs metabolite levels and estrogen concentration. ResultsThe detection rates of three PAEs metabolites in urine of pregnant women were more than 98%. The median corrected concentrations of MBP, MEHP and MEOHP were 5.18, 0.59 and 4.23 mg·kg-1, respectively. During the whole pregnancy, MEOHP was positively correlated with E1 (β=0.450, 95%CI: 0.057‒0.844), and MBP was positively correlated with E3 (β=0.250, 95%CI: 0.034‒0.465). Stratified by trimesters, MBP was positively correlated with E3 in the first trimester (β=0.428, 95%CI: 0.103‒0.752). MEOHP was positively correlated with E1 in the second trimester (β=0.734, 95%CI: 0.130‒0.752), and had a possitive trend with E1 in the third trimester (β=0.744, 95%CI: -0.140‒1.629). In addition, MEHP had a negative correlation with E1 in the second trimester (β=-0.498, 95%CI: -1.063‒0.066). MEOHP had a positive correlation trend with E2 (β=0.628, 95%CI: -0.101‒1.356) in the third trimester. ConclusionPAEs exposure may interfere with estrogen homeostasis during pregnancy and differs by trimesters. Given the cross-sectional nature of this study, it warrants further study to validate the findings.

11.
Article in English | WPRIM | ID: wpr-928580

ABSTRACT

OBJECTIVES@#To study the association of the levels of heavy metals and trace elements during pregnancy with congenital heart defects (CHD) in offspring, and to establish a model for predicting the probability of CHD based on the levels of heavy metals and trace elements during pregnancy.@*METHODS@#Based on the prospective birth cohort study in Gansu Provincial Maternal and Child Health Hospital in 2010-2012, a nested case-control study was conducted for the follow-up observation of 14 359 pregnant women. Among the pregnant women, 97 pregnant women whose offspring were diagnosed with CHD during follow-up were enrolled as the CHD group, and 194 pregnant women whose offspring had no CHD were selected as the control group. Inductively coupled plasma mass spectrometry was used to measure the levels of heavy metals and trace elements in maternal blood samples and fetal umbilical cord blood samples. A multivariate logistic regression analysis was used to evaluate the association between heavy metal and trace elements and CHD in offspring. A nomogram model for predicting the probability of CHD in offspring was established based on the levels of heavy metals and trace elements during pregnancy.@*RESULTS@#Compared with the control group, the CHD group had significantly higher levels of aluminum (Al), natrium (Na), calcium (Ca), titanium (Ti), selenium (Se), strontium (Sr), stannum (Sn), stibium (Sb), barium (Ba), and thorium (Th) in maternal blood samples (P<0.05), as well as significantly higher levels of Al, zinc (Zn), magnesium (Mg), kalium (K), Ca, Ti, chromium (Cr), copper (Cu), arsenic (As), Se, Sr, argentum (Ag), cadmium (Cd), Sn, and plumbum (Pb) in umbilical cord blood (P<0.05). The multivariate logistic regression analysis showed that the increase in the Sb level in maternal blood was associated with the increase in the risk of CHD in offspring [adjusted odds ratio (aOR)=4.81, 95% confidence interval (CI): 1.65-14.07, P=0.004], while in umbilical cord blood, the high levels of Al (aOR=4.22, 95%CI: 1.35-13.16, P=0.013), Mg (aOR=8.00, 95%CI: 1.52-42.08, P=0.014), and Pb (aOR=3.82, 95%CI: 0.96-15.23, P=0.049) were significantly associated with the risk of CHD in offspring. The levels of Al, Th, and Sb in maternal blood and levels of Al, Mg, and Pb in umbilical cord blood were included in the predictive model for CHD in offspring based on the levels of heavy metals and trace elements during pregnancy, and the calibration curve of the nomogram predictive model was close to the ideal curve.@*CONCLUSIONS@#Increases in the levels of Al, Th, Sb, Mg, and Pb during pregnancy may indicate the increase in the risk of CHD in offspring, and the nomogram predictive model based on these indices can be used to predict the probability of CHD in offspring.


Subject(s)
Case-Control Studies , Child , Cohort Studies , Female , Heart Defects, Congenital/etiology , Humans , Metals, Heavy , Pregnancy , Prospective Studies , Trace Elements/analysis
12.
Mastology (Online) ; 32: 1-4, 2022.
Article in English | LILACS-Express | LILACS | ID: biblio-1400093

ABSTRACT

Gestational breast cancer is the most common cause of cancer in pregnant women. It is a challenging condition for the medical team, since the physiological changes in the breast during this period increase the density of the breast parenchyma, which makes it difficult to detect the nodule on physical and imaging examination, causing delay in diagnosis. We present here a case report of a woman with breast cancer diagnosed during pregnancy. This was a 28-year-old female patient who arrived at the service at 14 weeks' gestation, diagnosed with invasive ductal carcinoma in the left breast, with T4dN2M0 staging. Neoadjuvant chemotherapy treatment was started with a pause for the cesarean section at 36 weeks' gestation. After delivery, chemotherapy was restarted, followed by radical mastectomy, radiotherapy and hormone therapy. Two years after the initial diagnosis and still being treated with hormone therapy, the patient presented with musculoskeletal pain, detected on magnetic resonance imaging and bone scintigraphy, as well as several points of metastasis in the spine with pathological fracture of L2-L3, where she was then submitted to decompressive laminectomy. After surgery, radiotherapy of the thoracic and lumbar spine was started, in addition to chemotherapy. Currently, the patient is asymptomatic, being on paclitaxel and transtuzumab, with stable bone scintigraphy and radiography and ultrasound showing no metastases, and the child is healthy after three years of follow-up.

13.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(4): 995-1004, Oct.-Dec. 2021. tab, graf
Article in English | LILACS | ID: biblio-1360726

ABSTRACT

Abstract Objectives: to check the prevalence of anxiety and depression disorder and associated factors during the postpartum period in puerperal women in the city of Ponta Grossa, Paraná. Methods: cross-sectional study conducted in an outpatient clinic for newborn care in the city of Ponta Grossa, Paraná, Brazil, in 2016 and 2017. 250 puerperal women were evaluated with the application of a form to collect anxiety/depression, socioeconomic and gestational data. Descriptive and multiple correspondence analyses were performed. Results: most puerperal women (81.2%) had no depression or a mild depression, 14.4% with mild to moderate depression and 4.4% with moderate to severe depression. In relation to anxiety, 68.4% presented a minimum degree, 21.6% mild anxiety, 7.6% moderate anxiety and 2.4% severe anxiety. Concerning the associated factors with postpartum depression, no sociodemographic variables or those related to childbirth were associated. As for anxiety, yellow/indigenous skin color, lack of paternal support and having interrupted pregnancy were associated with more advanced anxiety conditions. Conclusion: there was no association between demographic and health conditions with postpartum depression; however, regarding anxiety, the yellow/indigenous skin color, the lack of paternal support and the interruption of previous pregnancies were associated with more advanced anxiety conditions.


Resumo Objetivos: verificar a prevalência do transtorno de ansiedade e de depressão e fatores associados no pós-parto de puérperas no município de Ponta Grossa, Paraná. Métodos: estudo transversal, realizado no ambulatório de atendimento de recémnascidos do município de Ponta Grossa, Paraná, nos anos de 2016 e 2017. Foram avaliadas 250 puérperas com aplicação de formulário para levantamento de ansiedade e depressão, dados socioeconômicos, gestacionais. Realizou-se análise descritiva e de correspondência múltipla. Resultados: a maioria das puérperas (81,2%) foi considerada sem depressão ou depressão leve, 14,4% com depressão leve a moderada e 4,4% com depressão moderada a grave. Em relação a ansiedade 68,4% apresentaram grau mínimo, 21,6% ansiedade leve, 7,6% ansiedade moderada e 2,4% ansiedade severa. No que tange aos fatores associados a depressão pós parto, nenhuma variável sociodemográfica e relacionada ao parto apresentouse associada. Já no que se refere à ansiedade, a cor amarela/indígena, a falta de suporte paterna e ter interrompido a gestação apresentaram associação às condições mais avançadas de ansiedade. Conclusão: não houve associação entre condições demográficas e de saúde com a depressão pós-parto, mas, em relação à ansiedade, a cor amarela/indígena, a falta de suporte paterna e a interrupção de gestações anteriores apresentaram associação as condições mais avançadas de ansiedade.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Anxiety/epidemiology , Socioeconomic Factors , Demography , Depression, Postpartum/epidemiology , Postpartum Period/psychology , Brazil/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires
14.
Rev. Asoc. Odontol. Argent ; 109(3): 164-170, dic. 2021. tab
Article in Spanish | LILACS | ID: biblio-1371264

ABSTRACT

Objetivo: Comparar la salud periodontal de embaraza- das y no embarazadas mediante la aplicación del Índice de Periodontal Comunitario (IPC). Materiales y métodos: Se realizó un estudio ob- servacional de corte transversal. Se reclutaron 100 mujeres embarazadas (EMB) y 50 no embarazadas (NoEMB) que concurrieron al Hospital Materno Provincial de la Ciudad de Córdoba, Dr. Raúl F. Lucini. En todas se registró el IPC con la sonda periodontal WHO 621 en los 6 sextantes de la boca. Los datos se analizaron con el software Infostat/SP; el nivel de significación establecido fue de P <0,05. Resultados: El 70% de las pacientes presentó edades de entre 18 y 25 años. En las EMB el código 3 del IPC fue el más frecuente presente en 240 sextantes (40,1%) y en las NoEMB el código 2 fue el más frecuente con 39 sextantes (43%). A ambos grupos de estudio les corresponde el trata- miento de instrucción de higiene bucal, instrumentación supra y/o subgingival, y/o regularización de obturaciones. Conclusiones: El código 3 fue el más frecuente entre las EMB, a quienes les corresponde un Código de tratamiento periodontal (CTP) 2; las NoEMB presentaron un IPC de 1 y 2 como los más frecuentes y se vinculan con un CTP 1 y 2. Nos encontramos frente a una situación clínica periodontal posible de resolver con terapia básica que puede ser realizada por odontólogos generalistas (AU)


Aim: To compare the periodontal health of pregnant and non-pregnant women by applying the Community Periodontal Index (CPI). Materials and methods: In an observational, cross-sec- tional study, 100 pregnant women (PREG) and 50 non-preg- nant women (NonPREG) were recruited at the Dr. Raúl F. Lu- cini Provincial Maternity Hospital in Córdoba City. The CPI was determined in the 6 sextants of the mouth using a WHO 621 periodontal probe. The data were analyzed with Infostat SP software. P <0.05 was considered significant. Results: 70% of the patients were 18 to 25 years old. In the PREG group, CPI Code 3 was the most frequent, present in 240 sextants (40.1%), while in the non-PREG group, CPI Code 2 was the most frequent, with 39 sextants (43%). Treat- ment needs in both study groups are oral hygiene instruction, supra- and/or subgingival instrumentation, and/or correction of plaque retentive margins. Conclusions: Code 3 was the most frequent among preg- nant women, which corresponded to Periodontal Treatment Code (CTP) 2. CPI 1 and 2 were the most frequent in non-pregnant women, corresponding to CTP 1 and 2. This periodontal clinical condition can be treated with initial dental hygiene therapy, which can be performed by general dentists (AU)


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Periodontal Diseases/epidemiology , Pregnancy Complications/epidemiology , Periodontal Index , Oral Health , Health Services Needs and Demand , Oral Hygiene/education , Argentina/epidemiology , Cross-Sectional Studies , Health Promotion
15.
Rev. chil. obstet. ginecol. (En línea) ; 86(6): 554-562, dic. 2021. ilus
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1388697

ABSTRACT

INTRODUCCIÓN: Existen 35 millones de casos de infección por el virus de la inmunodeficiencia humana (VIH) en el mundo, y de ellos, 15 millones corresponden a mujeres en edad fértil. El embarazo en las mujeres seropositivas genera efectos relevantes que afectan la condición psicosocial y física. Los cambios que genera el embarazo en una mujer VIH positiva se relacionan con resultados perinatales adversos, como hemorragia posparto, sepsis puerperal, parto prematuro y mortalidad. OBJETIVO: Conocer los efectos físicos y psicosociales que tiene el embarazo en la evolución de la mujer portadora del VIH. MÉTODO: Revisión narrativa. Se realiza un análisis de contenido de fuentes primarias obtenidas mediante búsqueda en las bases de datos CINAHL, PubMed y SciELO. La búsqueda abarcó un periodo de 10 años, en idioma español e inglés. Para la presente investigación se incluyen 22 artículos, de los que se consideraron las secciones de resultados y conclusiones. RESULTADOS: Se seleccionaron inicialmente 318 artículos y 22 fueron elegibles para su inclusión. En esta revisión se plantean tres dimensiones de análisis psicosocial, fisiopatología y características clínicas, y tratamiento farmacológico. La literatura evidencia un efecto psicológico negativo en la población de estudio, y en cuanto al tratamiento se manifiesta un escaso porcentaje de eventos adversos frente a la terapia antirretroviral, por lo que los beneficios superan los riesgos. CONCLUSIONES: Las tres dimensiones planteadas se relacionan entre sí, definiendo los efectos del embarazo en mujeres VIH positivas y lo que conlleva esta condición en la salud de la madre. Se identificaron diversos problemas que afectan la salud de las mujeres seropositiva que se embarazan. Sin embargo, estas mujeres pueden embarazarse siguiendo un tratamiento óptimo, con atenciones de salud en periodos regulares, evitando así la mayoría de los efectos que pueden afectar su salud.


INTRODUCTION: There are 35 million cases of human immunodeficiency virus (HIV) worldwide, 15 million correspond to women of childbearing age. This pregnancy condition in seropositive women generates relevant effects that affect the psychosocial and physical condition. The changes generated by pregnancy in an HIV positive woman are related to adverse perinatal results such as postpartum hemorrhage, puerperal sepsis, premature delivery and mortality. OBJECTIVE: To know the physical and psychosocial effects that pregnancy has on the evolution of women with HIV. METHOD: Narrative review. Content analysis of primary sources obtained through searches in the CINAHL, PubMed and SciELO databases is performed. The search was carried out within a 10-year range, in Spanish and English. For the present investigation 22 articles are included. The sections for the analysis were results and conclusions. RESULTS: 318 articles were initially selected, 22 articles were eligible for inclusion. In this review, three dimensions of psychosocial analysis, pathophysiology and clinical characteristics, and pharmacological treatment are proposed. The literature shows the negative psychological effect in the study population, in terms of treatment there is a low percentage of adverse events compared to ART, so the benefits outweigh the risks. CONCLUSIONS: The three dimensions raised are related to each other, defining the effects of pregnancy in HIV positive women and what the condition entails on the mothers health. Various problems were identified that affect the health of an HIV-positive woman who becomes pregnant. However, these HIV positive women can become pregnant, following optimal treatment, with regular health care, thus avoiding most of the effects that can affect her health.


Subject(s)
Humans , Female , Pregnancy , Pregnancy/psychology , HIV Infections/psychology , Pregnancy/drug effects , Pregnancy/physiology , HIV Infections/drug therapy , Antiretroviral Therapy, Highly Active
16.
Arch. endocrinol. metab. (Online) ; 65(3): 352-367, May-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1285162

ABSTRACT

ABSTRACT Objective: To investigate the effect of iodine supplementation during gestation on the neurocognitive development of children in areas where iodine deficiency is common. Materials and methods: Based on the PRISMA methodology, we conducted the search for articles in the PubMed, LILACS and Scopus databases, between March and April 2020, without limitation of dates. We used descriptors in English, Portuguese, and Spanish, without filters. Four clinical trials and four cohort articles were included in the review. Results: The maximum supplementation was 300 μg of potassium iodide per day. The Bayley scale and Children's Communication Checklist-Short were used to assess neurodevelopment in children. There was no significant improvement in the children's mental development index and behavioural development index in the supplemented group; however, the psychomotor development index (PDI) showed improvement in the poorer gross motor skills. We found differences in the response time to sound in the supplemented group living in mild deficiency areas. Conclusion: Daily supplementation with iodine can improve poor psychomotor development of children living in mild to moderate iodine deficiency areas. Thus, it is necessary to perform further studies to assess the effect of supplementation on neurodevelopment before, during and after gestation in mild to moderate iodine deficiency areas.


Subject(s)
Humans , Female , Pregnancy , Child , Pregnancy Complications , Iodine , Dietary Supplements
17.
Rev. cuba. anestesiol. reanim ; 20(1): e656, ene.-abr. 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1156370

ABSTRACT

Introducción: La hipertensión arterial pulmonar es una enfermedad con una baja incidencia en la gestante, aunque trae consigo una alta mortalidad una vez presentada. Un diagnóstico oportuno y un manejo perioperatorio adecuado minimizan el riesgo de desenlace fatal tanto para la madre como el feto. Objetivo: Describir el comportamiento de la hipertensión arterial pulmonar en la gestante a término y su conducción anestésica. Presentación del caso: Paciente de 23 años, antecedentes de salud, edad gestacional de 35.2 semanas. Luego de presentar dolor de espalda y ardor en el pecho relacionado con el esfuerzo, palpitaciones, disnea y bloqueo de rama derecha en electrocardiograma, se ingresa en UTI con sospecha de tromboembolismo pulmonar, el cual queda descartado tras diagnóstico confirmatorio de hipertensión pulmonar después de realizar angio TAC y ecocardiografía. Se decide realizar cesárea programada bajo técnica regional peridural, sin complicaciones tanto para la madre como el niño. Después de 2 días bajo vigilancia intensiva se traslada a su centro hospitalario de cabecera. Conclusiones: La vía del parto, así como una elección adecuada de la técnica anestésica, puede ser la diferencia entre el éxito y la fatalidad. Las técnicas regionales suelen recomendarse por encima de la técnica de anestesia general siempre que no se presenten contraindicaciones(AU)


Introduction: Pulmonary arterial hypertension is a disease with low incidence in the pregnant woman, although it brings about high mortality once presented. Timely diagnosis and adequate perioeprative management minimize the risk of fatal outcome for both mother and fetus. Objective: To describe pulmonary arterial hypertension and its anesthetic management in the term pregnant woman. Case presentation: 23-year-old female patient, with health history and gestational age of 35.2 weeks. After presenting back pain and chest burning associated with exertion, palpitations, dyspnea and right bundle branch block in the electrocardiogram, the patient was admitted to the intensive care unit with suspected pulmonary thromboembolism, which was ruled out due to the confirmatory diagnosis of pulmonary hypertension after performing computerized tomography angiography and echocardiography. Scheduled cesarean section was decided to be perform using the regional peridural technique, without complications for both the mother and the child. After two days under intensive surveillance, she was transferred to her primary hospital. Conclusions: The route of delivery, as well as an adequate choice of the anesthetic technique, can be the difference between success and fatality. Regional techniques are usually recommended over the general anesthesia technique, as long as there are no contraindications(AU)


Subject(s)
Humans , Female , Pregnancy , Young Adult , Pulmonary Arterial Hypertension/complications , Pulmonary Arterial Hypertension/diagnostic imaging , Anesthesia, General/methods , Pregnancy Complications/prevention & control , Cesarean Section/methods
18.
Gac. méd. Méx ; 157(1): 3-9, ene.-feb. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1279066

ABSTRACT

Resumen Introducción: Durante los primeros 1000 días de vida se establece la base para la salud futura de un niño. Objetivo: Evaluar el impacto de una intervención educativa prenatal en mujeres embarazadas sobre el estado nutricional del hijo desde el nacimiento hasta los cuatro meses de edad. Métodos: Diseño cuasiexperimental de intervención con mujeres a partir de la semana 12 de gestación, asignadas aleatoriamente a un grupo de intervención (GI) para recibir cinco sesiones grupales y tres individuales sobre prácticas de alimentación y percepción materna del peso del hijo y de señales de hambre-saciedad; el grupo control (GC) recibió atención de rutina que incluía al menos tres consultas prenatales. Resultados: 30 mujeres conformaron cada grupo. Después de la intervención, las mujeres del GC practicaron menos lactancia materna exclusiva, fueron propensas a subestimar o sobrestimar el peso del hijo y percibieron con menor intensidad las señales de hambre-saciedad (p < 0.05). El 80 % de los lactantes del GI presentaron peso normal y 63 % de los niños del GC, una combinación de sobrepeso y obesidad (p < 0.05). Conclusiones: El programa de educación prenatal en mujeres embarazadas mostró un efecto significativo en el estado nutricional de los lactantes después de cuatro meses del nacimiento.


Abstract Introduction: During the first 1000 days of life is the basis for a child‘s future health established. Objective: To evaluate the impact of a prenatal educational intervention in pregnant women on the nutritional status of the child from birth to 4 months of age. Methods: Quasi-experimental intervention design in women with at least 12 weeks of gestation, who were randomly assigned to an intervention group (IG) to participate in five group and three individual sessions on feeding practices and maternal perception of the child’s weight and signals of hunger-satiety; the control group (CG) received routine care that included at least three prenatal consultations. Results: Thirty women were included in each group. After the intervention, women in the CG practiced less exclusive breastfeeding, were more likely to underestimate and overestimate the children’s weight, and perceived hunger-satiety signals with less intensity (p < 0.05). 80 % of the infants in the IG had normal weight, whereas 63 % of those in the CG had a combination of overweight and obesity (p < 0.05). Conclusions: The prenatal education program in pregnant women showed a significant effect on postnatal nutritional status of infants four months after birth.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Infant , Adult , Prenatal Care , Nutritional Status , Pregnant Women/education , Pediatric Obesity/prevention & control , Satiety Response/physiology , Socioeconomic Factors , Body Weight , Breast Feeding/statistics & numerical data , Hunger/physiology , Overweight/epidemiology , Pediatric Obesity/epidemiology , Infant Nutritional Physiological Phenomena
19.
Article in Chinese | WPRIM | ID: wpr-862732

ABSTRACT

Objective To understand the iodine nutrition status of pregnant women in Tianjin from 2015 to 2019, and to provide a theoretical basis for pregnant women's scientific iodine supplement in the future. Methods A total of 6 939 pregnant women were randomly selected from 16 districts in Tianjin. The urine samples and home salt of the pregnant women were collected to test iodine content. Results The iodine content was determined in a total of 6 939 household salt samples of the pregnant women. The coverage rate of iodized salt was 81.78%, the consumption rate of qualified iodized salt was 66.85%, and the median salt iodine content was 25.96 mg/kg. A total of 6,938 urine samples were determined for iodine content. The median urinary iodine of the pregnant women (154.26 µg/L) reached an appropriate level of iodine nutrition, but there was an imbalance in the regional distribution (suburbs < urban areas, pregnant women in the third trimester of suburbs < pregnant women in the third trimester of urban areas, and non-elderly pregnant women in the suburbs < non-elderly pregnant women in the suburban areas). Spearman correlation analysis found that urinary iodine was positively correlated with salt iodine and the coverage rate of iodized salt (all P<0.05). The urinary iodine level in pregnant women who consumed uniodized salt was lower than the level in those who consumed qualified iodized salt (P<0.05). Conclusion The coverage rate of iodized salt and the consumption rate of qualified iodized salt in Tianjin had not yet reached the national standard for eliminating iodine deficiency disorders. Although the median urine iodine level of pregnant women generally reached an appropriate level, the level of pregnant women's urinary iodine in the suburbs was significantly lower than that in urban areas. The urinary iodine level of pregnant women in the first trimester, suburban areas (pregnant women in the first and third trimester) and pregnant women who consumed uniodized salt were still in the iodine deficiency level. Therefore, it is necessary to continue to strengthen the monitoring of pregnant women's iodine nutrition, strengthen the promotion of scientific consumption of qualified iodized salt in key populations, and provide a basis for formulating a scientific iodine supplementation policy for pregnant women.

20.
Article in Chinese | WPRIM | ID: wpr-909813

ABSTRACT

Objective:To evaluate the effect of comprehensive intervention measures on reducing the mortality rate of infants born to human immunodeficiency virus (HIV)-infected pregnant women.Methods:A total of 9 773 infants born to pregnant women with positive HIV antibody and confirmed HIV infection in Sichuan Province from 2005 to 2019 were included. The changes of infant mortality, death composition, time of death, and main causes of death in the whole province and different regions at baseline (2005 to 2016) and after comprehensive intervention measures (from 2017 to 2019) were analyzed. Statistical analysis was conducted by chi-square test and trend chi-square test.Results:After the intervention, the infant mortality rate born to HIV-infected mothers was 49.6‰ (221/4 455), which dropped 40.6% compared to the baseline (83.5‰ (444/5 318)), and that in Liangshan Yi Autonomous Prefecture was 53.3‰ (186/3 491), which dropped 48.3% compared to the baseline (103.1‰ (379/3 676)). Furthermore, the infant mortality rate in Sichuan Province and Liangshan Yi Autonomous Prefecture decreased with time (trend χ2=42.058 and 60.041, respectively, both P<0.01). The proportions of infant death of HIV-infected mothers among the total infant death in Sichuan Province and Liangshan Yi Autonomous Prefecture decreased from 29.3% (130/444) and 25.9% (98/379) to 13.6%(30/221) and 9.7%(18/186), respectively, and the differences were statistically significant ( χ2=19.918 and 20.020, respectively, both P<0.01). The infant death time was mainly delayed from less than one month (31.5%(140/444) and 28.5%(108/379), respectively) to 2-3 months (27.6%(61/221) and 28.5%(53/186), respectively) in Sichuan Province and Liangshan Yi Autonomous Prefecture, and the differences were statistically significant ( χ2=24.642 and 26.009, respectively, both P<0.01). The infant mortality rates due to pneumonia, diarrhea, suspected HIV infection, premature delivery or low birth weight decreased from 44.4‰ (236/5 318), 12.0‰ (64/5 318), 4.9‰ (26/5 318) and 4.3‰ (23/5 318) at baseline to 26.9‰ (120/4 455), 7.6‰ (34/4 455), 1.8‰ (8/4 455) and 0.7‰ (3/4 455), respectively, and the differences were statistically significant ( χ2=21.010, 4.734, 6.691 and 12.182, respectively, all P<0.05). Conclusions:Through the implementation of comprehensive intervention measures, the infant mortality rates of HIV-infected mothers in Sichuan Province and the high endemic areas decrease significantly. However, it is necessary to pay more attention to the high death risk and the infant death in the middle or low endemic areas. The infant health care of HIV-infected mothers within six months should be strengthened. The quality of follow-up and health care services targeted to the main cause of death should be improved.

SELECTION OF CITATIONS
SEARCH DETAIL