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Consumption of medicines in high-risk pregnancy: evaluation of determinants related to the use of prescription drugs and self-medication
Araújo, Danielle Dayse; Leal, Marineide Marinho; Santos, Eliane Jucielly Vasconcelos; Leal, Leila Bastos.
  • Araújo, Danielle Dayse; Federal University of Pernambuco. Department of Pharmacy. Recife. BR
  • Leal, Marineide Marinho; Federal University of Pernambuco. Department of Pharmacy. Recife. BR
  • Santos, Eliane Jucielly Vasconcelos; Federal University of Pernambuco. Department of Pharmacy. Recife. BR
  • Leal, Leila Bastos; Federal University of Pernambuco. Department of Pharmacy. Recife. BR
Braz. j. pharm. sci ; 49(3): 491-499, July-Sept. 2013. tab
Article in English | LILACS | ID: lil-689902
ABSTRACT
The use of drugs during pregnancy still represents a challenge for medicine, since the majority of drugs cross the placental barrier with a potential to cause several congenital problems to the fetus, and most of them have not been clinically tested in pregnant patients. At the same time, the medicalization phenomenon, self-medication, and lack of patient information about the misuse of medicines are additional problems. Thus, the aim of this study was to evaluate the pattern of medicine consumption in high-risk pregnancies and the determinants related to this consumption pattern. In order to do so, a cross-sectional descriptive study was performed with puerperal women who had a history of high-risk pregnancy. Statistically significant associations were found between self-medication and fewer prenatal visits, and cigarette use during pregnancy and a higher number of children. According to these data, the vulnerability of this population to the risks of drug use is evident, demonstrating a gap that requires urgent interventions in health-care education.
RESUMO
O uso de medicamentos na gestação representa, ainda hoje, um desafio para a medicina, visto que grande parte dos fármacos atravessa a barreira placentária e, na maioria, não foi testada clinicamente em gestantes, podendo vir a ocasionar diversos problemas congênitos ao feto. Ao mesmo tempo, a automedicação, o fenômeno da medicalização e a falta de informação sobre os riscos do mau uso de medicamentos são problemas adicionais. Diante disto, o objetivo deste estudo consistiu em avaliar o padrão de consumo de medicamentos na gestação de alto risco e os determinantes relacionados ao seu padrão de consumo. Para tanto, realizou-se um estudo descritivo de corte transversal com puérperas, que apresentaram gestação de alto risco. Verificaram-se associações estatisticamente significativas entre automedicação e mulheres com menor número de consultas de pré-natal, uso de cigarro na gestação e maior número de filhos. De posse destes dados, fica evidente a vulnerabilidade dessa população aos riscos decorrentes do uso de medicamentos, sendo esta lacuna um campo de prática com necessidade de intervenções urgentes no âmbito da educação em saúde.
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Full text: Available Index: LILACS (Americas) Main subject: Self Medication / Pregnancy, High-Risk Type of study: Etiology study / Observational study / Prevalence study / Risk factors Language: English Journal: Braz. j. pharm. sci Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Pernambuco/BR

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Full text: Available Index: LILACS (Americas) Main subject: Self Medication / Pregnancy, High-Risk Type of study: Etiology study / Observational study / Prevalence study / Risk factors Language: English Journal: Braz. j. pharm. sci Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Pernambuco/BR