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1.
J Trop Med ; 2018: 1025193, 2018.
Article in English | MEDLINE | ID: mdl-30405727

ABSTRACT

BACKGROUND: Congenital syndrome of Zika virus (CSZV) is associated with neuromotor and cognitive developmental disorders, limiting the independence and autonomy of affected children and high susceptibility to complications, so palliative care needs to be discussed and applied. AIM: To identify factors associated with emergency visits and hospitalizations of patients with CSZV and clinical interventions performed from the perspective of palliative care. DESIGN: This is a cross-sectional study with bidirectional longitudinal component. Data were collected between May and October 2017 through the review of medical records and interviews with relatives of patients hospitalized. SETTING/PARTICIPANTS: The study was developed in a tertiary care hospital involving patients with confirmed CSZV born as of August 2015 and followed up until October 2017. Patients under investigation were excluded. RESULTS: 145 patients were followed up at the specialized outpatient clinic, 92 (63.5%) were consulted at least once in the emergency room, and 49% had already been hospitalized, with the main reason being neurological causes, while 24.1% had never required any emergency visit or hospitalization. No risk factors were associated with the occurrence of consultations or hospitalizations. Such events happened at an early age and were accompanied by a high number of invasive procedures and interventions. An approach in palliative care was only identified in two hospitalized patients. CONCLUSIONS: For the patient with known severe malformations caused by congenital infection by the Zika virus with indication of palliative care, this approach could be used in order to allow life without suffering and disproportionate invasive method.

2.
Rev. bras. ginecol. obstet ; 26(9): 703-707, out. 2004. tab
Article in Portuguese | LILACS | ID: lil-392814

ABSTRACT

OBJETIVO: analisar a associação da via de partos consecutivos de 714 gestantes adolescentes, que pariram na Maternidade do Hospital das Clínicas da Universidade Federal de Pernambuco, no período de janeiro a dezembro de 2001. PACIENTES E MÉTODOS: em estudo prospectivo, analítico, transversal, tipo incidência, foi analisada a sucessão das vias de parto da primeira até a quarta gestação de 714 parturientes adolescentes, com idade variando entre 13 e 19 anos (média 17,2±1,5 anos). Identificando-se, no livro da sala de parto, a cada dia, as adolescentes que pariram, após ter obtido o consentimento livre e esclarecido, cada uma respondeu a um questionário estruturado, com 65 perguntas diretas e respostas fechadas, pré-codificadas, entre as quais estavam vias de parto e o número de gestações. RESULTADOS: observou-se que 527 (73,8por cento) adolescentes tiveram uma única parturição, 149 (20,9por cento) duas parturições, 35 (4,9por cento) três partos e 3 (0,4por cento) quatro partos. Dentre os 273 partos cesáreos, 207 (75,8por cento) ocorreram em primíparas, 65 (23,8por cento) em paucíparas e 1 (0,4por cento) em multípara. Houve associação estatisticamente significante entre via de parto da primeira e da segunda parturições; em 83 (55,7por cento) gestantes adolescentes quanto à via transvaginal e em 41 (27,5por cento), para a via cesárea. Coincidiram também as vias de parto de segunda e terceira parturições, em 23 (65,7por cento) gestantes adolescentes no parto transvaginal e em outras 10 (28,6por cento) na cesárea. CONCLUSAO: identificou-se tendência da coincidência das vias de parto em gestações sucessivas em parturientes adolescentes, até a terceira parturição


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Cesarean Section , Natural Childbirth , Parity , Pregnancy in Adolescence
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