Navegando por Assunto "Pregnant"

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Acesso aberto (Open Access)
Covid-19 em parturiente e seus neonatos: estudo de caso controle em uma maternidade de referência na Amazônia brasileira
(Universidade Federal do Pará, 2022-10-25) BARROS, Sirley Costa de; PARENTE, Andressa Tavares; http://lattes.cnpq.br/2584253687792237; https://orcid.org/0000-0001-9364-4574; ARAÚJO, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460
The Covid-19 pandemic and its rapid global spread had major health repercussions due to its high potential for transmissibility. Pregnant women at any gestational age and women in the puerperal period belong to the risk group. Objective: To know the clinical evolution of Covid-19 in the parturient and her neonates. Methodology: An observational, retrospective, case-control epidemiological study was carried out, comparing 48 parturients with Covid-19 and their respective neonates (case group) and 98 healthy parturients and their respective neonates (control), hospitalized at Santa Casa de Misericórdia do For. The medical records of parturients diagnosed with Covid-19, during the study period, and parturients without Covid-19, both of any age, of all types of delivery, with or without alterations to the physical examination, admitted to the hospital in April were included. from 2020 to June 2021, in a total of 292 participants (parturients and neonates). Data were collected from medical records, from August 2021 to May 2022, and analyzed using the Bioestat 5.3 program. P<0.05 was considered statistically significant. Results: the mean age among parturients in the case group (n=48) and in the control group (n=98) was 27.7 and 28.5 years, respectively. Analytical statistics and Odds Ration (OR) calculations were statistically significant and higher in pregnant women with Covid-19 for the following variables, respectively: cesarean delivery (p < 0.0001/OR= 6.1), preterm labor (p < 0.0001/ OR=20.2), length of stay longer than 48 hours (p<0.0001/OR=3.6), altered body temperature (p=0.0038/OR=7.5) and altered respiratory rate (p<0.0001/OR=9.6) were statistically significant and greater parturients with Covid19 compared to parturients in the control group. The statistically significant repercussions on newborns of mothers with Covid-19 were: lower percentage of breastfeeding (p < 0.0001/OR= 33.7), length of stay longer than 48 hours (p < 0.0015/ OR= 3.9) and referral the neonatal unit (p < 0.0015/OR= 24.3). The death outcome (fetal+neonatal) had 5 (10.4%) occurrences in the case group. Conclusion: the clinical evolution and outcomes are different between parturients positive for Covid-19 and healthy parturients, with important repercussions on newborns.
Acesso aberto (Open Access)
Perfil epidemiológico de gestantes soropositivas ao HIV e seus recém nascidos
(Universidade Federal do Pará, 2019-05-07) ALMEIDA, Amanda Cantanhede Bezerra de Campos; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530; ARAÚJO, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460; https://orcid.org/0000-0002-1312-4753
Introduction: The Human Immunodeficiency Virus epidemic during motherhood brings out many challenges to the mother, such as facing a chronic and stigmatized disease and the risk of vertical transmission. The amount of women infected with HIV has been increasing and the majority were women in their reproductive years. Concomitantly many women were diagnosed in the gestational period. The lack of quality in the prenatal increases the chances of vertical transmission. Objective: To characterize the epidemiological and sociodemographic profile of seropositive pregnant women for HIV and their newborns in Belém / Pará from 2007 to 2016. Case study and method: A retrospective quantitative study covering a sample composed of 802 pregnant women seropositive for HIV and 210 of their newborns in Belém (Pará), from 2007 to 2016. The data source is the Information System for Notification Diseases provided by the Pará State Secretary of Health and the analysis performed through descriptive and analytical statistics. Results: In ten years, there have been 802 pregnant women and 210 newborns. The number of HIVpositive pregnant women increased 52.2% during the 10year study. Most of the pregnant women studied (73%) were in the 20 to 34 age group. Twentyone percent of the pregnant women were teenagers and 37% of them had incomplete elementary education. Prenatal care was performed by 83% of the patients. The diagnosis of HIV was known in 79% of them. Cesarean section was performed in 69% of pregnant women. Antiretroviral therapy was performed in 76% of the patients during gestational period and 69% during delivery. Antiretroviral therapy was performed in 83% of the new born in the first 24 hours of life. Conclusions: The challenge of preventing vertical transmission persists, despite the hard work developed and several measures implemented by the Ministry of Health. Many obstacles, such as low education level, low quality of prenatal care, and the nonuse of antiretroviral therapy during pregnancy, at delivery and after delivery in exposed infants, increase vertical transmission chances. However, these challenges can be overcome through a herculean and joint effort of health professionals, managers and government officials. Failures in the monitoring of gestation, delivery and the newborn, point to the need for improvements in care. Therefore, greater efforts and investments are needed to ensure the birth of healthy babies from HIVpositive mothers.