Prevalence of chronic diseases and obstetric complications of pregnant women assisted in primary health care
Prevalência de doenças crônicas e complicações obstétricas de gestantes assistidas na Atenção Primária à Saúde
DOI:
https://doi.org/10.53660/CLM-3740-24N15Palavras-chave:
Maternal and child health, Primary Health Care, Gravidez, Doença crônicaResumo
Objective: to verify the prevalence of chronic diseases and associate them with obstetric complications in pregnant women assisted in Primary Health Care. Method: Analytical cross-sectional study, conducted by searching electronic medical records of pregnant women treated in a Family Health Strategy in a city in the state of Rio Grande do Sul. Results: There was no association between systemic arterial hypertension, diabetes mellitus and obesity with hemorrhage, premature birth and late birth. In the case of premature birth, pregnant women with SAH had an approximately 1.9 times higher risk compared to those who did not have this comorbidity. With regard to pregnant women who are obese, the risk of premature birth was approximately 2.5 times higher compared to women who are not obese. Conclusion: The findings highlight the need to monitor pregnant women in prenatal consultations in Primary Health Care and serve as important guidelines for the planning and implementation of health interventions aimed at chronic diseases and obstetric complications in pregnant women.
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AN, H.; CHEN, H.; ZHANG, L.; ZHANG, Y.; LIU, J.; YE, R.; LI, N. Association of Gestational Hypertension with Anemia under 5 Years Old: Two Large Longitudinal Chinese Birth Cohorts. Nutrients, v.14, n.8, p.1621, 2022.
BEDELL, S.; HUTSON, J.; DE VRIJER, B.; EASTABROOK, G. Effects of Maternal Obesity and Gestational Diabetes Mellitus on the Placenta: Current Knowledge and Targets for Therapeutic Interventions. Current Vascular Pharmacology, v.19, n.2, p.176-192, 2021.
CHANG, K.J.; SEOW, K.M.; CHEN, K.H. Preeclampsia: Recent Advances in Predicting, Preventing, and Managing the Maternal and Fetal Life-Threatening Condition. International Journal of Environmental Research and Public Health, v.20, n.4, e.2994, 2023.
DELNORD, M.; ZEITLIN, J. Epidemiology of late preterm and early term births - An international perspective. Seminars in Fetal & Neonatal Medicine, v.24, n.1, p.3-10, 2019.
GYSELAERS, W. Hemodynamic pathways of gestational hypertension and preeclampsia. American Journal of Obstetrics & Gynecology, v.226, n.2S, p.S988-S1005, 2022.
INDARTI, J.; SUSILO, A.S.; HYAWICAKOSONO, P.; BERGUNA, J.S.N.; TYAGITHA, G.A.; IKHSAN, M. Maternal and Perinatal Outcome of Maternal Obesity at RSCM in 2014–2019. Obstetrics & Gynecology International Journal, v.21, n.1, e. e2023947, 2023.
JACOB, L.M. DA S.; SANTOS, A.P.; LOPES, M.H.B. DE M.; SHIMO, A.K.K. Socioeconomic, demographic and obstetric profile of pregnant women with Hypertensive Syndrome in a public maternity. Revista Gaúcha de Enfermagem, v.41, e.20190180, 2020.
KONG, L.; NILSSON, I.A.K.; GISSLER, M.; LAVEBRATT, C. Associations of Maternal Diabetes and Body Mass Index With Offspring Birth Weight and Prematurity. Journal of the American Medical Association pediatrics, v.173, n.4, p.371-8, 2019.
LANGLEY-EVANS, S.C.; PEARCE, J.; ELLIS, S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. Journal of Human Nutrition and Dietetics, v.35, n.2, p.250-264, 2022.
LENDE, M.; RIJHSINGHANI, A. Gestational Diabetes: Overview with Emphasis on Medical Management. International Journal of Environmental Research and Public Health, v.17, n.24, e.9573, 2020.
MAGALHÃES, E.S.D.S.; MÉIO, M.D.B.B.; PEIXOTO-FILHO, F.M.; GONZALEZ. S.; DA COSTA, A.C.C.; MOREIRA, M.E.L. Pregnancy-induced hypertension, preterm birth, and cord blood adipokine levels. European Journal of Pediatrics, v.179, n.8, p.1239-1246, 2020.
MARTINS, A.M.; BRATI, L.P. Tratamento para o diabetes mellitus gestacional: uma revisão de literatura. Femina, v.49, n.4, p.251-6, 2021.
MENICHINI, D.; SPELTA, E.; ROSSI, E.; MONARI, F.; DI VINCI, P.L.; PETRELLA, E.; FACCHINETTI, F.; NERI, I. First-trimester prediction of gestational hypertension through the bioelectrical impedance analysis of the body composition. European Review for Medical and Pharmacological Sciences,v.26, n.11, n.3967-3972, 2022.
NEHAB, S.R.G.; VILLELA, L.D.; ABRANCHES, A.D.; ROCHA, D.M.; SILVA, L.M.L.D.; AMARAL, Y.N.V.; JUNIOR, S.C.G.; SOARES, F.V.M.; MÉIO, M.D.B.B. MOREIRA, M.E.L. Influence of gestational and perinatal factors on body composition of full-term newborns. Jornal de Pediatria, v.96, n.6, p.771-777, 2020.
NGATIANE, L.S.; NAIDOO ,T.D. Obesity in pregnancy in a resource-constrained setting: Complications and cost implications - a retrospective cross-sectional study. International Journal of Gynecology & Obstetrics, v.161, n.2, p.485-490, 2023.
OLIVEIRA, J.C.; CODES, L.; LUCCA, M.M.F.B.; SOARES, M.A.P.; LYRIO, L.; BITTENCOURT, P.L. Frequency and severity of liver involvement in hypertensive disorders of pregnancy. Arquivos de Gastroenterologia, v.59, n.3, p.340-344, 2020.
PAN, Y.; WANG, Y.; MIAO, J.; JI, X.; WU, C.; WANG, Y.; DING, H. Risk Factors for Postpartum Hemorrhage in Severe Pre-Eclampsia: A Retrospective Single-Centre Study of 1953 Cases. Medical Science Monitor, v.30,e943772, 2024.
PAREDES, C.; HSU, R.C.; TONG, A.; JOHNSON, J.R. Obesity and Pregnancy. Neo Reviews, v.22, n.2p.78–87, 2021.
PINHEIRO, L.G.V; SOARES, C.L.R.; LIMA, B.L.O.;SANCHES, N.M; OLIVEIRA, R.K.; QUEIROZ, D.A; QUEIROZ, E.A.I.F. Obesidade, gestação e complicações maternas e neonatais: uma revisão sistemática: Obesidade, gestação e complicações maternas e neonatais. Scientific Electronic Archives, v. 16, n. 4, 2023.
POLIC, A.; CURRY, T.L.; LOUIS, J.M. The Impact of Obesity on the Management and Outcomes of Postpartum Hemorrhage. American Journal of Perinatology, v.39, n.6, p.652-657, 2022.
RODRÍGUEZ, M.E.; BERTONA, C.; KOJDAMANIAN, F.V.; TEDESCO, F., SUCANI, S.M.; GÓMEZ, M.C. Maduración pulmonar fetal en diabetes mellitus pregestacional y complicaciones crónicas. Revista de la Sociedad Argentina de Diabetes, v.56, n. suple. 2, p. 63-66.
SILVA, J. A. da; ROSA, V. H. J. da; NUNES, M.; DANTAS, J. C. M.; LEAL , B. A. de S.; NASCIMENTO , T. R.; SILVA, R. da; TEIXEIRA , A. G. M. da S.; ARAÚJO , J. P.; FERREIRA , J. P. M.; PEREIRA , J.; NUNES , M. F. PRINCIPAIS COMPLICAÇÕES Á OBESIDADE NA GESTAÇÃO E SEUS FATORES DE IMPACTOS: REVISÃO DE LITERATURA. Brazilian Journal of Implantology and Health Sciences , v. 6, n. 1, p. 2133–2144, 2024.
SUTHERLAND, L.; NEALE, D.; HENDERSON, J.; CLARK, J.; LEVINE, D.; BENNETT, W.L. Provider Counseling About and Risk Perception for Future Chronic Disease Among Women with Gestational Diabetes and Preeclampsia. Journal of Women's Health, v.29, n.9, p.1168–75, 2020.
SWEETING, A.; WONG, J.; MURPHY, H.R.; ROSS, G.P. A Clinical Update on Gestational Diabetes Mellitus. Endocrine Reviews, v.43, n.5, p.763-793, 2022.
VALENCIA-ORTEGA, J.; SOLIS-PAREDES, J.M.; SAUCEDO, R.; ESTRADA-GUTIERREZ, G.; CAMACHO-ARROYO, I. Excessive Pregestational Weight and Maternal Obstetric Complications: The Role of Adipokines. International Journal of Molecular Sciences, v.24, n.19, e.14678, 2023
WANG, H.; WANG, L. Effect of aerobic exercise on limb motor function in diabetic patients. Revista Brasileira de Medicina do Esporte, v.28, n.5, p.505–08, 2022.
WANG, L.; LIN, H.; TSAI, M. Preterm birth and small for gestational age potentiate the association between maternal hypertensive pregnancy and childhood autism spectrum disorder. Scientific Reports, v.13, n.9606, 2023.
WEIR, T.L.; MAJUMDER, M.; GLASTRAS, S.J. A systematic review of the effects of maternal obesity on neonatal outcomes in women with gestational diabetes. Obesity Reviews, v.25, n.7, e13747, 2024.
WEN, Y.; YANG, X. Clinical Comparison of Preterm Birth and Spontaneous Preterm Birth in Severe Preeclampsia. Contrast media & molecular Imaging, v.2022, e.1995803, 2022.
ZANLOURENSI, C.B.; WAGNER, K.J.P.; BOING, A.F. Inadequações do ganho de peso gestacional: prevalência e associação com características sociodemográficas e do ambiente de moradia. Revista de Nutrição, v.35, n.e210156, 2022.
ZEHRAVI, M.; MAQBOOL, M.; ARA, I. Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview. International Journal of Adolescent Medicine and Health, v.33, n.6, p.339-345, 2021.
