Prevalência de Patologias e Relação com a Prematuridade em Gestação de Alto Risco / Prevalence of Disease and Relationship to Preterm Birth in High- Risk Pregnancy
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Abstract
RESUMO
Objetivo: Traçar o perfil epidemiológico e avaliar a prevalência das patologias responsáveis pela gestação de alto risco que cursam com parto prematuro. Material e Métodos: Foram analisados retrospectivamente 292 prontuários de gestantes internadas na maternidade do Hospital Escola da Faculdade de Medicina de Itajubá no ano de 2013. Após análise, os dados foram comparados para se obter um perfil epidemiológico. Resultados: Foram identificados como doenças prevalentes correlacionadas ao parto prematuro: amniorrexe prematura (48,8%) e doença hipertensiva específica da gravidez (25,5%). Já em relação aos tipos de parto, 61% foram cesáreas, sendo 34,09% partos prematuros, entre os quais 68% dos recém-nascidos prematuros necessitaram de cuidados intensivos. Conclusão: A não prevalência de partos prematuros no presente estudo permitiu constatar que o serviço adequado de assistência a gestante de alto risco são potencialmente capazes de reduzir o índice de prematuridade.
Palavras-chave: Gestação de alto risco, Prematuridade, Patologias obstétricas.
ABSTRACT
Objective: To describe the epidemiology and assess the prevalence of diseases which are responsible for high-risk pregnancies that occur with premature birth. Materials and Methods: We retrospectively reviewed 292 medical records of pregnant women admitted to the maternity ward of School Hospital of Itajuba Medical School in 2013. After analysis, the data were compared to obtain an epidemiological profile. Results: We identified as prevalent diseases correlated with preterm delivery: premature rupture of membranes (48.8%) and hypertensive disorders of pregnancy (25.5%). Regarding the types of delivery, 61% were cesarean sections, 34.09% being premature births, including 68% of premature newborns requiring intensive care. Conclusion: The prevalence of premature births in this study has found that the appropriate service assistance to high-risk pregnant women can potentially reduce the prematurity rate.
Keywords: High-risk pregnancy, Prematurity, Obstetric pathologies.
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