| Name: | Description: | Size: | Format: | |
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| Documento principal | 7.5 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Enquadramento: O baixo peso ao nascer é um fator de risco para a morbi-mortalidade
neonatal, e um indicador geral do nível de saúde de uma população. Associa-se a baixos
níveis de desenvolvimento socioeconómico, características maternas e de assistência
materno-infantil.
Objectivos: Analisar a influência das variáveis sociodemográficas, obstétricas e de
assistência pré-natal ao baixo peso ao nascer.
Métodos: Estudo transversal, descritivo correlacional e prospetivo. A amostra é não
probabilística intencional, constituída por 1846 puérperas, em que 161 apresentam recémnascidos
de baixo peso ao nascer. Foi utilizado um questionário aplicado entre Março de
2010 e Maio de 2012, em 26 instituições de saúde públicas portuguesas.
Resultados: O baixo peso ao nascer, teve associado: idade gestacional ≥41semanas
(p=0,000), sem risco obstétrico(p=0,001), sem risco obstétrico/gravidez não planeada
(p=0,036), risco obstétrico/idade materna de risco(p=0,007), risco obstétrico/primeira
consulta tardia (p=0,036), sem risco sociodemográfico/Idade gestacional de termo(p=0,000),
Risco sociodemográfico/Idade gestacional de termo(p=0,007), risco na assistência prénatal/
idade materna de risco(p=0,020), sem risco na assistência pré-natal/idade gestacional
de termo (p=0,000), idade materna de risco/número gestações de risco(p=0,021); baixa
escolaridade/rendimentos ≤1000€ (p=0,036), baixa escolaridade/desemprego (p=0,044),
número filhos de risco/idade gestacional de termo (p=0,000), patologias na gravidez/idade
gestacional de termo (p=0,000), patologias prévias/idade gestacional de termo(p=0,000), e
com erro de 10% à baixa escolaridade (p=0,074), não planeamento da gravidez (p=0,089),
primeira consulta ˃12semanas (p=0,067), baixa escolaridade/intervalo interparto de risco
(p=0,079), baixa escolaridade/sem companheiro(p=0,068).
Conclusão: A determinação dos fatores que favorecem o aparecimento do baixo peso ao
nascer é fundamental para o planeamento e desenvolvimento de ações no âmbito da saúde
materno-infantil.
Palavras-chave: Baixo Peso ao Nascer; Recém-nascido; Fatores de Risco; Fatores
Socioeconómicos; Assistência pré-natal; Gravidez.
ABSTRACT Framework: The low birthweight is a risk factor for neonatal morbidity and mortality and a general indicator of health status of a population. It can be associated to low levels of socioeconomic development, prenatal care and maternal charateristics. Objectives: Analyze the influence of sociodemographic, obstetric and prenatal care variables to low birthweight. Methods: This is a wide-ranging, descriptive-correlacional and forward-looking study. It was used a non-probable intentional sample, constituted by 1846 post-partum women, where only 161 had newborns with low birthweight. It was used a questionnaire, applied between March 2010 and May 2012, in 26 Portuguese institutions of public health. Results: The low birthweight was associated: ≥ 41 weeks (p=0,000), without obstetric risk (p=0,001), without obstetric risk/unplanned pregnancy (p=0,036), obstetric risk/maternal age risk (p=0,007), obstetric risk/late beginning of pregnancy vigilance (p=0,036), without sociodemographic risk/gestacional age without risk (p=0,000), sociodemographic risk/gestacional age without risk (p=0,007), risk on prenatal care/maternal age risk(p=0,020), prenatal care without risk/gestacional age without risk (p=0,000), maternal age risk/risk number of pregnancies (p=0,021), low education/income ≤1000€ (p=0,036), low education/unemployment (p=0,044), risk number of children/gestational age without risk (p=0,000), pregnancy diseases /gestational age without risk (p=0,000), previous diseases/gestational age without risk (p=0,000), and with a margin error of 10%, low education (p=0,074), unplanned pregnancy (p=0,089), late beginning of pregnancy vigilance (p=0,067), low education/interpregnancy interval risk (p=00,079), low education/single(p=0,068). Conclusion: The determination of the factors that contribute to the appearance of low bitrhweight is essential for the planning, implementation and development of actions related to maternal and children health. Key-words: Low Birth Weight, Newborn, Risk Factors, Socioeconomic Factors; Prenatal care, Pregnancy.
ABSTRACT Framework: The low birthweight is a risk factor for neonatal morbidity and mortality and a general indicator of health status of a population. It can be associated to low levels of socioeconomic development, prenatal care and maternal charateristics. Objectives: Analyze the influence of sociodemographic, obstetric and prenatal care variables to low birthweight. Methods: This is a wide-ranging, descriptive-correlacional and forward-looking study. It was used a non-probable intentional sample, constituted by 1846 post-partum women, where only 161 had newborns with low birthweight. It was used a questionnaire, applied between March 2010 and May 2012, in 26 Portuguese institutions of public health. Results: The low birthweight was associated: ≥ 41 weeks (p=0,000), without obstetric risk (p=0,001), without obstetric risk/unplanned pregnancy (p=0,036), obstetric risk/maternal age risk (p=0,007), obstetric risk/late beginning of pregnancy vigilance (p=0,036), without sociodemographic risk/gestacional age without risk (p=0,000), sociodemographic risk/gestacional age without risk (p=0,007), risk on prenatal care/maternal age risk(p=0,020), prenatal care without risk/gestacional age without risk (p=0,000), maternal age risk/risk number of pregnancies (p=0,021), low education/income ≤1000€ (p=0,036), low education/unemployment (p=0,044), risk number of children/gestational age without risk (p=0,000), pregnancy diseases /gestational age without risk (p=0,000), previous diseases/gestational age without risk (p=0,000), and with a margin error of 10%, low education (p=0,074), unplanned pregnancy (p=0,089), late beginning of pregnancy vigilance (p=0,067), low education/interpregnancy interval risk (p=00,079), low education/single(p=0,068). Conclusion: The determination of the factors that contribute to the appearance of low bitrhweight is essential for the planning, implementation and development of actions related to maternal and children health. Key-words: Low Birth Weight, Newborn, Risk Factors, Socioeconomic Factors; Prenatal care, Pregnancy.
Description
Keywords
Complicações da gravidez Estado nutricional Estilo de vida Factores de risco Factores socioeconómicos Idade materna Peso ao nascer Recém nascido de baixo peso Birth weight Infant, low birth weight Life style Maternal age Nutritional status Pregnancy complications Risk factors Socioeconomic factors
Citation
Publisher
Instituto Politécnico de Viseu. Escola Superior de Saúde de Viseu