0380/2019 - Complicações clínicas na gravidez: Uma revisão sistemática de estudos com gestantes Brasileiras. Clinical complications in pregnancy: A systematic review of studies with Brazilian pregnant women.
Objetivou-se descrever as principais complicações clínicas em gestantes brasileiras relatadas na literatura, identificando os fatores de exposição mais relevantes e seus desfechos na saúde materno-infantil. Foi realizada uma revisão sistemática de artigos publicados entre 2010 e 2018. Foram incluídos três revisões e 36 artigos empíricos; transtornos mentais (n=9), doenças infecciosas (n=9) e morbidade materna grave (n=8) foram as principais complicações clínicas na gravidez. Ainda, quatro artigos enfocaram a determinação das principais afecções ou causas de internação, citando-se com maiores frequências a Infecção do Trato Urinário, a anemia e as doenças hipertensivas. Idade materna nos extremos reprodutivos, menor escolaridade, vulnerabilidade socioeconômica, características raciais e uso de serviços públicos de saúde foram os fatores de exposição mais relevantes. Resultados de saúde desfavoráveis associados a complicações clínicas na gravidez foram verificados nos oito artigos com esse perfil. A frequência de gestantes com complicações clínicas potenciais de ameaça à vida é elevada no país, evidenciando a importância da cobertura da atenção básica e a implantação de intervenções para sua redução e prevenção de desfechos maternos e infantis adversos.
Palavras-chave:
Complicações na gravidez; Morbidade; Mortalidade materna.
Abstract:
Was aimed at describe the main clinical complications in Brazilian pregnant women reported in the literature, identifying the most relevant exposure factors and their outcomes in maternal and child health. This is a systematic review of articles published between 2010 and 2018. Were included three reviews and 36 empirical articles; mental disorders (n=9), infectious diseases (n=9) and severe maternal morbidity (n=8) were the main clinical complications in pregnancy. In addition, four articles focused on determining the main conditions or causes of hospitalization, with a higher frequency of Urinary Tract Infection, anemia and hypertensive diseases. Maternal age at reproductive extremes, lower schooling, socioeconomic vulnerability, racial characteristics and use of public health services were the most relevant exposure factors. Unfavorable health outcomes associated with clinical complications in pregnancy were verified in the eight articles with this profile. The frequency of pregnant women with potential clinical complications of life threatening is high in the country, showing the importance of the primary care coverage and the implementation of interventions to reduce and prevent adverse maternal and child outcomes.
Clinical complications in pregnancy: A systematic review of studies with Brazilian pregnant women.
Resumo (abstract):
Was aimed at describe the main clinical complications in Brazilian pregnant women reported in the literature, identifying the most relevant exposure factors and their outcomes in maternal and child health. This is a systematic review of articles published between 2010 and 2018. Were included three reviews and 36 empirical articles; mental disorders (n=9), infectious diseases (n=9) and severe maternal morbidity (n=8) were the main clinical complications in pregnancy. In addition, four articles focused on determining the main conditions or causes of hospitalization, with a higher frequency of Urinary Tract Infection, anemia and hypertensive diseases. Maternal age at reproductive extremes, lower schooling, socioeconomic vulnerability, racial characteristics and use of public health services were the most relevant exposure factors. Unfavorable health outcomes associated with clinical complications in pregnancy were verified in the eight articles with this profile. The frequency of pregnant women with potential clinical complications of life threatening is high in the country, showing the importance of the primary care coverage and the implementation of interventions to reduce and prevent adverse maternal and child outcomes.
Pedraza, D.F, Lins, A.C.L. Complicações clínicas na gravidez: Uma revisão sistemática de estudos com gestantes Brasileiras.. Cien Saude Colet [periódico na internet] (2019/dez). [Citado em 24/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/complicacoes-clinicas-na-gravidez-uma-revisao-sistematica-de-estudos-com-gestantes-brasileiras/17454?id=17454&id=17454
