1704/2011 - RISCO REPRODUTIVO E RENDA FAMILIAR: ANÁLISE DO PERFIL DE GESTANTES REPRODUCTIVE RISK AND FAMILY INCOME: PROFILE ANALYSIS OF PREGNANT WOMEN ATTENDED IN A HIGH-RISK PRENATAL CARE
• Katia Silveira da Silva - Silva, K.S. - Rio de Janeiro, Rio de janeiro - Instituto Fernandes Figueira/ Fiocruz - <katiass@iff.fiocruz.br> +
• Aline de Carvalho Martins - Martins, A.C. - Instituto Fernandes Figueira/ Fiocruz - <rjalinemartins@yahoo.com.br>
Área Temática:
Saúde e Gênero
Resumo:
Em face do desafio de enfrentar a morbimortalidade materna e perinatal, a discussão sobre risco reprodutivo e sua associação com situações de vulnerabilidade em saúde é relevante à saúde publica. A pesquisa realizada teve como objetivos descrever o perfil de risco reprodutivo de 3440 mulheres matriculadas em um serviço de pré-natal de pré-natal de alto risco, entre 2006 e 2008, e investigar sua relação com renda familiar e situações de vulnerabilidade em saúde. Trata-se de estudo transversal que teve como fonte o banco de dados do pré-natal. O perfil econômico do grupo estudado é de baixa renda. Encontrou-se associação entre baixa renda familiar e malformações fetais, gravidez antes dos 15 anos e HIV. Renda familiar mais elevada foi associada à idade materna acima de 35 anos, translucência nucal alterada, ginecopatias e abortamento habitual. Os achados podem refletir situações de vulnerabilidade de mulheres de baixa renda, como condições de saúde desfavoráveis e menor acesso e utilização de serviços de saúde. É necessário obter um maior conhecimento do perfil do risco reprodutivo no Brasil e sua distribuição segundo características sociodemográficas, visando ao aperfeiçoamento das práticas assistenciais.
Palavras-chave:
gestação de alto risco
fatores de risco
renda familiar
vulnerabilidade de saúde
Abstract:
In front of the challenge of facing the maternal and perinatal morbimortality, the discussion on reproductive risk and its association to situations of health vulnerability is relevant to public health. The research carried out in Instituto Fernandes Figueira/Fiocruz had as its aims describing the reproductive risk profile of women enrolled in the prenatal care between 2006 and 2008 and investigating its relation to family income and health vulnerability situations. This is a transversal study which had the prenatal care database as its source. The economic profile of the group under study is a low income one. An association between low income and fetal malformations, pregnancy before 15 years of age, and HIV was found. A higher family income was associated to the mother’s age over 35 years, abnormal nuchal translucency, gynecopathies, and habitual abortion. The findings may reflect vulnerability situations of low income women, as unfavorable health conditions and limited access and use of health services. There’s a need to gain a deeper knowledge on the reproductive risk profile in Brazil and its distribution according to sociodemographic features, aiming to improve the assistance practices.
Keywords:
high-risk pregnancy
risk factors
family income
health vulnerability
REPRODUCTIVE RISK AND FAMILY INCOME: PROFILE ANALYSIS OF PREGNANT WOMEN ATTENDED IN A HIGH-RISK PRENATAL CARE
Resumo (abstract):
In front of the challenge of facing the maternal and perinatal morbimortality, the discussion on reproductive risk and its association to situations of health vulnerability is relevant to public health. The research carried out in Instituto Fernandes Figueira/Fiocruz had as its aims describing the reproductive risk profile of women enrolled in the prenatal care between 2006 and 2008 and investigating its relation to family income and health vulnerability situations. This is a transversal study which had the prenatal care database as its source. The economic profile of the group under study is a low income one. An association between low income and fetal malformations, pregnancy before 15 years of age, and HIV was found. A higher family income was associated to the mother’s age over 35 years, abnormal nuchal translucency, gynecopathies, and habitual abortion. The findings may reflect vulnerability situations of low income women, as unfavorable health conditions and limited access and use of health services. There’s a need to gain a deeper knowledge on the reproductive risk profile in Brazil and its distribution according to sociodemographic features, aiming to improve the assistance practices.
Palavras-chave (keywords):
high-risk pregnancy
risk factors
family income
health vulnerability
Xavier, R.B., Bonan, C., Silva, K.S., Martins, A.C.. RISCO REPRODUTIVO E RENDA FAMILIAR: ANÁLISE DO PERFIL DE GESTANTES. Cien Saude Colet [periódico na internet] (2012/mar). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/risco-reprodutivo-e-renda-familiar-analise-do-perfil-de-gestantes/9745?id=9745&id=9745
