0261/2016 - Transtornos mentais na gravidez e condições do recém-nascido: Estudo longitudinal com gestantes assistidas na atenção básica Mental disorders in pregnancy and conditions of the newborn: Longitudinal study with pregnant women assisted in primary care
• Maria Wany Strufaldi - Strufaldi, Maria Wany - Universidade Federal de Sao Paulo - <mariawany@gmail.com>
• Glaura Pedroso - Pedroso, Glaura - Universidade Federal de Sao Paulo Escola Paulista de Medicina - <gpedroso@yahoo.com>
• Fabiola Suano - Suano, Fabiola - Universidade Federal de Sao Paulo - <fsuano@gmail.com>
Área Temática:
Saúde Mental
Resumo:
O objetivo deste estudo foi verificar a presença e associação entre diagnósticos prováveis de transtornos mentais em gestantes usuárias da atenção básica e condições dos recém-nascidos. Estudo longitudinal com gestantes (18 a 39 anos), no segundo e terceiro trimestres da gravidez, assistidas na atenção básica da região Metropolitana de São Paulo (fevereiro a agosto/2014). Foram aplicados: questionário sociodemográfico, instrumento para Avaliação de Transtornos Mentais na Atenção Primária e entrevista sobre informações e percepção do comportamento do recém-nascido. Das 300 gestantes entrevistadas, 76 (26,6%) apresentaram diagnóstico provável de transtorno mental, sendo que, 46 (16,2%) apresentavam sintomas de depressão/distimia e 58 (20,4%) ansiedade/pânico. Observou-se baixo peso ao nascer e prematuridade em 14 (4,9%) e 19 (6,7%) dos recém-nascidos, respectivamente, e, não foi verificada associação com diagnósticos prováveis de transtorno mental; a presença de possíveis transtornos mentais associou-se com a percepção materna de alterações no comportamento do recém-nascido (p = 0,001). Gestantes em acompanhamento de pré-natal de baixo risco apresentam frequência relevante de transtornos mentais, logo, a identificação dessas alterações na gestação pode colaborar para uma melhor compreensão da dinâmica do binômio mãe-filho e contribuir com a qualidade na assistência à família.
Palavras-chave:
GestaçãoTranstornos mentaisPeso ao nascerPrematuro
Abstract:
The aim of this study was to determine the presence and association of possible mental disorders diagnoses in pregnant women assisted in primary care and newborns’s conditions. A longitudinal study with pregnant women (18-39 years), in the second and third trimesters of pregnancy, assisted at primary care in the metropolitan region of São Paulo (February to August/2014). Has used: sociodemographic questionnaire; instrument for Mental Disorders Assessment in Primary Care; and an interview with information and mother´s perception of the behavior of the newborns. Three hundred pregnant women were interviewed, and 76 (26.6%) presented possible diagnosis of mental disorders, being that, 46 (16.2%) women had symptoms of depression/dysthymia and 58 (20.4%) anxiety/panic. There were 14 (4.9%) low birth weight and 19 (6.7%) premature children, and, was no association with the probable diagnosis of mental disorders; the possible presence of mental disorders was associated with maternal perception’s about newborns behavior (p = 0.001). Pregnant women assisted at low risk prenatal care showed relevant frequency of possible mental disorders, then, the identification of these changes during pregnancy can also contribute to a better understanding of the mother and child dynamics and contribute to the quality of family care.
Mental disorders in pregnancy and conditions of the newborn: Longitudinal study with pregnant women assisted in primary care
Resumo (abstract):
The aim of this study was to determine the presence and association of possible mental disorders diagnoses in pregnant women assisted in primary care and newborns’s conditions. A longitudinal study with pregnant women (18-39 years), in the second and third trimesters of pregnancy, assisted at primary care in the metropolitan region of São Paulo (February to August/2014). Has used: sociodemographic questionnaire; instrument for Mental Disorders Assessment in Primary Care; and an interview with information and mother´s perception of the behavior of the newborns. Three hundred pregnant women were interviewed, and 76 (26.6%) presented possible diagnosis of mental disorders, being that, 46 (16.2%) women had symptoms of depression/dysthymia and 58 (20.4%) anxiety/panic. There were 14 (4.9%) low birth weight and 19 (6.7%) premature children, and, was no association with the probable diagnosis of mental disorders; the possible presence of mental disorders was associated with maternal perception’s about newborns behavior (p = 0.001). Pregnant women assisted at low risk prenatal care showed relevant frequency of possible mental disorders, then, the identification of these changes during pregnancy can also contribute to a better understanding of the mother and child dynamics and contribute to the quality of family care.
Costa, Daisy, Strufaldi, Maria Wany, Pedroso, Glaura, Suano, Fabiola. Transtornos mentais na gravidez e condições do recém-nascido: Estudo longitudinal com gestantes assistidas na atenção básica. Cien Saude Colet [periódico na internet] (2016/jun). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/transtornos-mentais-na-gravidez-e-condicoes-do-recemnascido-estudo-longitudinal-com-gestantes-assistidas-na-atencao-basica/15686?id=15686
