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Introdução: O sangue do cordão umbilical é a fonte de células progenitoras mais abundante e com potencial para múltiplas aplicações clínicas. A sua disponibilidade e aplicações têm vindo a motivar a criação de Bancos de Sangue do Cordão Umbilical. Em Portugal, existem sete bancos privados e um público.
Objetivos: Descrever o Sangue do Cordão Umbilical e as suas aplicações; referir os Bancos de Sangue do Cordão Umbilical, as suas características e situação em Portugal; analisar o conhecimento das grávidas do Centro Hospitalar da Cova da Beira de 2ª e 3º trimestre e dos seus companheiros sobre os Bancos de Sangue do Cordão Umbilical em Portugal.
Métodos: Preenchimento de um inquérito pelas grávidas de 2º e 3º trimestre e seus parceiros no Centro Hospitalar Cova da Beira. Para a análise estatística descritiva usou-se o Google Forms e, para a análise correlacional, o software Statistical Package for the Social Sciences. Para este estudo, as análises estatísticas de maior interesse e relevância foram as modas, as análises de frequência e correlações de Pearson.
Resultados: A amostra foi constituída por 100 elementos. Destes, 32% tinham conhecimento do Banco Público e 80% do Banco Privado. A principal fonte de conhecimento foi a Internet (64% e 60%, respetivamente). Os conhecimentos sobre o sangue de cordão umbilical demonstraram-se reduzidos sendo que, das 4 perguntas sobre o assunto, as percentagens de respostas totalmente corretas foram 2%, 59,6%, 7,1% e 48,8%. A maioria (58%) dos inquiridos ainda não tomou nenhuma decisão sobre o que fazer ao sangue do cordão umbilical na gravidez atual e o principal motivo dessa indecisão (34,1%) é falta de conhecimentos sobre as opções. A maioria dos inquiridos é a favor (26,8%) ou totalmente a favor (27,8%) da doação a priori quando excluída a intenção de preservar num Banco Privado. Quase todos os inquiridos (98%) gostavam de ter mais informações sobre o processo e os critérios de Preservação e Doação de sangue do cordão umbilical e todos consideram que se devem informar as grávidas nas consultas de Ginecologia/Obstetrícia/Médico de Família sobre a possibilidade de preservar e doar o sangue do cordão umbilical.
Conclusão: Existe um deficit informativo sobre o sangue do cordão umbilical e os Bancos que o conservam, e é do interesse dos inquiridos aumentar o nível de conhecimento sobre estes. Os profissionais de saúde poderão desenvolver um papel crucial nesta informação. O consentimento presumido da doação ao banco público é uma estratégia a ponderar para aumentar o número de doações.
Introduction: Umbilical cord blood is the most abundant source of progenitor cells with the potential for many clinical applications. Its availability and applications have motivated the creation of umbilical cord blood banks. There exist one public and seven private banks in Portugal. Objectives: Describing umbilical cord blood and its applications; referencing umbilical cord blood banks, their characteristics and the situation in Portugal; analyze the awareness of umbilical cord blood banks in Portugal of 2nd and 3rd trimester pregnant women and their partners at the Cova da Beira Hospital Center. Methods: Survey of 2nd and 3rd trimester pregnant women and their partners at Cova da Beira Hospital Center. Google Forms was used for producing descriptive statistics, while SPSS was used for correlational analysis. The most relevant statistics in this dissertation are modal analysis, frequency analysis and Pearson correlations. Resultados: 100 people were sampled. Of these, 32% were aware of the public blood bank and 80% of the private blood bank. The main source of information about the blood bank was the internet (64% and 60%, respectively). Knowledge about umbilical cord blood proved itself small with the correct answers to each of the 4 questions about the issue being 2%, 59.6%, 7.1% and 48,8%. The majority (58%) of the surveyed had not yet taken any decision about what to do with their current pregnancy’s umbilical cord blood. The main reason for that indecision (34.1%) was the lack of awareness about the options. The majority of the surveyed favors (26,8%) or completely favors (27,8%) a priori donation when the intention to preserve in a private blood bank was excluded. Almost all the surveyed (98%) would like to have more information about the process and the criteria of preservation and donation of umbilical cord blood. All the surveyed consider that pregnant women should be informed about the possibility of preserving and donating umbilical cord blood in their gynecologist/obstetrician/general practitioner. Conclusion: There is an informational deficit about umibilical cord blood and the blood banks that preserve it. It is in the interest of the surveyed to increase awareness of these. Healthcare professionals may develop a crucial role in providing this information. Assumed consent of donation to the public blood bank is a strategy to consider to increase the number of donations.
Introduction: Umbilical cord blood is the most abundant source of progenitor cells with the potential for many clinical applications. Its availability and applications have motivated the creation of umbilical cord blood banks. There exist one public and seven private banks in Portugal. Objectives: Describing umbilical cord blood and its applications; referencing umbilical cord blood banks, their characteristics and the situation in Portugal; analyze the awareness of umbilical cord blood banks in Portugal of 2nd and 3rd trimester pregnant women and their partners at the Cova da Beira Hospital Center. Methods: Survey of 2nd and 3rd trimester pregnant women and their partners at Cova da Beira Hospital Center. Google Forms was used for producing descriptive statistics, while SPSS was used for correlational analysis. The most relevant statistics in this dissertation are modal analysis, frequency analysis and Pearson correlations. Resultados: 100 people were sampled. Of these, 32% were aware of the public blood bank and 80% of the private blood bank. The main source of information about the blood bank was the internet (64% and 60%, respectively). Knowledge about umbilical cord blood proved itself small with the correct answers to each of the 4 questions about the issue being 2%, 59.6%, 7.1% and 48,8%. The majority (58%) of the surveyed had not yet taken any decision about what to do with their current pregnancy’s umbilical cord blood. The main reason for that indecision (34.1%) was the lack of awareness about the options. The majority of the surveyed favors (26,8%) or completely favors (27,8%) a priori donation when the intention to preserve in a private blood bank was excluded. Almost all the surveyed (98%) would like to have more information about the process and the criteria of preservation and donation of umbilical cord blood. All the surveyed consider that pregnant women should be informed about the possibility of preserving and donating umbilical cord blood in their gynecologist/obstetrician/general practitioner. Conclusion: There is an informational deficit about umibilical cord blood and the blood banks that preserve it. It is in the interest of the surveyed to increase awareness of these. Healthcare professionals may develop a crucial role in providing this information. Assumed consent of donation to the public blood bank is a strategy to consider to increase the number of donations.
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Keywords
Bancos de Células Estaminais Grávidas de Segundo e Terceiro Trimestre e Parceiros Sangue do Cordão Umbilical