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Authors
Abstract(s)
Introdução: A gravidez é uma etapa da vida importante para a mulher e para a sociedade.
Assegurar o planeamento, a deteção precoce e o acompanhamento da gestação, do parto e do
período neonatal é um dos grandes objetivos para a manutenção de altos índices de saúde
materno-infantil e bem-estar físico e psicológico no ato de gerar.
Objetivos: Pretende-se com este estudo aprofundar os conhecimentos sobre o parto no Centro
Hospitalar Universitário Cova da Beira, conhecer a estatística e o impacto das características
socio demográficas, obstétricas e maternas nos recém-nascidos, na gravidez e no parto das
primíparas do serviço de Obstetrícia.
Métodos: O presente estudo retrospetivo é de carácter transversal e observacional, cujos dados
foram recolhidos de uma amostra dos processos clínicos de mulheres que tiveram o primeiro
parto entre janeiro de 2015 e dezembro de 2017 no Centro Hospitalar Universitário Cova da
Beira.
Resultados: Entre janeiro de 2015 e dezembro de 2017 ocorreram 1626 partos dos quais 831
foram primíparas. A amostra é constituída por 264 primíparas com idade média de 30,25 anos.
Destas,15,9% encontravam-se em situação de desemprego. O ganho ponderal gestacional médio
foi 10,729 ± 4,810 Kg.
Destas gestações, 45,5% culminaram em partos eutócicos, 38,6% em cesarianas e 15,9% em
partos vaginais instrumentalizados. As três justificações mais frequentes dos partos distócicos
foram: sofrimento fetal agudo (12,1%), estado fetal não tranquilizador (9,5%) e
incompatibilidade feto-pélvica (6,8%). Nos partos vaginais, 33,95% ocorreram com recurso a
epidural sendo os restantes sem recurso a analgesia. Os recém-nascidos de partos vaginais
instrumentalizados obtiveram, no 1º minuto, valores de APGAR mais baixos do que os nascidos
de parto eutócico (p-value = 0,001).
Nasceram 265 nados vivos com peso médio de 3038,98 ± 434,55 gramas. Destes, 9,8% possuíam
um peso inferior a 2500 gramas sendo que as respetivas primíparas gestantes obtiveram um
ganho ponderal médio (9,120 ± 5,5330 gramas) inferior ao das gestantes de recém-nascidos com
peso superior a 2500 gramas. Com uma relação estatisticamente significativa, as primíparas
desempregadas geraram recém-nascidos com peso superior às empregadas e quanto maior o
ganho ponderal durante a gestação maior o peso ao nascimento.
Conclusão: A gravidez e o parto são afetados pelas alterações sociodemográficas observadas
atualmente e, tanto o peso dos recém-nascidos como o desfecho materno e neonatal são
influenciados pelas intercorrências na gestação, pelo estilo de vida e pelos antecedentes maternos. O seguimento da gestação é uma das principais formas de assegurar o bem-estar
tanto materno-fetal bem como de todo o núcleo familiar do novo elemento a ser gerado.
Introduction: Pregnancy is an important life stage either for the women as for the society. Ensuring the planning, earlier detection and monitoring of the gestation, the delivery and the neonatal period is one of the major goals for achieving and maintaining high levels of maternalchild health and physical and psychological wellbeing at the gestation act. Objectives: The purposes of the present study are to deepen the knowledge about the delivery on “Centro Hospitalar Universitário Cova da Beira” hospital, get to know the statistics and the impact of sociodemographic, obstetric and maternal characteristics on the newborn, on pregnancy and in labor of the primiparous women followed in the Obstetrics service. Methods: The present retrospective cross-sectional and observational study, whose data were collected from a sample of the clinical processes of women who had their first childbirth between January 2015 and December 2017 at “Centro Hospitalar Universitário Cova da Beira” hospital. Results: Between January 2015 and December 2017 there were 1626 deliveries of which 831 were primiparous. The sample consisted of 264 primiparous women with a mean age of 30.25 years. Of these, 15.9% were unemployed. The mean gestational weight gain was 10.729 ± 4,810 Kg. Of these pregnancies, 45.5% resulted in eutocic deliveries, 38.6% in cesarean sections and 15.9% in operative vaginal deliveries. The three most frequent reasons for dystocia were acute fetal distress (12.1%), non-reassuring fetal status (9.5%) and fetal-pelvic incompatibility (6.8%). In the vaginal deliveries, 33.95% occurred with the use of an epidural and the remainder without anesthesia. The newborns of operative vaginal deliveries obtained, at the 1st minute, lower APGAR scores than those born by eutocic delivery. There were 265 live births born with an average weight of 3038,98 ± 434,55 grams. Of these, 9.8% had a weight lower than 2500 grams and the respective primiparous women had a lower mean weight gain (9,120 ± 5,5330 grams) than that of pregnant women with newborns weighing more than 2,500 grams. With a statistically significant relationship, the primiparous unemployed women generated newborns with a higher weight than those employed and the higher the weight gain during gestation, the higher the birth weight. Conclusion: Pregnancy and delivery are affected by sociodemographic changes currently observed, and both newborn weight and maternal and neonatal outcome are influenced by intercurrences during pregnancy, lifestyle and maternal history. Follow-up of gestation is one of the main ways to ensure the well-being of both the mother and fetus as well as the entire family nucleus of the new element to be generated.
Introduction: Pregnancy is an important life stage either for the women as for the society. Ensuring the planning, earlier detection and monitoring of the gestation, the delivery and the neonatal period is one of the major goals for achieving and maintaining high levels of maternalchild health and physical and psychological wellbeing at the gestation act. Objectives: The purposes of the present study are to deepen the knowledge about the delivery on “Centro Hospitalar Universitário Cova da Beira” hospital, get to know the statistics and the impact of sociodemographic, obstetric and maternal characteristics on the newborn, on pregnancy and in labor of the primiparous women followed in the Obstetrics service. Methods: The present retrospective cross-sectional and observational study, whose data were collected from a sample of the clinical processes of women who had their first childbirth between January 2015 and December 2017 at “Centro Hospitalar Universitário Cova da Beira” hospital. Results: Between January 2015 and December 2017 there were 1626 deliveries of which 831 were primiparous. The sample consisted of 264 primiparous women with a mean age of 30.25 years. Of these, 15.9% were unemployed. The mean gestational weight gain was 10.729 ± 4,810 Kg. Of these pregnancies, 45.5% resulted in eutocic deliveries, 38.6% in cesarean sections and 15.9% in operative vaginal deliveries. The three most frequent reasons for dystocia were acute fetal distress (12.1%), non-reassuring fetal status (9.5%) and fetal-pelvic incompatibility (6.8%). In the vaginal deliveries, 33.95% occurred with the use of an epidural and the remainder without anesthesia. The newborns of operative vaginal deliveries obtained, at the 1st minute, lower APGAR scores than those born by eutocic delivery. There were 265 live births born with an average weight of 3038,98 ± 434,55 grams. Of these, 9.8% had a weight lower than 2500 grams and the respective primiparous women had a lower mean weight gain (9,120 ± 5,5330 grams) than that of pregnant women with newborns weighing more than 2,500 grams. With a statistically significant relationship, the primiparous unemployed women generated newborns with a higher weight than those employed and the higher the weight gain during gestation, the higher the birth weight. Conclusion: Pregnancy and delivery are affected by sociodemographic changes currently observed, and both newborn weight and maternal and neonatal outcome are influenced by intercurrences during pregnancy, lifestyle and maternal history. Follow-up of gestation is one of the main ways to ensure the well-being of both the mother and fetus as well as the entire family nucleus of the new element to be generated.
Description
Keywords
Baixo Peso Ao Nascimento Ganho de Peso Na Gestação Gravidez Parto Primíparas