Epidemiological profile of abortions in the southwest region of mato grosso - proposal for a new flowchart of care
DOI:
https://doi.org/10.33448/rsd-v9i11.10365Keywords:
Pregnancy; Spontaneous abortion; Epidemiology.Abstract
Spontaneous abortion is a major public health problem, usually occurring in the first 12 weeks of pregnancy, and is often underreported. In Brazil, there is currently no flowchart of care for patients diagnosed with initial pregnancy undergoing abortion recommended by the Ministry of Health. Recognizing the epidemiological profile and characterizing patients with early abortion, allows to act in primary prevention, directing resources and optimizing primary care . The objective of this study was to analyze the epidemiological profile of patients diagnosed with spontaneous abortion in the Southwest region of Mato Grosso between January 2018 and July 2019, analyzing the clinical forms of early abortion and its prevalence. Cross-sectional study with secondary data of pregnant women hospitalized for spontaneous abortion, extracted after approval by the ethics committee of medical records and clinical files and later transferred for data analysis in the SPSS software. In total, 348 patients were included, the average age was 29.36 years, the most common ethnicity was mixed race, 56% were single. Most patients had no information described or accurate in the medical record regarding occupation, education, prenatal care and medication use. Once the incompleteness of information and the importance of the data have been verified, systematizing data collection in the medical records of hospitalized patients diagnosed with early abortion is of paramount importance. Based on an effective intervention in the care protocol for these patients, it will be possible to assess risk groups for the development of unfavorable outcomes, which will enable targeted and accurate primary prevention.
References
Barini, R., Couto, E., Mota, M. M., Santos, C. T. M. dos, Leiber, sofia R., & Batista, S. C. (2000). Barini, Ricardo et al . Fatores Associados ao Aborto Espontâneo Recorrente. Rev. Bras. Ginecol. Obstet., Rio de Janeiro , v. 22, n. 4, p. 217-223, May 2000. Available from. Rev. Bras. Ginecol. Obstet, 22(4), 217–223. https://www.scielo.br/scielo.php?pid=S0100-72032000000400005&script=sci_abstract&tlng=pt
Bastos, R.; Ramalho, C.; Dória, S. (2014). Estudo da Prevalência de Anomalias Cromossómicas em Abortamentos Espontâneos ou Mortes Fetais. Acta Med Port., 27(1), 42–48.
Batista, R. Q., Koch, D. F., Bispo, A. M. D. S., Luciano, T. V., & Velten, A. P. C. (2017). Descrição das internações por aborto no estado do Espírito Santo, Brasil. Brazilian Journal of Health Research, 18(2), 79–86.
Burti, J. S., Andrade, L. Z., & Caromano, F. A. L. de M. F. (2006). Adaptações fisiológicas do período gestacional Pregnancy physiological adaptations. Fisioterapia Brasil, 7(5).
Cardoso-Escamilla, M. E., Zavala-Bonachea, M. T., & Alva-López, M. C. (2017). Depresión y estrés postraumátíco en mujeres con pérdidas gestacíonales inducidas e involuntarias. Pensamiento Psicológico., 15(2), 109–120. https://dx.doi.org/10.11144/Javerianacali.PPSI15-2.depm%0A
Cardoso, B. B., Vieira, F. M. S. B., & Saraceni, V. (2020). Aborto no Brasil: o que dizem os dados oficiais. Cad. Saúde Pública, 36, e00188718. https://doi.org/doi: 10.1590/01002-311X00188718
Correia, L., Rocha, H., Leite, Á., Campos, J., Silva, A., Machado, M., Rocha, S., Gomes, T., & Cunha, A. (2018). Tendência de abortos espontâneos e induzidos na região semiárida do Nordeste do Brasil: uma série transversal. Rev. Bras. Saúde Mater. Infant, 18(1), 133–142.
Costa, O. L. N., Santos, E. M. F., & Netto, E. M. (2014). Aspectos epidemiológicos e obstétricos de mulheres com perdas recorrentes da gravidez em uma maternidade pública do Nordeste do Brasil. Rev. Bras. Ginecol. Obstet., 36(11), 514–518. https://doi.org/10.1590/S0100-720320140005007
Cunningham, F. J., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Sheffield, J. S. (2016). Obstetrícia de Williams. 24 ed. Porto Alegre: AMGH, 2016.
Feodor, N. S., Andersen, P. K., K., S.-L., & Nybo, A. A.-M. (2014). Risk factors for miscarriage from a prevention perspective: a nationwide follow-up study. BJOG, 121, 1375–1385.
Fonseca, S. C., Domingues, R. M. S. M., Leal, M. do C., Aquino, E. M. L., & Menezes, G. M. S. (2020). Aborto legal no Brasil: revisão sistemática da produção científica, 2008-2018. Cadernos de Saude Publica, 36(Suppl 1), 1–27. https://doi.org/10.1590/0102-311X00189718
Gutaj, P., Zawiejska, A., Wender‑Ożegowska, E. W. A., & Brązert, J. (2013). Maternal factors predictive of first‑trimester pregnancy loss in women with pregestational Diabetes. Polskie Archiwum Medycyny Wewnętrznej, 123(1–2).
Hu, C. Y., Yang, X. J., Hua, X. G., Jiang, W., Huang, K., Chen, H. B., & Zhang, X. J. (2019). Risk factors for spontaneous abortion from a prevention perspective in rural China: a population-based follow-up study. J. Matern.-Fetal Neonatal Med. https://doi.org/10.1080/14767058.2019.1670160
Júnior, E. V. de S., Nunes, G. A., Jesus, M. A. S. de, Cruz, D. P., Boery, R. N. S. de O., & Boery, E. N. (2020). Hospitalizations and hospital costs for spontaneous abortion in bahia, Brazil / Internações e custos hospitalares por aborto espontâneo na Bahia,. Cuidado é Fundamental Online, 12, 767–773. https://doi.org/10.9789/2175-5361.rpcfo.v12.7156
Kim, C., Barnard, S., Neilson, J. P., Hickey, M., Vazquez, J. C., & Dou, L. (2017). Medical treatments for incomplete miscarriage. Cochrane Database of Systematic Reviews. 1, CD007223. https://doi.org/DOI: 10.1002/14651858.CD007223.pub4.
Marqui, A. B. T. (2018). Anormalidades cromossômicas em abortos recorrentes por análise de cariótipo convencional. Rev. Bras. Saude Mater. Infant. https://doi.org/10.1590/1806-93042018000200002
OMS, O. M. D. S. (2013). Abortamento seguro: orientação técnica e de políticas para sistemas de saúde (2a ed.),
Oostingh, E. C., Hall, J., Koster, M. P. H., Grace, B., E., J., & Steegers-Theunissen, R. P. M. (2018). The impact of maternal lifestyle factors on peri- conception outcomes: a systematic review of observational studies. RBM Online. https://doi.org/https://doi.org/10.1016/j.rbmo.2018.09.015
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Método Qualitativo, Quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Rodríguez, A. M., Toneut, C. M., Vega, A. M., Carmenate, D., Manuel, V., López, R., Antonio, O., & Alemán, R. (2018). Miomatosis uterina complicada con aborto de un mioma submucoso. Medicent Electrón, 22(3), 289–296. https://www.medigraphic.com /pdfs/medicentro/cmc-2018/cmc183o.pdf
Saccone, G., Schoen, C., Franasiak, J. M., Richard, T., Scott, J., & Berghella, V. (2017). Supplementation with progestogens in the first trimester of pregnancy to prevent miscarriage in women with unexplained recurrent miscarriage: a systematic review and meta-analysis of randomized, controlled trials. Fertility and Sterility, 107(2).
Saciloto, M. P., Konopka, C. K., Velho, M. T. C., Jobim, F. C., Resener, E. V., & Muradás, R. R. (2011). Aspiração manual intrauterina no tratamento do abortamento incompleto até 12 semanas gestacionais: uma alternativa à curetagem uterina. Rev. Bras. Ginecol. Obstet., 33(10), 292–296. https://doi.org/10.1590/S0100-72032011001000004
Salzani, A., Yela, D. A., Gabiatti, J. R. E., Bedone, A. J., & Monteiro, I. M. U. (2007). Prevalence of uterine synechia after abortion evacuation curettage. Sao Paulo Medical Journal, 125(5), 261–264. https://doi.org/10.1590/s1516-31802007000500002
Sharma, R., Agarwal, A., Rohra, V. K., Assidi, M., Abu-Elmagd, M., & Turki, R. F. (2015). Effects of increased paternal age on sperm quality, reproductive outcome and associated epigenetic risks to offspring. Reproductive Biology and Endocrinology, 13(35). https://doi.org/10.1186/s12958-015-0028-x
Silva, J. D. C., Filha, F. S. S. C., Silva, M. V. da R. S. da, Silva, E. A. C., & Santos, J. C. dos. (2019). Pré-Natal de alto risco: dados sociodemográficos e intercorrências durante a gravidez. Revista Eletrônica Acervo Saúde, 23(5), 1–8.
Soares, A. M., Cançado, F. M. A. A. (2018). Perfil de mulheres com perda gestacional. Rev Med Minas Gerais, 28, e-1930. https://doi.org/10.5935/2238-3182.20180072
Sorrentino, S. R., & Lebrão, M. L. (1995). Os abortos no atendimento hospitalar do Estado de São Paulo. Revista Brasileira de Epidemiologia, 1(3), 256–267.
Sur, S, D., & Raine-Fenning, N. J. (2009). The management of miscarriage. Best Practice & Research Clinical Obstetrics and Gynaecology, 23, 479–491.
Telediu. (2019). Aspiração Manual Intra-Uterina. https://www.telediu.com .br/post/49/aspiracao-manual-intra-uterina/
Zhang, Y., Wang, H., Pan, X., Teng, W., & Shan, Z. (2017). Patients with subclinical hypothyroidism before 20 weeks of pregnancy have a higher risk of miscarriage: A systematic review and meta- analysis. PLoS ONE, 12(4), e0175708. https://doi.org/10.1371/journal.pone.0175708
Zugaib, M. (2016). Obstetrícia. (3a ed.), Barueri, São Paulo: Manole.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Catarina Maria Mesquita Garcia Dalbem; Cassiano Alfredo Garcia Dalbem; Cássia Caroline Garcia Dalbem Teles; Alexandre Garcia Dalbem; Eduardo Dalbem Teles; Ana Beatriz Boamorte Cortela; Marina Pinto de Arruda Dalbem; Marina Dalbem Teles; Maria Luísa Duarte Medeiros; Bruno Eduardo Vendrametto; Waldman Santos Davi; Larissa Karoline Zago Rogoni Bello; Priscila Fávero
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.