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Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):273-279
To verify sociodemographic factors associated with the occurrence of abortion in women of reproductive age, in areas covered by the Family Health Strategy (FHS), a program from the Brazilian Ministry of Health.
A cross-sectional study using household surveys of 350 women aged 15 to 49. The report of abortion was a variable indicator, and sociodemographic aspects were covariables. Prevalence ratio (PR) and respective 95% confidence intervals were used to estimate the magnitude of the associations.
There were associations among age, civil status, race/color, and religion; an increase in the prevalence of lower levels of education, age less than 20, and student status were protective factors.
The association between sociodemographic characteristics and the report of abortion is attributed to the fact that there is a lack at the FHS in the availability of fundamental healthcare services for young women; these findings call for action to guarantee the access to information about contraceptives and guidance to decrease the risk of unplanned pregnancies and abortions.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):273-279
To verify sociodemographic factors associated with the occurrence of abortion in women of reproductive age, in areas covered by the Family Health Strategy (FHS), a program from the Brazilian Ministry of Health.
A cross-sectional study using household surveys of 350 women aged 15 to 49. The report of abortion was a variable indicator, and sociodemographic aspects were covariables. Prevalence ratio (PR) and respective 95% confidence intervals were used to estimate the magnitude of the associations.
There were associations among age, civil status, race/color, and religion; an increase in the prevalence of lower levels of education, age less than 20, and student status were protective factors.
The association between sociodemographic characteristics and the report of abortion is attributed to the fact that there is a lack at the FHS in the availability of fundamental healthcare services for young women; these findings call for action to guarantee the access to information about contraceptives and guidance to decrease the risk of unplanned pregnancies and abortions.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(1):3-9
DOI 10.1590/S0100-72032006000100002
PURPOSE: to build a curve of fundal height according to gestational age among low-risk pregnant women and to compare it with the official standards used in Brazil. METHODS: a prospective observational study was carried out. A sample of 227 low-risk pregnant women with gestational age from 13 to 39 weeks was followed-up in the prenatal care sector of two public health services from João Pessoa, PB. Women with a known gestational age, a single live fetus, without malformation, with no known maternal-fetal pathological condition that could possibly affect fetal growth, with a normal body weight, and non-smokers were included in the study. Their fundal height was measured in a standard way, after a previous ultrasound done to confirm the gestational age. The same investigator performed 1206 measurements and each woman had a mean of 5.3 measurements. Statistical tests were performed with a significance level of 5%. Tables and graphs of fundal height were built according to the gestational age with the 10th, 50th and 90th percentiles. RESULTS: the values of percentiles 10, 50 and 90 of fundal height in each gestational age allowed the construction of a pattern curve of fundal height by gestational age among low-risk pregnant women. A clear visual difference was observed between this new and the official fundal height curve. Statistical analyses showed significant differences between them from the 19th week on. CONCLUSION: the results suggest different normal fundal height and fetal growth patterns among low-risk pregnant women on prenatal assistance compared to the used standard curve, thus with different performances when used for diagnosing fetal growth deviations. Future studies should validate the current fundal height curve by gestational age in order to possibly use it as a reference pattern.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(1):3-9
DOI 10.1590/S0100-72032006000100002
PURPOSE: to build a curve of fundal height according to gestational age among low-risk pregnant women and to compare it with the official standards used in Brazil. METHODS: a prospective observational study was carried out. A sample of 227 low-risk pregnant women with gestational age from 13 to 39 weeks was followed-up in the prenatal care sector of two public health services from João Pessoa, PB. Women with a known gestational age, a single live fetus, without malformation, with no known maternal-fetal pathological condition that could possibly affect fetal growth, with a normal body weight, and non-smokers were included in the study. Their fundal height was measured in a standard way, after a previous ultrasound done to confirm the gestational age. The same investigator performed 1206 measurements and each woman had a mean of 5.3 measurements. Statistical tests were performed with a significance level of 5%. Tables and graphs of fundal height were built according to the gestational age with the 10th, 50th and 90th percentiles. RESULTS: the values of percentiles 10, 50 and 90 of fundal height in each gestational age allowed the construction of a pattern curve of fundal height by gestational age among low-risk pregnant women. A clear visual difference was observed between this new and the official fundal height curve. Statistical analyses showed significant differences between them from the 19th week on. CONCLUSION: the results suggest different normal fundal height and fetal growth patterns among low-risk pregnant women on prenatal assistance compared to the used standard curve, thus with different performances when used for diagnosing fetal growth deviations. Future studies should validate the current fundal height curve by gestational age in order to possibly use it as a reference pattern.
