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  • Original Article

    Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

    Rev Bras Ginecol Obstet. 2016;38(6):293-300

    Summary

    Original Article

    Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

    Rev Bras Ginecol Obstet. 2016;38(6):293-300

    DOI 10.1055/s-0036-1585072

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    Abstract

    Purpose

    To assess the prevalence of depressive symptoms and their association with social, psychological, behavioral and obstetric characteristics in pregnant women.

    Methods

    This is a cross-sectional study. The sample consisted of 375 pregnant women who attended prenatal clinics in two public maternity hospitals located in the city of Goiania, Brazil. To testify the depressive symptoms, we used the Hospital Anxiety and Depression Scale (HADS). A descriptive statistical analysis was performed using programs such as CDC EPI-INFO(tm), version 7.1.5, and Statistical Package for Social Sciences (IBM SPSS), version 21.0.

    Results

    the patients had probable depressive symptoms (15.47%) and possible depressive symptoms (25.33%). The bivariate analysis showed a significant association among "depressive symptoms" and the following variables: "single or divorced" (prevalence ratio, PR = 2.08; 95% confidence interval, CI = 1.26 to 3.44); "physical activity during pregnancy" (PR = 3.96; 95%CI = 1.28 to 12.31); exposure to "psychological/emotional" violence (PR = 4.74; 95%CI = 2.94 to 7.64); "prior mental problem" (PR = 2.66; 95%CI =1.49 to 4.73) and "obstetric complications during pregnancy" (PR = 2.53; 95%CI = 1.55 to 4.13). The multivariate analysis confirmed the association of these depressive symptoms with the variables "suffered psychological/emotional violence" (odds ratio, OR = 5.821; 95%CI = 2.939 to 11.528); "physical activity during pregnancy" (OR = 3.885; 95%CI = 1.060 to 14.231); "obstetric complications during pregnancy" (OR = 2.442; 95%CI = 1.233 to 4.834) and "single or divorced" (OR = 2.943; 95%CI = 1.326 to 6.533).

    Conclusions

    the prevalence of depressive symptoms among pregnant women is of 15.47%, and emotional violence is the main factor associated with gestational depression.

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  • Original Article

    Human T-cell lymphotropic virus type I seroprevalence among pregnant women in Goiânia, GO, Brazil

    Rev Bras Ginecol Obstet. 2006;28(8):467-472

    Summary

    Original Article

    Human T-cell lymphotropic virus type I seroprevalence among pregnant women in Goiânia, GO, Brazil

    Rev Bras Ginecol Obstet. 2006;28(8):467-472

    DOI 10.1590/S0100-72032006000800005

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    PURPOSE: to assess human T-cell lymphotropic virus type I (HTLV-I) seroprevalence among pregnant women attended at Public Health Units in Goiânia-Goiás and some epidemiologic characteristics of the studied group. METHODS: from September/2003 to December/2004, 15,485 pregnant women were submitted to enzyme-linked immunoabsorbent assays (ELISA), to screen HTLV-I, using filter paper - dried blood in, and to confirm the infection, polymerase chain reaction (PCR) of whole blood was performed. The epidemiologic factors evaluated were: average age, age of 30 years and above, schooling less than nine years, marital status and number of pregnancies. The factors average age, age of 30 years and above, and schooling less than nine years were compared between the infected and non-infected pregnant group. Statistical analysis used Fisher's exact test and Student's t test. RESULTS: the found prevalence was 0.1%. The average age among the infected pregnant group was 26.4 years, 43.7% of them being 30 years old and above, and 62.5% with schooling less than nine years. The non-infected group showed an average age of 24.4 years, 15.4% of them being ³ 30 years old and above, and only 41.5% with schooling less than nine years. Significant statistical difference was noticed only regarding age of 30 years and above and schooling less than nine years. CONCLUSION: the study shows that HTLV-I seroprevalence among pregnant women in Goiânia during the studied period was 0.1%. It occurred more among pregnant women who were 30 years old and above and those with schooling of less than nine years.

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  • Original Article

    Prenatal screening for toxoplasmosis and factors associated with seropositivity of pregnant women in Goiânia, Goiás

    Rev Bras Ginecol Obstet. 2011;33(2):93-98

    Summary

    Original Article

    Prenatal screening for toxoplasmosis and factors associated with seropositivity of pregnant women in Goiânia, Goiás

    Rev Bras Ginecol Obstet. 2011;33(2):93-98

    DOI 10.1590/S0100-72032011000200007

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    PURPOSE: to estimate the prevalence and risk factors associated with seropositivity for Toxoplasma gondii in pregnant women. METHODS: a cross-sectional retrospective study based on the records of women screened for toxoplasmosis by the Pregnancy Protection Program in 2008, living in Goiânia (GO). These records were connected to records from the database of the National Information System on Live Births from the State of Goiás. The process occurred in three phases, with 10,316 records being paired for analysis, among the 12,846 initial records. The following variables were evaluated in this process: woman's name, age, date of birth, estimated date of delivery, date of infant birth and household information. Anti-Toxoplasma gondii antibodies were detected with the Q-Preven Toxo IgG and IgMin tests in dried blood samples collected on filter paper. The χ2 test and χ2 test for trend were used for data analysis, and the odds ratio (OR) was used to estimate the chance of association between exposure and outcome. RESULTS: the prevalence of infection was 67.7%, with 0.7% of the samples presenting anti-Toxoplasma gondii IgM and IgG reagents. Out of these, only three did not undergo confirmatory testing in venous blood. The median interval between the screening and the new collection of venous blood was of 12.5 days, and from screening to confirmatory test and avidity it was of 20 days. The variables associated with exposure were: age 20-30 years, OR=1.6 and >31 years, OR=1.8; brown skin color, OR=1.4, and black skin color, OR=1.6; and education of 8-11 years, OR=0.7, and >12 years of education, OR=0.6. CONCLUSION: a high prevalence of infection was estimated among the studied pregnant women. The associated factors that were found found should be considered during prenatal care, along with educational activities for the prevention of infection and assessment of serological status of seronegative pregnant women.

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