Utilização do método hálux-calcâneo na identificação de desvios de crescimento em recém-nascidos

• Autor(a) principal: Rocha, Érika Lopes
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4417
• topic: Comprimento hálux-calcâneo; Desvios de crescimento intrauterino; Recém-nascido; Hallux-calcaneus length; Intrauterine growth devia; Newborn; CIENCIAS DA SAUDE::ENFERMAGEM

The HCL used in the GA and BW evaluation of normal NB and stillbirths exists for nearly a century and has been considered as a positive method inthese NBs evalua-tion. However, the results are scarce and inconsistent on studies that tried to clarify the relationship of data measured by the method in groups of NB with DIUG. The aim of this study was to estimate the prevalence of NB / stillbirths with DIUG, according to the HCL method and its relation with high-risk pregnancy. It is a cross-sectional study conducted in a Federal HospitaI Instituiton (maternity sector), integrated to Health Unified System of Goiânia – Goiás, from April 2011 to May 2012. The population consisted of 129 NB, among them 88 NB of high risk pregnancies women and 41NBwith no high-risk pregnancy women. The women clinical and anthropometric data of NB were obtained from the records of each patient, using the appropriate form. The HCL was performed using a rigid and transparent plastic ruler graduated in millimeters. Both feet were measured taking the hallux tip to the tip of the calcaneus-length. All data were typed and stored in an electronic database in Microsoft Office Excel ® 2007. Data were analyzed using the electronic program SigmaStat ® version 3.5. The participants’ rights were preserved according to the196/96 Resolution of the National Health Council. The project was approved by the Ethics in Human Research and Animal Hospital of the Federal University of Goiás, protocol n ° 101 / 2008. A statistically significant relationship was found between the HCL and the BW in NBS-GA, BGA and AGA for all gestational ages. The results showed a strong correlation between HCL and NB preterm and low correlation between HCL and NB post-term. The final average of HCL found in the high risk group is lower than the control group. However, NB with DIUG in the high risk group had lower weight and greater HCL than NB with HCL DIUG in the control group. The CHL was positively correlated with GA determined by both the LMP, as the method of Capurro. In relation to maternal factors, maternal age did not influence the NB birth with DIUG and did not show diffe-rences in HCL measures. Pre-eclampsia and gestational diabetes may be related to the lowest average of HCL among NB in high-risk group. A statistically significant relationship between CHL and CP and TP in the high risk group and between the CHL and the CP in the control group were found. The heterogeneity of results warns that cutoff points to identify LBW NBs and even premature or DIUG should only be used after it is established the HC Laverage considered as normal for the specific population in this research.