High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292022000300609 |
Resumo: | Abstract Objectives: describe the profile of medication use and adherence, and the association with clinical and sociodemographic characteristics of high-risk pregnant women attended at a university hospital. Methods: cross-sectional study with data collected through a questionnaire applied on 386 pregnant women. Results: most participants were seen only by the gynecologist (75.1%), started prenatal in the first gestational trimester (86.8%), did not plan the pregnancy (61.9%), and performed an average of 8.2 (SD=4.4) prenatal consultations. The most frequent diagnoses were arterial hypertension (20.5%) and diabetes mellitus (19.7%). Prevalence of medication use was 99.7%, with an average of 5.1 (SD=2.1) medication per woman and 12.7% self-medication. Antianemics (88.9%) and analgesics (63.2%) were the most prevalent classes and 17.9% of the women reported the use of medication with significant gestational risk. Only 36.5% were considered adherent, 32.9% declared they were unaware of the indication of the medication in use and 42% did not receive guidance on the use of the medication during pregnancy. There is no evidence of association between the number of the medication used and clinical and sociodemographic aspects. Conclusions: there is a need to develop strategies to improve the care of this population, with emphasis on strengthening multi-professional care. |
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High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factorsHigh-risk pregnancyMedication usePharmacoepidemiologyAbstract Objectives: describe the profile of medication use and adherence, and the association with clinical and sociodemographic characteristics of high-risk pregnant women attended at a university hospital. Methods: cross-sectional study with data collected through a questionnaire applied on 386 pregnant women. Results: most participants were seen only by the gynecologist (75.1%), started prenatal in the first gestational trimester (86.8%), did not plan the pregnancy (61.9%), and performed an average of 8.2 (SD=4.4) prenatal consultations. The most frequent diagnoses were arterial hypertension (20.5%) and diabetes mellitus (19.7%). Prevalence of medication use was 99.7%, with an average of 5.1 (SD=2.1) medication per woman and 12.7% self-medication. Antianemics (88.9%) and analgesics (63.2%) were the most prevalent classes and 17.9% of the women reported the use of medication with significant gestational risk. Only 36.5% were considered adherent, 32.9% declared they were unaware of the indication of the medication in use and 42% did not receive guidance on the use of the medication during pregnancy. There is no evidence of association between the number of the medication used and clinical and sociodemographic aspects. Conclusions: there is a need to develop strategies to improve the care of this population, with emphasis on strengthening multi-professional care.Instituto de Medicina Integral Prof. Fernando Figueira2022-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292022000300609Revista Brasileira de Saúde Materno Infantil v.22 n.3 2022reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-9304202200030010info:eu-repo/semantics/openAccessNagai,Michelly MartinsZanetti,Maria Olívia BarbozaLemos,Carla AssadCampos,Marília Silveira de AlmeidaAyres,Lorena RochaDuarte,GeraldoPereira,Leonardo Régis Leiraeng2022-10-27T00:00:00Zoai:scielo:S1519-38292022000300609Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2022-10-27T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
title |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
spellingShingle |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors Nagai,Michelly Martins High-risk pregnancy Medication use Pharmacoepidemiology |
title_short |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
title_full |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
title_fullStr |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
title_full_unstemmed |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
title_sort |
High-risk pregnancy: characterization of medication use profile and association with clinical and sociodemographic factors |
author |
Nagai,Michelly Martins |
author_facet |
Nagai,Michelly Martins Zanetti,Maria Olívia Barboza Lemos,Carla Assad Campos,Marília Silveira de Almeida Ayres,Lorena Rocha Duarte,Geraldo Pereira,Leonardo Régis Leira |
author_role |
author |
author2 |
Zanetti,Maria Olívia Barboza Lemos,Carla Assad Campos,Marília Silveira de Almeida Ayres,Lorena Rocha Duarte,Geraldo Pereira,Leonardo Régis Leira |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Nagai,Michelly Martins Zanetti,Maria Olívia Barboza Lemos,Carla Assad Campos,Marília Silveira de Almeida Ayres,Lorena Rocha Duarte,Geraldo Pereira,Leonardo Régis Leira |
dc.subject.por.fl_str_mv |
High-risk pregnancy Medication use Pharmacoepidemiology |
topic |
High-risk pregnancy Medication use Pharmacoepidemiology |
description |
Abstract Objectives: describe the profile of medication use and adherence, and the association with clinical and sociodemographic characteristics of high-risk pregnant women attended at a university hospital. Methods: cross-sectional study with data collected through a questionnaire applied on 386 pregnant women. Results: most participants were seen only by the gynecologist (75.1%), started prenatal in the first gestational trimester (86.8%), did not plan the pregnancy (61.9%), and performed an average of 8.2 (SD=4.4) prenatal consultations. The most frequent diagnoses were arterial hypertension (20.5%) and diabetes mellitus (19.7%). Prevalence of medication use was 99.7%, with an average of 5.1 (SD=2.1) medication per woman and 12.7% self-medication. Antianemics (88.9%) and analgesics (63.2%) were the most prevalent classes and 17.9% of the women reported the use of medication with significant gestational risk. Only 36.5% were considered adherent, 32.9% declared they were unaware of the indication of the medication in use and 42% did not receive guidance on the use of the medication during pregnancy. There is no evidence of association between the number of the medication used and clinical and sociodemographic aspects. Conclusions: there is a need to develop strategies to improve the care of this population, with emphasis on strengthening multi-professional care. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292022000300609 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292022000300609 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9304202200030010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.22 n.3 2022 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
_version_ |
1752129930950344704 |