Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/4964 |
Resumo: | Infant mortality is an important indicator of a country’s health. It is observed in several regions of the world a proportion of deaths attributable to congenital malformations. Worldwide, it is estimated that prevalence occurs in 9% of live births. Among the major abnormalities is gastroschisis, that is a congenital malformation in which there is an exteriorization of the viscera through the abdominal wall defect to the right of the umbilical cord, which is implanted in its normal position. The objective of this study was analyze the neonatal and maternal changes related to infant mortality in children with gastroschisis. This is a cross-sectional and retrospective study with a quantitative approach. It used for analysis, secondary data collected from medical records of patients treated at a public hospital in Goiânia-GO, from 2004 to 2014. The study included 123 patients diagnosed with gastroschisis, which met the criteria adopted. In relation to maternal variables, 57.7% of the women were younger than 20 years, 64.2% were first pregnancy, cesarean birth occurred in 65% of cases, there was an average of 4.8 ± 2.5 prenatal consultation. In relation to neonatal variables, 59% of the new born with gastroschisis were male. The gestational age at birth of the 123 pregnancies ranged from 29.4 to 40.4 weeks (average = 36.5 ± 1.8 weeks). The weight of the new born ranged from 890g to 3800g (average = 2351 ± 474,2g), the average of the Apgar index in the first minute was 6.6 ± 1.8. Associated malformations (not intestinal) were found in 10 (8.1%) patients and 17 (13.8%) patients had intestinal abnormalities, and at this last the most common was the intestinal atresia. By observing the eviscerated organs, 70.7% of patients had only exposed intestinal loops and about other herniated organs, the stomach has been externalized in 27.6% of cases. The general mortality rate was 41% of cases. Statistically significant association was observed between the occurrence of death and mothers who performed less monitoring in prenatal care (p = 0.027) and when there was no diagnosis of gastroschisis in prenatal care (p = 0.001). It was also observed statistically significant association between the occurrence of death and the presence of complex gastroschisis (p = 0.032) and herniation of other organs beyond just the intestine (p = 0.018). It is concluded that, in relation to maternal and neonatal profile of gastroschisis, the condition has no gender preference, particularly affecting children of young first-time mothers. Perinatal mortality of gastroschisis in this analysis seems to depend mainly on the reduced prenatal care, the absence of prior diagnosis at birth, the presence of complex gastroschisis and herniation of other organs than just the intestine. |
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Salge, Ana Karina Marqueshttp://lattes.cnpq.br/7766918925030041Guimarães, Janaína Valadareshttp://lattes.cnpq.br/0986934969522024Salge, Ana Karina MarquesSiqueira, Karina MachadoCastral, Thaíla CorreaVieira, FlavianaPrado, Marinésia Aparecidahttp://lattes.cnpq.br/0332233451821900Coelho, Amanda Santos Fernandes2015-11-30T10:56:16Z2015-04-17COELHO, A. S. F. Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise. 2015. 97 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/4964Infant mortality is an important indicator of a country’s health. It is observed in several regions of the world a proportion of deaths attributable to congenital malformations. Worldwide, it is estimated that prevalence occurs in 9% of live births. Among the major abnormalities is gastroschisis, that is a congenital malformation in which there is an exteriorization of the viscera through the abdominal wall defect to the right of the umbilical cord, which is implanted in its normal position. The objective of this study was analyze the neonatal and maternal changes related to infant mortality in children with gastroschisis. This is a cross-sectional and retrospective study with a quantitative approach. It used for analysis, secondary data collected from medical records of patients treated at a public hospital in Goiânia-GO, from 2004 to 2014. The study included 123 patients diagnosed with gastroschisis, which met the criteria adopted. In relation to maternal variables, 57.7% of the women were younger than 20 years, 64.2% were first pregnancy, cesarean birth occurred in 65% of cases, there was an average of 4.8 ± 2.5 prenatal consultation. In relation to neonatal variables, 59% of the new born with gastroschisis were male. The gestational age at birth of the 123 pregnancies ranged from 29.4 to 40.4 weeks (average = 36.5 ± 1.8 weeks). The weight of the new born ranged from 890g to 3800g (average = 2351 ± 474,2g), the average of the Apgar index in the first minute was 6.6 ± 1.8. Associated malformations (not intestinal) were found in 10 (8.1%) patients and 17 (13.8%) patients had intestinal abnormalities, and at this last the most common was the intestinal atresia. By observing the eviscerated organs, 70.7% of patients had only exposed intestinal loops and about other herniated organs, the stomach has been externalized in 27.6% of cases. The general mortality rate was 41% of cases. Statistically significant association was observed between the occurrence of death and mothers who performed less monitoring in prenatal care (p = 0.027) and when there was no diagnosis of gastroschisis in prenatal care (p = 0.001). It was also observed statistically significant association between the occurrence of death and the presence of complex gastroschisis (p = 0.032) and herniation of other organs beyond just the intestine (p = 0.018). It is concluded that, in relation to maternal and neonatal profile of gastroschisis, the condition has no gender preference, particularly affecting children of young first-time mothers. Perinatal mortality of gastroschisis in this analysis seems to depend mainly on the reduced prenatal care, the absence of prior diagnosis at birth, the presence of complex gastroschisis and herniation of other organs than just the intestine.A mortalidade infantil é um importante indicador de saúde de um país, observa-se em várias regiões do mundo, uma proporção de mortes atribuíveis às malformações congênitas. Mundialmente, estima-se que a prevalência ocorre em 9% dos nascidos vivos. Dentre as malformações graves está a gastrosquise que, é uma malformação congênita em que há exteriorização das vísceras através de defeito na parede abdominal à direita do cordão umbilical, que é implantado em sua posição habitual. O objetivo deste trabalho foi analisar as alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise. Trata-se de um estudo transversal, retrospectivo e com abordagem quantitativa. Utilizou para tanto, dados secundários coletados dos prontuários de pacientes atendidos em um Hospital Público em Goiânia-GO, no período de 2004 a 2014. Foram incluídos 123 pacientes diagnosticados com gastrosquise, os quais preencheram os critérios adotados. Em relação às variáveis maternas, 57,7% das mulheres apresentaram idade menor que 20 anos, 64,2% eram primigestas, o parto cesariano ocorreu em 65% dos casos, houve uma média de 4,8 ± 2,5 consultas de pré-natal. Em relação às variáveis neonatais, 59% dos RN com gastrosquise eram do sexo masculino, a idade gestacional ao nascimento das 123 gestações variou de 29,4 a 40,4 semanas (média = 36,5±1,8 semanas), O peso do RN variou de 890g a 3800g (média = 2351±474,2g), a média do índice de Apgar no primeiro minuto foi de 6,6±1,8. As malformações associadas (não intestinais) foram encontradas em 10 (8,1%) pacientes e 17 (13,8%) pacientes apresentaram anomalias intestinais, sendo que nesta última a mais comum foi a atresia intestinal. Ao observar os órgãos eviscerados, 70,7% dos pacientes apresentavam somente alças intestinais expostas e quanto aos outros órgãos herniados, o estômago esteve exteriorizado em 27,6% dos casos. A taxa geral de mortalidade foi de 41% dos casos. Foi observada associação estatisticamente significativa entre a ocorrência de óbito e mães que realizaram menor acompanhamento no pré-natal (p= 0,027) e quando não houve diagnóstico da gastrosquise no pré-natal (p= 0,001). Foi ainda observada associação estatisticamente significativa entre a ocorrência de óbito e a presença de gastrosquise complexa (p= 0,032) e herniação de outros órgãos que não apenas o intestino (p= 0,018). Conclui-se que em relação ao perfil materno e neonatal da gastrosquise, observa-se que a afecção não possui predileção por sexo, acometendo particularmente filhos de jovens mães primíparas. A mortalidade perinatal da gastrosquise neste trabalho, parece depender principalmente do acompanhamento pré-natal reduzido, da ausência de diagnóstico prévio ao nascimento, da presença de gastrosquise complexa e da herniação de outros órgãos que não apenas o intestino.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2015-11-30T10:43:10Z No. of bitstreams: 2 Dissertação - Amanda Santos Fernandes Coelho - 2015.pdf: 1064259 bytes, checksum: 07faf1f463d60879732df56c30574e9a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-11-30T10:56:16Z (GMT) No. of bitstreams: 2 Dissertação - Amanda Santos Fernandes Coelho - 2015.pdf: 1064259 bytes, checksum: 07faf1f463d60879732df56c30574e9a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-11-30T10:56:16Z (GMT). No. of bitstreams: 2 Dissertação - Amanda Santos Fernandes Coelho - 2015.pdf: 1064259 bytes, checksum: 07faf1f463d60879732df56c30574e9a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-04-17Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEGapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessGastrosquiseParede abdominalRecém-nascidoGastroschisisabdominal wallNewbornCIENCIAS DA SAUDE::ENFERMAGEMAlterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquiseNeonatal and maternal changes related to infant mortality in children with gastroschisisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006006002756753233336908714-7702826533010964327-961409807440757778reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
dc.title.alternative.eng.fl_str_mv |
Neonatal and maternal changes related to infant mortality in children with gastroschisis |
title |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
spellingShingle |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise Coelho, Amanda Santos Fernandes Gastrosquise Parede abdominal Recém-nascido Gastroschisis abdominal wall Newborn CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
title_full |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
title_fullStr |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
title_full_unstemmed |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
title_sort |
Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise |
author |
Coelho, Amanda Santos Fernandes |
author_facet |
Coelho, Amanda Santos Fernandes |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Salge, Ana Karina Marques |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7766918925030041 |
dc.contributor.advisor-co1.fl_str_mv |
Guimarães, Janaína Valadares |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/0986934969522024 |
dc.contributor.referee1.fl_str_mv |
Salge, Ana Karina Marques |
dc.contributor.referee2.fl_str_mv |
Siqueira, Karina Machado |
dc.contributor.referee3.fl_str_mv |
Castral, Thaíla Correa |
dc.contributor.referee4.fl_str_mv |
Vieira, Flaviana |
dc.contributor.referee5.fl_str_mv |
Prado, Marinésia Aparecida |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0332233451821900 |
dc.contributor.author.fl_str_mv |
Coelho, Amanda Santos Fernandes |
contributor_str_mv |
Salge, Ana Karina Marques Guimarães, Janaína Valadares Salge, Ana Karina Marques Siqueira, Karina Machado Castral, Thaíla Correa Vieira, Flaviana Prado, Marinésia Aparecida |
dc.subject.por.fl_str_mv |
Gastrosquise Parede abdominal Recém-nascido |
topic |
Gastrosquise Parede abdominal Recém-nascido Gastroschisis abdominal wall Newborn CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Gastroschisis abdominal wall Newborn |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Infant mortality is an important indicator of a country’s health. It is observed in several regions of the world a proportion of deaths attributable to congenital malformations. Worldwide, it is estimated that prevalence occurs in 9% of live births. Among the major abnormalities is gastroschisis, that is a congenital malformation in which there is an exteriorization of the viscera through the abdominal wall defect to the right of the umbilical cord, which is implanted in its normal position. The objective of this study was analyze the neonatal and maternal changes related to infant mortality in children with gastroschisis. This is a cross-sectional and retrospective study with a quantitative approach. It used for analysis, secondary data collected from medical records of patients treated at a public hospital in Goiânia-GO, from 2004 to 2014. The study included 123 patients diagnosed with gastroschisis, which met the criteria adopted. In relation to maternal variables, 57.7% of the women were younger than 20 years, 64.2% were first pregnancy, cesarean birth occurred in 65% of cases, there was an average of 4.8 ± 2.5 prenatal consultation. In relation to neonatal variables, 59% of the new born with gastroschisis were male. The gestational age at birth of the 123 pregnancies ranged from 29.4 to 40.4 weeks (average = 36.5 ± 1.8 weeks). The weight of the new born ranged from 890g to 3800g (average = 2351 ± 474,2g), the average of the Apgar index in the first minute was 6.6 ± 1.8. Associated malformations (not intestinal) were found in 10 (8.1%) patients and 17 (13.8%) patients had intestinal abnormalities, and at this last the most common was the intestinal atresia. By observing the eviscerated organs, 70.7% of patients had only exposed intestinal loops and about other herniated organs, the stomach has been externalized in 27.6% of cases. The general mortality rate was 41% of cases. Statistically significant association was observed between the occurrence of death and mothers who performed less monitoring in prenatal care (p = 0.027) and when there was no diagnosis of gastroschisis in prenatal care (p = 0.001). It was also observed statistically significant association between the occurrence of death and the presence of complex gastroschisis (p = 0.032) and herniation of other organs beyond just the intestine (p = 0.018). It is concluded that, in relation to maternal and neonatal profile of gastroschisis, the condition has no gender preference, particularly affecting children of young first-time mothers. Perinatal mortality of gastroschisis in this analysis seems to depend mainly on the reduced prenatal care, the absence of prior diagnosis at birth, the presence of complex gastroschisis and herniation of other organs than just the intestine. |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-11-30T10:56:16Z |
dc.date.issued.fl_str_mv |
2015-04-17 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
COELHO, A. S. F. Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise. 2015. 97 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2015. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/4964 |
identifier_str_mv |
COELHO, A. S. F. Alterações neonatais e maternas relacionadas ao óbito infantil em crianças com gastrosquise. 2015. 97 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2015. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/4964 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7702826533010964327 |
dc.relation.sponsorship.fl_str_mv |
-961409807440757778 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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UFG |
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Brasil |
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Universidade Federal de Goiás |
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