Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
DOI: | 10.17648/rsd-v7i1.102 |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/275 |
Resumo: | Documentary study of medical records of pregnant women with Gestational Diabetes sent to the high-risk prenatal center at the Center for Specialization in Women's and Children's Health - Cescrim "Paula Vegas". located in the city of Itanhaem-São Paulo, Brazil, with the objective of identifying risk pregnancies during approach. From a total of 234 pregnant women enrolled in the PNAR-Prenatal High Risk system, 32 medical records were selected according to the research proposal, from September 2015 to June 2016, which were examined according to the following age, occupation, income, marital status, planned pregnancy, number of pregnancies, parity, abortions, stillbirths, type of birth, number of live births, date of last childbirth, gestational age, current weight, height, BMI, use of illicit substances fasting blood glucose at the beginning of prenatal, capillary glycemia control and oral glucose tolerance test (OGTT) of fasting and 2 hours. The obtained data were tabulated and placed in frequency tables. The specific results for the screening of DMG, indicated 59.3% for the first fasting glycemia between 92 and 125 mg / dl, thus confirming the suspicion of gestational diabetes. In the indeterminate results, the 2nd glycemia showed that 53% had altered results, showing the need to confirm the examination for early diagnosis of GDM. From the tests used as a coadjuvant for screening, such as Glucose Tolerance Testing, Capillary Glycemia, the results indicated 28% of the altered glycemic control, as well as Tolerance Test, with 2-hour glycemia, with 18.7% altered. The profile of the pregnant women, the risk factors for Gestational Diabetes, the methodology used to suspect the diagnosis, the conduct of the cases with confirmed criteria and the performance of the Nurses during the nursing consultation were also evaluated. It was evidenced the importance of care in the High Risk Specialized Referral Unit, which should be prepared to host the pregnant woman, promoting actions that will contribute to an early diagnosis, treatment, prevention of complications and solutions to problems and difficulties encountered during subsequent consultations, offering comprehensive and individualized humanistic and holistic care to pregnant women. |
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Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SPResultados del abordaje de la Diabetes Mellitus Gestacional en el Centro de Especialidades en Salud de la Mujer y del Niño de Itanhaém-SPResultados da abordagem do Diabetes Mellitus Gestacional no Centro de Especialidades em Saúde da Mulher e da Criança de Itanhaém-SPdiabetes gestacionalacolhimentoassistência de enfermagemdiabetes gestacionalalbergarasistencia de enfermeríagestacional diabetesapproachnursing care.Documentary study of medical records of pregnant women with Gestational Diabetes sent to the high-risk prenatal center at the Center for Specialization in Women's and Children's Health - Cescrim "Paula Vegas". located in the city of Itanhaem-São Paulo, Brazil, with the objective of identifying risk pregnancies during approach. From a total of 234 pregnant women enrolled in the PNAR-Prenatal High Risk system, 32 medical records were selected according to the research proposal, from September 2015 to June 2016, which were examined according to the following age, occupation, income, marital status, planned pregnancy, number of pregnancies, parity, abortions, stillbirths, type of birth, number of live births, date of last childbirth, gestational age, current weight, height, BMI, use of illicit substances fasting blood glucose at the beginning of prenatal, capillary glycemia control and oral glucose tolerance test (OGTT) of fasting and 2 hours. The obtained data were tabulated and placed in frequency tables. The specific results for the screening of DMG, indicated 59.3% for the first fasting glycemia between 92 and 125 mg / dl, thus confirming the suspicion of gestational diabetes. In the indeterminate results, the 2nd glycemia showed that 53% had altered results, showing the need to confirm the examination for early diagnosis of GDM. From the tests used as a coadjuvant for screening, such as Glucose Tolerance Testing, Capillary Glycemia, the results indicated 28% of the altered glycemic control, as well as Tolerance Test, with 2-hour glycemia, with 18.7% altered. The profile of the pregnant women, the risk factors for Gestational Diabetes, the methodology used to suspect the diagnosis, the conduct of the cases with confirmed criteria and the performance of the Nurses during the nursing consultation were also evaluated. It was evidenced the importance of care in the High Risk Specialized Referral Unit, which should be prepared to host the pregnant woman, promoting actions that will contribute to an early diagnosis, treatment, prevention of complications and solutions to problems and difficulties encountered during subsequent consultations, offering comprehensive and individualized humanistic and holistic care to pregnant women.Estudio documental de prontuarios de gestantes portadoras de Diabetes Gestacional encaminadas al Pre-Natal de alto riesgo al Centro de Especialidad en Salud de la Mujer y del Niño - Cescrim "Paula Vegas". en el municipio de Itanhaém-São Paulo, Brasil, con el objetivo de identificar las gestaciones de riesgo durante la acogida por enfermeros. De un total de 234 gestantes registradas en el sistema PNAR-Pre-Natal de Alto Riesgo, se seleccionaron 32 prontuarios de acuerdo con la propuesta de la encuesta, en el período de septiembre de 2015 a junio de 2016, los cuales fueron examinados de acuerdo con las siguientes: En el presente trabajo se analizaron los resultados obtenidos en el estudio de los resultados obtenidos en el estudio de la prevalencia de la enfermedad de Chagas, sustancias ilícitas glucemia de ayuno en el inicio del prenatal, control de glucemia capilar y prueba oral de tolerancia a la glucosa (TOTG) de ayuno y de 2 horas. Los datos obtenidos fueron tabulados y colocados en tablas de frecuencia. Los resultados específicos para el seguimiento del DMG, apuntaron un 59,3% para 1ª glucemia en ayunas entre 92 y 125 mg / dl, confirmando así la sospechosa de diabetes gestacional. En los resultados indeterminados, la 2ª glucemia comprobó que el 53% tuvo resultados alterados, mostrando la necesidad de confirmar el examen para diagnóstico precoz del DMG. De los exámenes utilizados como coadyuvantes para el rastreo, como prueba de tolerancia a la glucosa, Glicemia capilar, los resultados apuntaron al 28% del control glucémico alterado, así como la prueba de tolerancia, con una glucemia de 2 horas, con un 18,7% alterado. También se evaluó el perfil de las gestantes, los factores de riesgo para la Diabetes Gestacional, la metodología empleada para la sospechosación del diagnóstico, la conducción de los casos con criterios confirmados y la actuación de las Enfermeras durante la consulta de enfermería. Se evidenció la importancia de la atención en la Unidad Especializada de Referencia de Alto Riesgo, la cual debe estar preparada para la acogida de la gestante, promoviendo acciones que contribuir a un diagnóstico precoz, tratamiento, prevención de complicaciones y soluciones a los problemas y dificultades encontradas durante las consultas posteriores, ofreciendo asistencia humanística y holística integral e individual a las gestantes.Estudo documental de prontuários de gestantes portadoras de Diabetes Gestacional encaminhadas ao Pré-Natal de alto risco ao Centro de Especialidade em Saúde da Mulher e da Criança – Cescrim “Paula Vegas”. localizada no Município de Itanhaém-São Paulo, Brasil, com o objetivo de identificar as gestações de risco durante o acolhimento por enfermeiros. De um total de 234 gestantes cadastradas no sistema PNAR-Pré-Natal de Alto Risco, foram selecionados 32 prontuários de acordo com a proposta da pesquisa, no período de setembro de 2015 a junho de 2016, os quais foram examinados de acordo com as seguintes variáveis: idade, ocupação, renda, situação conjugal, gravidez planejada, número de gestações, paridade, abortos, natimortos, tipo de parto, número de filhos vivos, data do último parto, idade gestacional, peso atual, estatura, IMC, uso de substâncias ilícitas glicemia de jejum no início do pré-natal, controle de glicemia capilar e teste oral de tolerância à glicose (TOTG) de jejum e de 2 horas. Os dados obtidos foram tabulados e colocados em tabelas de frequência. Os resultados específicos para o rastreamento do DMG, apontaram 59,3% para 1ª glicemia em jejum entre 92 e 125 mg/dl, confirmando assim a suspeita de diabetes gestacional. Nos resultados indeterminados, a 2ª glicemia comprovou que 53% tiveram resultados alterados, mostrando a necessidade de se confirmar o exame para diagnóstico precoce do DMG. Dos exames utilizados como coadjuvantes para rastreamento, como Teste de Tolerância à Glicose, Glicemia Capilar os resultados apontaram para 28% do controle glicêmico alterado, assim como Teste de Tolerância, com glicemia de 2 horas, com 18,7% alterados. Também se avaliou o perfil das gestantes, os fatores de risco para o Diabetes Gestacional, a metodologia empregada para a suspeita do diagnóstico, a condução dos casos com critérios confirmados e a atuação das Enfermeiras durante a consulta de enfermagem. Evidenciou-se a importância do atendimento na Unidade Especializada de Referência de Alto Risco, a qual deve estar preparada para o acolhimento da gestante, promovendo ações que irão contribuir para um diagnóstico precoce, tratamento, prevenção de complicações e soluções para os problemas e dificuldades encontrados durante as consultas subsequentes, oferecendo assistência humanística e holística integral e individual às gestantes.Research, Society and Development2018-02-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/27510.17648/rsd-v7i1.102Research, Society and Development; Vol. 7 No. 1; e1171122Research, Society and Development; Vol. 7 Núm. 1; e1171122Research, Society and Development; v. 7 n. 1; e11711222525-340910.17648/rsd-v7i1reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/275/227Copyright (c) 2018 Research, Society and Developmentinfo:eu-repo/semantics/openAccessOrtolani, SolangeIgnatti, Carmencita2019-01-22T01:11:26Zoai:ojs.pkp.sfu.ca:article/275Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:25:52.655317Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP Resultados del abordaje de la Diabetes Mellitus Gestacional en el Centro de Especialidades en Salud de la Mujer y del Niño de Itanhaém-SP Resultados da abordagem do Diabetes Mellitus Gestacional no Centro de Especialidades em Saúde da Mulher e da Criança de Itanhaém-SP |
title |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
spellingShingle |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP Ortolani, Solange diabetes gestacional acolhimento assistência de enfermagem diabetes gestacional albergar asistencia de enfermería gestacional diabetes approach nursing care. Ortolani, Solange diabetes gestacional acolhimento assistência de enfermagem diabetes gestacional albergar asistencia de enfermería gestacional diabetes approach nursing care. |
title_short |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
title_full |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
title_fullStr |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
title_full_unstemmed |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
title_sort |
Results of the Gestational Diabetes Mellitus Approach at the Center for Specialties in Women's and Children's Health in Itanhaem-SP |
author |
Ortolani, Solange |
author_facet |
Ortolani, Solange Ortolani, Solange Ignatti, Carmencita Ignatti, Carmencita |
author_role |
author |
author2 |
Ignatti, Carmencita |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Ortolani, Solange Ignatti, Carmencita |
dc.subject.por.fl_str_mv |
diabetes gestacional acolhimento assistência de enfermagem diabetes gestacional albergar asistencia de enfermería gestacional diabetes approach nursing care. |
topic |
diabetes gestacional acolhimento assistência de enfermagem diabetes gestacional albergar asistencia de enfermería gestacional diabetes approach nursing care. |
description |
Documentary study of medical records of pregnant women with Gestational Diabetes sent to the high-risk prenatal center at the Center for Specialization in Women's and Children's Health - Cescrim "Paula Vegas". located in the city of Itanhaem-São Paulo, Brazil, with the objective of identifying risk pregnancies during approach. From a total of 234 pregnant women enrolled in the PNAR-Prenatal High Risk system, 32 medical records were selected according to the research proposal, from September 2015 to June 2016, which were examined according to the following age, occupation, income, marital status, planned pregnancy, number of pregnancies, parity, abortions, stillbirths, type of birth, number of live births, date of last childbirth, gestational age, current weight, height, BMI, use of illicit substances fasting blood glucose at the beginning of prenatal, capillary glycemia control and oral glucose tolerance test (OGTT) of fasting and 2 hours. The obtained data were tabulated and placed in frequency tables. The specific results for the screening of DMG, indicated 59.3% for the first fasting glycemia between 92 and 125 mg / dl, thus confirming the suspicion of gestational diabetes. In the indeterminate results, the 2nd glycemia showed that 53% had altered results, showing the need to confirm the examination for early diagnosis of GDM. From the tests used as a coadjuvant for screening, such as Glucose Tolerance Testing, Capillary Glycemia, the results indicated 28% of the altered glycemic control, as well as Tolerance Test, with 2-hour glycemia, with 18.7% altered. The profile of the pregnant women, the risk factors for Gestational Diabetes, the methodology used to suspect the diagnosis, the conduct of the cases with confirmed criteria and the performance of the Nurses during the nursing consultation were also evaluated. It was evidenced the importance of care in the High Risk Specialized Referral Unit, which should be prepared to host the pregnant woman, promoting actions that will contribute to an early diagnosis, treatment, prevention of complications and solutions to problems and difficulties encountered during subsequent consultations, offering comprehensive and individualized humanistic and holistic care to pregnant women. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/275 10.17648/rsd-v7i1.102 |
url |
https://rsdjournal.org/index.php/rsd/article/view/275 |
identifier_str_mv |
10.17648/rsd-v7i1.102 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/275/227 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Research, Society and Development info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Research, Society and Development |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 7 No. 1; e1171122 Research, Society and Development; Vol. 7 Núm. 1; e1171122 Research, Society and Development; v. 7 n. 1; e1171122 2525-3409 10.17648/rsd-v7i1 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
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Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1822178526416076800 |
dc.identifier.doi.none.fl_str_mv |
10.17648/rsd-v7i1.102 |