Primary health care as a strategy to reduce early pregnancy terminations
DOI:
https://doi.org/10.48017/dj.v9i4.2631Keywords:
Blood Cell count, Premature birth , Pre-eclampsiaAbstract
Pregnancy involves metabolic changes in which women must adapt to maintain and ensure the healthy progression of the gestational state. It is known that numerous risks, especially those associated with the decompensation of chronic diseases such as hypertension, obesity, and diabetes, are heightened during pregnancy. Furthermore, environmental influences can trigger stress and interfere with fetal development, including the new coronavirus pandemic. Objective: To understand the main indications for pregnancy termination before and during the Covid-19 pandemic. Methodological procedures: This is an observational study conducted at a tertiary-level university maternity hospital in the city of São Luís, during the years 2018 and 2020. Blood counts, sociodemographic and obstetric profiles of 133 women were analyzed. Results: A correlation was identified between hemoglobin values and newborn weight, as well as between platelet counts and both gestational age and length of hospital stay. Furthermore, the primary cause of pregnancy interruption was associated with decompensation of blood pressure factors, especially pre-eclampsia. Conclusion: As pre-eclampsia is the leading cause of maternal death, rigorous observation of blood count results—particularly hemoglobin and platelet levels, which are associated with the development of cardiovascular complications—is recommended. This is especially important for primary care professionals, as they are the main point of access for pregnant women, in order to identify risk factors early and minimize the impacts of morbidities associated with the reproductive period.
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