PREVIOUS PREGNANCIES INFLUENCE THE HEALTH BEHAVIOR OF PREGNANT WOMEN? A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.18310/2446-4813.2021v7n3p325-334Palavras-chave:
pregnant, health education, health careResumo
Objective. The aim of this study was to analyze associations between the condition of gestation (primigravid or multigravid) and health care (eating habits, physical activity, self-medication); health conditions (joint pain) and expectation (demand) to participate in a health education program. This is a cross-sectional study, involving the participants of a group of users of a primary health care service located in the City of Salvador (Bahia-Brazil). 94 pregnant women accepted to participate in the present study. The grouping variable was the pregnancy (primigravid or multigravid) of the study participants. The non-parametric Chi-Square test was used to compare categorical variables. The data were tabulated in Excel and then exported to SPSS (version 21.0). The data were analyzed by absolute frequencies and percentages. Our findings demonstrate that multigravid women were less likely to adhere to a health education program (?2 = 15.84; p <0.01) as well as they were more likely to use medications without the guidance of a qualified professional (?2 = 18.09; p <0.01). On the other hand, the multigravid condition was more associated with the presence of joint pain (?2 = 8.28; p <0.01). Our findings point to the importance of understanding this characteristic of pregnant women from the perspective of formulating strategies for the development of health education programs.Referências
Barr WB, Aslam S, Levin M. Evaluation of a group prenatal care-based curriculum in a family medicine residency. Fam Med. 2011;43(10):712.
Earnshaw VA, et al. Exploring Group Composition among Young, Urban Women of Color in Prenatal Care: Implications for Satisfaction, Engagement, and Group Attendance. Womens Health Issues. 2016;26(1):110–115. doi: 10.1016/j.whi.2015.09.011.
Parikh LI, et al. Glycemic control, compliance, and satisfaction for diabetic gravidas in Centering® group care. J Matern Fetal Neonatal Med. 2017;30:1221–6. doi: 10.1080/14767058.2016.1209650.
Heberlein EC, et al. Qualitative Comparison of Women's Perspectives on the Functions and Benefits of Group and Individual Prenatal Care. J Midwifery Women's Health. 2016;61(2):224–234. doi: 10.1111/jmwh.12379.
Victora CG, Aquino EM, Leal MC, Monteiro CA, Barros FC, Szwarcwald CL. Maternal and child health in Brazil: progress and challenges. Lancet. 2011;377(9780):1863–1876.
Leal MD, Bittencourt SD, Torres RM, Niquini RP, Souza PR Jr. Determinants of infant mortality in the Jequitinhonha Valley and in the North and Northeast regions of Brazil. Rev Saude Publica. 2017;51(0):12. Published 2017 Mar 2. doi:10.1590/S1518-8787.2017051006391
Meghea CI, You Z, Raffo J, Leach RE, Roman LA. Statewide Medicaid Enhanced Prenatal Care Programs and Infant Mortality. Pediatrics. 2015;136(2):334-342. doi:10.1542/peds.2015-0479
Tekelab T, Chojenta C, Smith R, Loxton D. The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis. PLoS One. 2019;14(9):e0222566. Published 2019 Sep 13. doi:10.1371/journal.pone.0222566
Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, et al. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet. 2015;385(9966):430–40.
World Health Organization; WHO recommendations on health promotion interventions for maternal and newborn health Geneva: World Health Organization; 2015.
Lassi ZS, Haider BA, Bhutta ZA. Community-based intervention packages for reducing maternal morbidity and mortality and improving neonatal outcomes. J Dev Effect. 2012;4(1): 151–187. doi: 10.1080/19439342.2012.655911
Solnes Miltenburg A, Roggeveen Y, Shields L, van Elteren M, van Roosmalen J, Stekelenburg J, et al. Impact of birth preparedness and complication readiness interventions on birth with a skilled attendant: a systematic review. PLoS ONE. 2015;10(11): p.e0143382 doi: 10.1371/journal.pone.0143382
Sinha D. Empowering communities to make pregnancy safer: an intervention in rural Andhra Pradesh New Delhi: Population Council; 2008.
Murray-Davis B, Grenier L, Atkinson SA, et al. Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study. BMC Pregnancy Childbirth. 2019;19(1):368. Published 2019 Oct 21. doi:10.1186/s12884-019-2508-z
Saldanha LG, Dwyer JT, Andrews KW, et al. Is Nutrient Content and Other Label Information for Prescription Prenatal Supplements Different from Nonprescription Products? [published correction appears in J Acad Nutr Diet. 2019 May;119(5):867]. J Acad Nutr Diet. 2017;117(9):1429-1436. doi:10.1016/j.jand.2017.04.002
Academy of Nutrition and Dietetics. Position of the Academy of Nutrition and Dietetics: Nutrition and lifestyle for a healthy pregnancy outcome. J Acad Nutr Diet. 2014;114:1099–1103.
Branum AM, Bailey R, Singer BJ. Dietary supplement use and folate status during pregnancy in the United States. J Nutr. 2013;143:486–492.
McKinley MC, Allen-walker V, McGirr C, Rooney C, Woodside JV. Weight loss after pregnancy: challenges and opportunities. Nutr Res Rev. 2018;31(2):1–14. doi: 10.1017/S0954422418000070.
Abeje G, Admasie C, Wasie B. Factors associated with self medication practice among pregnant mothers attending antenatal care at governmental health centers in Bahir Dar city administration, Northwest Ethiopia, a cross sectional study. Pan Afr Med J. 2015;20:276. Published 2015 Mar 20. doi:10.11604/pamj.2015.20.276.4243
Ebrahimi H, Atashsokhan G, Amanpour F, Hamidzadeh A. Self-medication and its risk factors among women before and during pregnancy. Pan Afr Med J. 2017;27:183. Published 2017 Jul 7. doi:10.11604/pamj.2017.27.183.1003021.
Irvine L, Flynn RW, Libby G, Crombie IK, Evans JM. Drugs dispensed in primary care during pregnancy: a record-linkage analysis in Tayside, Scotland. Drug safety. 2010;33(7):593–604.
de Sousa VPS, Cury A, Eufrásio LS, de Sousa SES, Coe CB, de Souza Ramalho Viana E. The influence of gestational trimester, physical activity practice and weight gain on the low back and pelvic pain intensity in low risk pregnant women. J Back Musculoskelet Rehabil. 2019;32(5):671-676. doi:10.3233/BMR-171006
Mota MJ, Cardoso M, Carvalho A, Marques A, Sa-Couto P, Demain S. Women’s experiences of low back pain during pregnancy. J Back Musculoskelet Rehabil. 2015; 28(2): 351–7. -
Ray-Griffith S., Wendel M., Stowe Z., Magann E. Chronic pain during pregnancy: a review of the literature. International Journal of Women’s Health. 2018;10:153–164. doi: 10.2147/ijwh.s151845.
Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987;18:233-7.
Sanda B, Vistad I, Haakstad LAH, Berntsen S, Sagedal LR, Lohne-Seiler H, Torstveit MK. Reliability and concurrent validity of the International Physical Activity Questionnaire short form among pregnant women. BMC Sports Sci Med Rehabil. 2017;9:7. doi: 10.1186/s13102-017-0070-4.
Coordenação Geral da Política de Alimentação e Nutrição, Departamento de Atenção Básica, Secretaria de Assistência à Saúde, Ministério da Saúde. Guia alimentar para a população brasileira: promovendo a alimentação saudável. Brasília: Ministério da Saúde; 2006.
Maciel RRBT, Chiavegato LD, Marin LS, et al. Development of an e-health education program at the workplace using formative research - Technologies for improving quality of life. Eval Program Plann. 2019;73:129-137. doi:10.1016/j.evalprogplan.2018.12.009
Rojas Reyes J, Rivera Álvarez LN, Morera Pomarede MJ. Pedagogic Aspects in Nursing Education: Integrative Review. Invest Educ Enferm. 2018;36(3):10.17533/udea.iee.v36n3e03. doi:10.17533/udea.iee.v36n3e03
Heimann C, Prado C, de Moraes RR, et al. A construção do conhecimento da enfermagem baseada no método construtivista [Acquiring nursing knowledge through the constructivist method]. Rev Esc Enferm USP. 2013;47(4):997-1000. doi:10.1590/S0080-623420130000400032
Hashim MJ, Mustafa H, Al Abdouli AO, et al. Health education materials for Arab patients: content and design preferences. Med Princ Pract. 2013;22(4):411-414. doi:10.1159/000346276
Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49:1. doi:10.1590/S0034-8910.2015049005874
Carvalho MECC, Lima LC, de Lira Terceiro CA, et al. Low back pain during pregnancy. Rev Bras Anestesiol. 2017;67(3):266-270. doi:10.1016/j.bjan.2016.03.002
Manyozo SD, Nesto T, Bonongwe P, Muula AS. Low back pain during pregnancy: Prevalence, risk factors and association with daily activities among pregnant women in urban Blantyre, Malawi. Malawi Med J. 2019;31(1):71-76. doi:10.4314/mmj.v31i1.12
Vitor RS, Lopes CP, Menezes HS, Kerkhoff CE. Pattern of drug consumption without medical prescription in the city of Porto Alegre, RS. Cien Saude Colet. 2008;13 Suppl:737-743. doi:10.1590/s1413-81232008000700024
Rojas-Adrianzén C, Pereyra-Elías R, Mayta-Tristán P. Prevalence and factors associated with over-the-counter antimicrobial purchases, Peru 2016. Rev Peru Med Exp Salud Publica. 2018;35(3):400-408. doi:10.17843/rpmesp.2018.353.3458.
Albatti TH, Alawwad S, Aldueb R, Alhoqail R, Almutairi R. The self medication use among adolescents aged between 13-18 years old; Prevalence and behavior, Riyadh - Kingdom of Saudi Arabia, from 2014-2015. Int J Pediatr Adolesc Med. 2017;4(1):19-25. doi:10.1016/j.ijpam.2016.05.001
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