Caracterização e desfecho obstétrico das gestações de alto risco atendidas no município de Dourados - MS

Abstract

Introduction: With the development of pathologies during pregnancy, the specialized care service is necessary and extremely important for maternal-fetal health to develop properly and as healthy as possible and for the obstetric outcome to be positive. For the classification of high-risk pregnancies, the health professional needs to assess the socio-clinical-demographic conditions of each pregnant woman, so that the care is carried out in a way that meets their specificities. The obstetric outcome is directly linked to the treatment and monitoring that the pregnant woman performs, a correct treatment is a determining factor for a healthy outcome. Objective: To characterize the socio-clinical-demographic profile of pregnant women undergoing high-risk prenatal care in the city of Dourados and the macro-region and their obstetric outcome. Method: The study consists of a documentary research, with a quantitative approach, of a retrospective nature, with data collection of pregnant women registered in the polyclinic of women's care in the municipality of Dourados-MS between the months of January to June 2022 and data from the University Hospital of Grande Dourados regarding the obstetric outcome of pregnant women. Results: The survey showed that 78.9% of registered pregnant women belonged to the municipality, and 43.4% did not have their current pregnancy planned, the most recurrent pathologies were: chronic arterial hypertension, gestational diabetes mellitus, hypothyroidism, twins and habitual abortion. Related to the obstetric outcome, 78.5% were attended at the HU-UFGD, among them. 60.8% underwent cesarean section, 85.9% did not adhere to any contraceptive method. Among the pregnant women assisted, only 0.8% required admission to an intensive care unit. Conclusion: The research showed that most pregnant women who had high-risk pathologies for the development of pregnancy and who had their obstetric outcome at the HU-UFGD achieved positive results. Thus showing that the reference services for this public offered the appropriate service for the specificities of each one.