RELAÇÃO ENTRE OS ASPECTOS CLÍNICOS, PLACENTÁRIOS, OBSTÉTRICOS E NEONATAIS E O CRESCIMENTO INTRAUTERINO NA GESTAÇÃO DE ALTO RISCO.

Marques Salge, Ana Karina; Calciolari Rossi e. Silva, Renata; Valadares Guimarães, Janaína; Silva Ramalho, Wilzianne; Abdalla, Douglas Reis; Kemil Abdalla, George

Objective: to analyze clinical, placental and obstetric aspects of women with and without high-risk pregnancy, and their relationship with intrauterine growth deviations and neonatal aspects. Method: this is a cross-sectional descriptive study. Data collection was based on an analysis of the medical records of women with and without high-risk pregnancy and newborns, and anatomopathological characterization of the placenta. Results: 265 placentas were analyzed, 130 (49.06%) women with high-risk pregnancy and newborns with intrauterine growth deviations. A higher occurrence of placental changes was found in high-risk pregnancy and uterine growth deviations in comparison to cases without high-risk pregnancy (p≤0.001). High-risk pregnancies with intrauterine growth deviations were associated with placental changes (p≤0.001). Intrauterine growth deviations was related to birth weight in cases of high-risk pregnancy compared to normal gestation (p=0.014). Conclusion: a higher occurrence of placental anatomopathological changes was found in maternal and fetal surfaces in cases of high-risk pregnancy and intrauterine growth deviations.

BRAZIL; FETAL growth retardation -- Risk factors; BIRTH weight; CHI-squared test; CONFIDENCE intervals; FETAL growth retardation; GESTATIONAL age; HIGH-risk pregnancy; NEWBORN screening; RESEARCH methodology; EVALUATION of medical care; PLACENTA; PREGNANCY; PREGNANT women; PROBABILITY theory; PUBLIC hospitals; STATISTICS; HOSPITAL maternity services; DATA analysis; CROSS-sectional method; DATA analysis software; ODDS ratio; MANN Whitney U Test; SYMPTOMS

Texto & Contexto Enfermagem, 2017, Vol 26, Issue 2, p1

0104-0707

Academic Journal

10.1590/0104-07072017005520015