Made available in DSpace on 2016-03-22T17:26:25Z (GMT). No. of bitstreams: 1 Volume Final - Mestrado Leticia.pdf: 341556 bytes, checksum: 05cbb2490582a89ea9df2f871bc34813 (MD5) Previous issue date: 2011-02-14 / Low birth weight - LBW, an important factor in determining morbidity/mortality and sequels on child development has an impact on costs to health systems. It is important to study factors that influence it, as maternal health in prenatal period, estimated cost to the Health System - SUS, by frequency of hospitalization. The study was nested in a prospective cohort of women who received prenatal care registered and delivery by SUS hospitals with intensivecare unit and intermediate in Pelotas, RS. Result that mothers with depressive episodes during pregnancy, had RO = 3.94 and IC = 1.49; 10.36 in multivariate analysis. After calculating the attributable fraction in population, it was obtained 36.17% of LBW babies of mothers with depressive episode and costs resulting from those estimated in Brazil of more than 76 million (reais), suggesting expansion of preventive and curative actions to pregnant women in the area of mental health, enabling better health outcome of infants and more appropriate use of SUS resources / O baixo peso ao nascer BPN está diretamente relacionado à morbimortalidade e seqüelas no desenvolvimento infantil, tendo impacto nos custos dos sistemas de saúde. É importante avaliar fatores que o influenciam, como a saúde no período pré-natal, estimando seu impacto no Sistema Único de Saúde SUS, por internações. Este é um estudo prospectivo aninhado a uma coorte de gestantes que realizaram pré-natal e parto exclusivamente pelo SUS nos hospitais com Unidade de Tratamento Intensivo e Cuidados Intermediários Neonatais da cidade de Pelotas/RS no ano de 2008. As gestantes foram avaliadas no 2º trimestre e seguidas no pós-parto imediato. Entre os resultados, concluiu-se que mães com episódios de depressão gestacional apresentam quase 4 vezes mais chances de ter um filho com BPN (RP = 3,94; IC 1,49 a 10,36). A partir do cálculo da Fração Atribuível na População, estima-se que, na população geral, 36,17% dos bebês com BPN foram de mães que tiveram episódio depressivo nesta direção, avalia-se um custo que pode chegar a mais de R$ 76 milhões no Brasil. Sugere-se que a ampliação de ações preventivas e curativas para as gestantes na área da saúde mental possibilita melhor desfecho de saúde dos recém-nascidos e mais adequada utilização de recursos do SUS

Depression drabbar 10–20% av gravida kvinnor och kan leda till konsekvenser för bådebarnet, modern och samhället. IKBT för depression är en effektiv behandling, däremot har patientersom genomgått IKBT uttryckt behov av ytterligare stöd. Syftet med studien var att undersökaupplevelser av att erhålla extrastödsamtal under IKBT inom DANA-studien. Genom en kvalitativansats genomfördes intervjuer med nio deltagare med depression under graviditeten. Tematisk analysanvändes vilket resulterade i två huvudteman; Individanpassning efter behov och Integrering avbehandling. Resultatet visade att extrastödet utgjorde en möjlighet till flexibel individanpassningsamt ett stöd utifrån att IKBT upplevdes som en krävande behandling. Kommunikation upplevdessom avgörande för helhetsupplevelsen av behandlingen och extrastöd utgjorde en möjlighet till flerperspektiv utifrån tillgång till olika yrkeskompetenser. Resultatet ger en ökad förståelse avupplevelsen av extrastödet och dess funktion, samt vad deltagarna upplever som viktigt för att kunnagenomföra behandlingen. / Depression affects 10-20% of pregnant women and can cause consequences for the child,mother, and society. ICBT for depression is an effective treatment, however, patients that haveundergone ICBT have expressed a need for additional support. The purpose of this study was toexamine experiences of receiving extra-counseling during ICBT within the DANA-study. Through aqualitative approach, interviews were conducted with nine participants with depression duringpregnancy. Thematic analysis was used and resulted in two main themes: Adaptation to individualneeds and Integration of treatment. The result shows that extra-counseling provided an opportunityto adapt the treatment to specific needs, while functioning as a support to the ICBT which wasexperienced demanding. Communication was crucial to the overall experience, and extra-counselingwas a possibility to gain perspective from different professions. This provides increasedunderstanding of experiences of extra-counseling, its function, and what is experienced as importantto accomplish the treatment.