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Estado nutricional e condi??o bucal de gestantes usu?rias de servi?os p?blicos de sa?de

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Previous issue date: 2013-03-26 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / Pregnancy is a complex phenomenon that can cause changes in the way a woman lives and actively influences her health status, including oral and nutritional conditions. Maternal nutrition and proper oral health are of paramount importance for achieving gestational satisfactory and preventing undesirable outcomes such as prematurity, low birth weight, tooth loss, and malnutrition of the mother. The aim of this study was to identify factors associated with nutritional status and oral health in pregnant women in health centers in the municipalities of Santo Ant?nio de Jesus and Juazeiro in the state of Bahia. The study design was a cross-sectional exploratory. Participants were pregnant women served by SUS in Juazeiro and Santo Ant?nio de Jesus, Bahia. Data were collected through interviews with application forms, anthropometric assessment of nutritional biomarkers (blood, serum ferritin, and vitamin A), and clinical examination of the women?s oral condition. This study was approved by the Ethics Committee of the UEFS, as required by resolution 196/96. The data collection sheet targeted sociodemographic, reproductive, pregnancy, lifestyle, and oral health information. Also, data were collected from medical records and/or from prenatal care records. The study sample of 210 pregnant women was examined via statistical analysis, calculating the prevalence ratio and confidence interval of 95% for categorical variables. Student's t-test was used for continuous variables. The statistical program used was STATA 10. The main findings of this preliminary study show an association between nutritional status and maternal factors: smoking during pregnancy, self-reported anemia and previous abortion. As for oral condition, only maternal education was associated with this outcome. These features are the only presented research on the effects that showed statistical significance. Thus, preliminary data identified some factors related to the outcomes researched, but further studies are necessary to achieve more robust formulation of social actions aimed at preventative care and health promotion during pregnancy. / A gesta??o ? um fen?meno complexo que pode causar v?rias modifica??es no modo de vida da mulher, influenciando ativamente o estado de sa?de, que engloba as condi??es nutricional e bucal. Uma nutri??o materna e sa?de oral adequadas s?o de suma import?ncia para um desenvolvimento gestacional satisfat?rio, evitando desfechos indesej?veis, como prematuridade, baixo peso do nascido, perda dent?ria e desnutri??o da m?e. O objetivo desse estudo consiste em identificar os fatores associados ao estado nutricional e ? condi??o bucal de gestantes atendidas em Unidades de Sa?de dos munic?pios de Santo Ant?nio de Jesus e Juazeiro, no estado da Bahia. O desenho de estudo empregado foi do tipo transversal, de car?ter explorat?rio. As participantes foram gestantes, atendidas pelo SUS em Juazeiro-BA e Santo Ant?nio de Jesus-BA. A coleta de dados se processou atrav?s de entrevistas com aplica??o de formul?rio, avalia??o antropom?trica e dos marcadores biol?gicos nutricionais (hemograma, dosagem de vitamina A e ferritina), al?m do exame cl?nico da condi??o bucal. Vale ressaltar que essa pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa da Universidade Estadual de Feira de Santana, conforme determina??o da resolu??o 196/96. A ficha de coleta de dados cont?m informa??es sociodemogr?ficas, reprodutivas, gestacionais, de estilo de vida e de condi??o bucal. Tamb?m foram coletados dados, a partir de prontu?rios e/ou cart?o da gestante. A amostra do estudo foi de 210 gestantes, sendo adotado como m?todo de an?lise estat?stica o c?lculo da raz?o de preval?ncia e intervalo de confian?a a 95% para as vari?veis categ?ricas e o teste t-Student para as vari?veis cont?nuas. O programa estat?stico adotado foi o STATA 10. Os achados preliminares principais deste estudo sinalizam para a associa??o entre a condi??o nutricional materna e os fatores: tabagismo durante a gesta??o, anemia autorreferida e aborto pr?vio. Quanto ? condi??o bucal, somente a escolaridade materna se mostrou associado a este desfecho. Salienta-se que apenas estas caracter?sticas se apresentaram associadas aos efeitos em investiga??o, com signific?ncia estat?stica. Assim, os dados indicam alguns fatores associados aos desfechos em investiga??o, todavia, ainda s?o necess?rios estudos mais robustos para formula??o de a??es sociais que visem ? preven??o e promo??o ? sa?de no per?odo gestacional.

Identiferoai:union.ndltd.org:IBICT/oai:tede2.uefs.br:8080:tede/176
Date26 March 2013
CreatorsFigueiredo, Ana Claudia Morais Godoy
ContributorsCruz, Simone Seixas da
PublisherUniversidade Estadual de Feira de Santana, Mestrado Acad?mico em Sa?de Coletiva, UEFS, Brasil, DEPARTAMENTO DE SA?DE
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da UEFS, instname:Universidade Estadual de Feira de Santana, instacron:UEFS
Rightsinfo:eu-repo/semantics/openAccess
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