scholarly journals Ocorrências obstétricas atendidas pelo serviço de atendimento móvel de urgência

2018 ◽  
Vol 12 (12) ◽  
pp. 3158
Author(s):  
Jessica Gomes da Silva ◽  
Suzel Regina Ribeiro Chavaglia ◽  
Mariana Torreglosa Ruiz ◽  
Maria Carolina Belo da Cunha ◽  
Kleiton Gonçalves do Nascimento ◽  
...  

RESUMO Objetivo: descrever o perfil das ocorrências obstétricas atendidas pelo Serviço de Atendimento Móvel de Urgência. Método: trata-se de um estudo quantitativo, descritivo, exploratório, com dados retrospectivos. Coletaram-se os dados por meio das fichas de atendimento do SAMU. A amostra foi composta pela análise de 301 fichas de atendimento, e os resultados apresentados por meio de dados estatísticos. Resultados: informa-se que os chamados por causas obstétricas representaram 0,40% dos atendimentos do SAMU; a idade média das gestantes foi de 25,08 anos; a maioria era primigesta, estava no terceiro trimestre gestacional, realizou pré-natal e as principais queixas foram relacionadas ao trabalho de parto (91,3%). Houve significância estatística entre o acionamento do SAMU por queixas referentes ao trabalho de parto e o terceiro trimestre gestacional indicando a pertinência dos chamados. Conclusão: conclui-se, que ao conhecer as necessidades das mulheres que buscam atendimento no serviço pré-hospitalar e traçar o perfil de atendimentos são informações essenciais para subsidiar as ações e as políticas públicas que possibilitem oferecer assistência de qualidade e reduzir a morbimortalidade materna e neonatal. Descritores: Enfermagem Obstétrica; Assistência Pré-Hospitalar; Emergências; Gestante; Enfermagem em Emergência; Serviços Médicos de Emergência.ABSTRACT Objective: to describe the profile of the obstetric occurrences attended by the Mobile Emergency Care Service. Method: this is a quantitative, descriptive, exploratory study with retrospective data. The data were collected through the SAMU service records. The sample consisted of the analysis of 301 service records, and the results presented through statistical data. Results: it is reported that obstetric calls accounted for 0.40% of the SAMU services; the mean age of pregnant women was 25.08 years; the majority were primigravida, were in the third trimester, performed prenatal care and the main complaints were related to labor (91.3%). There was statistical significance between the activation of the SAMU by complaints regarding labor and the third gestational trimester indicating the relevance of the calls. Conclusion: it is concluded that knowing the needs of women seeking care in the pre-hospital service and drawing the profile of care are essential information to subsidize public actions and policies that enable quality care and reduce maternal and child morbidity and mortality. neonatal. Descriptors: Obstetric Nursing; Prehospital Care; Emergencies; Pregnant Women; Emergency Nursing; Emergency Medical Services.RESUMEN Objetivo: describir el perfil de las ocurrencias obstétricas atendidas por el Servicio de Atención Móvil de Urgencia. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, con datos retrospectivos. Se recogen los datos por medio de las fichas de atención del SAMU. La muestra fue compuesta por el análisis de 301 fichas de atención, y los resultados presentados por medio de datos estadísticos. Resultados: se informa que los llamados por causas obstétricas representaron el 0,40% de las atenciones del SAMU; la edad media de las gestantes fue de 25,08 años; la mayoría era la primera gestación, estaba en el tercer trimestre gestacional, realizó prenatal y las principales quejas fueron relacionadas al trabajo de parto (91,3%). Hubo significancia estadística entre el accionamiento del SAMU por quejas referentes al trabajo de parto y el tercer trimestre gestacional indicando la pertinencia de los llamados. Conclusión: se concluye que al conocer las necesidades de las mujeres que buscan atención en el servicio pre-hospitalario y trazar el perfil de atención son informaciones esenciales para subsidiar las acciones y las políticas públicas que posibiliten ofrecer asistencia de calidad y reducir la morbimortalidad materna y neonatal. Descriptores: Enfermería Obstétrica; Aténcion Pre-Hospitalaria; Urgencias Médicas; Mujeres Embarazadas; Enfermeria de Urgencia; Servicios Médicos de Urgencia.

2010 ◽  
Vol 4 (4) ◽  
pp. 1604
Author(s):  
Samira Maria Oliveira Almeida ◽  
Marília Amélia Camurça Ramos ◽  
Lauana Pimentel De Melo ◽  
Régia Maria Batista Leite ◽  
Fátima Maria da Silva Abrão

ABSTRACT  Objective: to describe and analyze prenatal care, according to criteria of PHPN. Methodology: this is about an exploratory and descriptive study, from quantitative approach. Study’s subjects were 4131 pregnant women registered in SISPRENATAL from 2002 to 2006. Data were collected through a form applied to SISPRENATAL after approval by the Ethics Committee on Research of the Centre Integrated Health Amauri de Medeiros/CISAM under protocol number CAAE - 0263.0.000.250-08. Results: 76.5% of pregnant women started prenatal care until the fourth month of pregnancy. As for exams, 60.3% of them made any classification blood, 24.7% had VDRL full, 59.9% had hemoglobin and hematocrit, 24.86% had complete glucose exam, 24.1%, 26.9% and 46 4%, respectively, underwent urinalysis, HIV testing and were immunized against tetanus. As indicators: consultations, examinations and postpartum period, only 11.1% had them all together, so this is performed six or more consultations, recommended tests and post-partum visit. Conclusion: we concluded that the percentages identified can cause negative impacts to the health of mother and baby, and to difficult, consistently, the reduction of maternal and perinatal mortality. Therefore, the study highlights the need to train professionals, to ensure the realization of exam and treatment of complications, to ensure a quality care, while respecting the rights established. Descriptors: women's health; prenatal care; pregnant women.RESUMOObjetivo: descrever e analisar a assistência pré-natal, segundo critérios do PHPN. Metodologia: pesquisa quantitativa do tipo exploratório-descritivo. Os sujeitos do estudo foram 4131 gestantes cadastradas no SISPRENATAL, entre 2002 e 2006. Os dados foram coletados por meio de um formulário aplicado ao SISPRENATAL após aprovação do comitê de ética em pesquisa do Centro Integrado de Saúde Amauri de Medeiros – CISAM (CAAE – 0263.0.000.250-08). Resultados: 76,5% das gestantes iniciaram o pré-natal até o quarto mês de gestação. Quanto aos exames, 60,3% delas efetuaram classificação sanguínea; 24,7% fizeram VDRL completo; 59,9% realizaram hemoglobina e hematócrito; 24,86% fizeram glicemia completa; 24,1%, 26,9% e 46,4%, respectivamente, realizaram sumário de urina, teste anti-HIV e foram imunizadas contra tétano. Com relação aos indicadores: consultas, exames e puerpério, apenas 11,1% apresentaram todos eles conjuntamente, isto é, realizaram 6 ou mais consultas, os exames preconizados e a consulta puerperal. Conclusão: conclui-se que os percentuais identificados podem causar impactos negativos para a saúde da mãe e do bebê, bem como dificultar, consistentemente, a redução da mortalidade materna e perinatal. Portanto, ressalta-se a necessidade de capacitar profissionais, além de assegurar a realização dos exames e tratamento das intercorrências, a fim de garantir uma assistência de qualidade, respeitando os direitos constituídos. Descritores: saúde da mulher; cuidado pré-natal; gestantes. RESUMEN Objetivo: describir y analizar la atención prenatal, de acuerdo con criterios de PHPN. Metodología: investigación cuantitativa, estudio exploratorio-descriptivo. Los sujetos de estudio fueron 4131 mujeres embarazadas registradas en SISPRENATAL entre 2002 y 2006. Los datos fueron recolectados a través de un cuestionario realizado a SISPRENATAL después de la aprobación por el comité de ética en la investigación del Centro Integrado de Salud Amauri de Medeiros - CISAM (CAAE - 0263.0.000.250-08). Resultados: 76,5% de las mujeres embarazadas comenzó la atención prenatal hasta el cuarto mes de embarazo. En cuanto a los exámenes, el 60,3% de ellos hizo nada de sangre de clasificación, el 24,7% tenían plena VDRL, el 59,9% tenía la hemoglobina y el hematocrito, 24,86% tenía la glucosa total, el 24,1%, 26,9% y el 46 4%, respectivamente, se sometieron a análisis de orina, pruebas de VIH y fueron inmunizados contra el tétanos. Como indicadores: consultas, exámenes y el período posparto, que el 11,1% tenían a todos, es decir, realiza seis o más visitas, pruebas y recomienda la visita post-parto. Conclusión: se concluye que los porcentajes identificados pueden causar impactos negativos a la salud de la madre y el bebé, y difícil, de manera coherente, la reducción de la mortalidad materna y perinatal. Por lo tanto, el estudio resalta la necesidad de formar profesionales, y garantizar la realización de exámenes y tratamiento de complicaciones, para garantizar una atención de calidad, respetando de los derechos adquiridos. Descriptores: salud de la mujer; atención prenatal; las mujeres embarazadas. 


2012 ◽  
Vol 3 (4) ◽  
pp. 211-215 ◽  
Author(s):  
Onã Silva ◽  
Dirce Guilhem ◽  
Luciana Neves da Silva Bampi

Diretrizes governamentais para redução da transmissão vertical do HIV incluem o Teste Rápido Anti-HIV Diagnóstico às mulheres. Objetivou-se refletir sobre conflitos éticos vinculados à realização do teste durante o parto, utilizando-se a Bioética Principialista e a Bioética Feminista. Trinta minutos separam o oferecimento do exame e o resultado, mudando a vida completamente. Parturientes admitidas sem o anti-HIV no pré-natal refletem a dificuldade no acesso aos serviços de saúde. Falhas organizacionais no sistema de referência e contra referência dificultam o acompanhamento de soropositivas e bebês expostos ao vírus após a alta. Profissionais capacitados podem oferecer atenção de qualidade minimizando a vulnerabilidade mãe-filho.Descritores: Bioética, Vulnerabilidade, Acesso aos Serviços de Saúde, Cuidado Perinatal, Sorodiagnóstico da Aids.Thirty minutes life change: Anti-HIV rapid test diagnosis for pregnant women and access to prenatal careGovernmental guidelines to reduce vertical transmission of HIV include the Quick Test Anti-HIV Diagnosis women. Study aimed to reflect on ethical conflicts related to testing during labor, using principlist Bioethics and Feminist Bioethics. Thirty minutes separating the offering of the examination and the result, changing their lives completely. Pregnant women admitted without anti-HIV prenatal reflect the difficulty in accessing health services. Organizational failures in the system of reference and cross reference complicate follow up and seropositive babies exposed to the virus after discharge. Trained professionals can provide quality care while minimizing the vulnerability mother-son.Descritores: Bioethics, Vulnerability, Access to Health Care, Perinatal Care, Serodiagnosis of AIDS.Treinta minutos que cambian la vida: Anti-HIV prueba rápida de diagnóstico para las mujeres embarazadas y el acceso a la atención prenatalDirectrices gubernamentales para reducir la transmisión vertical del HIV incluyen las pruebas rápidas contra el HIV Diagnóstico a las mujeres. El objetivo era reflexionar sobre los conflictos éticos relacionados con las pruebas durante el parto, con la Bioética y Bioética principialista feministas. Treinta minutos que separan la oferta del examen y el resultado, cambiando sus vidas por completo. Las mujeres embarazadas admitidas sin anti-HIV prenatal reflejan la dificultad en el acceso a servicios de salud. Fallas de organización en el sistema de referencia y de referencia cruzada dificultan el seguimiento de bebés y seropositivos expuestos al virus después del alta. Profesionales entrenados pueden proporcionar una calidad de atención y reducir al mínimo la vulnerabilidad madre-hijo.Descritores: Bioética, Vulnerabilidad, acceso a la salud, la atención perinatal, serodiagnóstico del SIDA.


2018 ◽  
Vol 12 (12) ◽  
pp. 3221
Author(s):  
Myria Ribeiro da Silva ◽  
Dejeane De Oliveira Silva ◽  
Nayara Mary Andrade Teles Monteiro ◽  
Ricardo Matos Santana ◽  
Talita Hevilyn Ramos da Cruz Almeida ◽  
...  

RESUMOObjetivo: descrever a Sistematização da Assistência de Enfermagem das parturientes admitidas no centro obstétrico para o parto cesáreo e o puerpério. Método: trata-se de um estudo quantitativo, descritivo, exploratório, realizado com 152 clientes em um hospital. Realizaram-se, para a coleta de dados, a anamnese e o exame clínico, e os resultados apresentam-se em forma de tabelas. Resultados: observa-se que os diagnósticos mais predominantes pertencem aos domínios Segurança e Proteção, Enfrentamento e Tolerância ao Estresse e Conforto. Conclusão: destacam-se as necessidades das mulheres admitidas, proporcionando o subsídio teórico e científico por meio da associação das classificações de Enfermagem. Evidencia-se, neste estudo, a relevância da sistematização da Enfermagem como um método científico seguro para uma assistência holística e mais eficaz. Descritores: Enfermagem; Obstetrícia; Assistência; Parto; Gestantes; Classificação.ABSTRACTObjective: to describe the Systematization of Nursing Care of parturients admitted to the obstetric center for cesarean and puerperium delivery. Method: this is a quantitative, descriptive, exploratory study of 152 clients in a hospital. Anamnesis and clinical examination were performed for data collection, and the results are presented in the form of tables. Results: it is observed that the most prevalent diagnoses belong to the domains Security and Protection, Confrontation and Tolerance to Stress and Comfort. Conclusion: the needs of women admitted are highlighted, providing the theoretical and scientific subsidy through the association of Nursing classifications. The relevance of Nursing systematization as a safe scientific method for holistic and more effective care is evidenced in this study. Descriptors: Nursing; Obstetrics; Assistance; Parurition; Pregnant Women; Classification.RESUMENObjetivo: describir la Sistematización de la Asistencia de Enfermería de las parturientas admitidas en el centro obstétrico para el parto por cesárea y el puerperio. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, realizado con 152 clientes en un hospital. Se realizaron, para la recolección de datos, la anamnesis y el examen clínico, y los resultados se presentan en forma de tablas. Resultados: se observa que los diagnósticos más predominantes pertenecen a los campos Seguridad y Protección, Enfrentamiento y Tolerancia al estrés y Confort. Conclusión: se destacan las necesidades de las mujeres admitidas, proporcionando el subsidio teórico y científico por medio de la asociación de las clasificaciones de Enfermería. Se evidencia, en este estudio, la relevancia de la sistematización de la Enfermería como un método científico seguro para una asistencia holística y más eficaz. Descriptores: Enfermería; Obstetricia; Asistencia; Parto; Mujeres Embarazadas; Classificación.


MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Júlia Martín Badia

The aim of this paper is to define an ethical framework that intertwines the essential—but not the only—elements that midwives should take into account when assisting pregnant women who suffer from gender violence (GV). Our proposal will focus on the idea of accompaniment, which can be defined as the process through which support is given to a vulnerable person in order to help her/him gain autonomy. A model of a biopsychosocial accompaniment of pregnant women suffering from gender violence will be suggested. It has three dimensions: firstly, it is a process through which midwives help women empower themselves; secondly, it is a process through which midwives build up an environment of trust and respect in the medical consultation; and thirdly, it requires an appropriate teamwork. This paper will focus on the first two dimensions, which are the two sides of the same coin, and will only briefly address the third one, as it goes far beyond the field of midwifery and thus beyond the aim of this article. The methodology used to develop this paper is the philosophical-rational analysis and reflection.


2021 ◽  
Vol 5 (1) ◽  
pp. 62
Author(s):  
Nurmaliatul Firdaus ◽  
Aditiawarman Aditiawarman ◽  
Dwi Izzati Budiono

 AbstractBackground: Quality antenatal care in the MCH program is considered to be one of the effective efforts to reduce maternal and child morbidity and mortality. An indicator of the success of ANC services can be seen from the output produced, namely in the form of K4 coverage. According to Kotler there are 5 (five) determinants of service quality that can be used as a basis for assessing the level of customer satisfaction with the quality of service received including Tangibles, Reliability, Responsiveness, Assurance and Empathy. Method: This research method is quantitative descriptive with survey approach. The total sample of 149 pregnant women with total sampling techniques. The instrument used was a questionnaire. Data analysis uses univariate analysis. Results: The most valued statements both from each dimension namely; tangible: Midwife performance reliability: recording in the MCH handbook, responsiveness: responses to complaints, assurance: the nature of the Midwife, empathy of communication between midwives and patients. The most valued statements are enough from each dimension namely; tangible: examination room, reliability: service procedures, responsieness: midwife response to patients waiting for long queues, assurance: guarantee to service, empathy: suitability of waiting time and duration of service. Conclusion: The data shows that the majority of respondents considered the quality of antenatal services at the Tambakrejo Public Health Center to be good but still needed to be improved so that the assessment was sufficiently good. 


2018 ◽  
Vol 12 (12) ◽  
pp. 3312
Author(s):  
Jéssica Fernandes Oliveira ◽  
Zilmar Augusto de Souza Filho ◽  
Renan Sallazar Ferreira Pereira ◽  
Jordana Pereira Gonzaga

RESUMO Objetivo: avaliar os níveis tensionais e fatores associados à hipertensão arterial de usuários atendidos em um serviço de pronto atendimento à saúde. Método: trata-se de um estudo quantitativo, descritivo, exploratório, transversal, com 100 usuários. Avaliaram-se os fatores com a regressão logística binária, com valores significativos de p≤0,20, e, os resultados se apresentam em tabelas e figuras, discutidos posteriormente com a literatura. Resultados: encontrou-se que a média dos níveis tensionais dos homens foi de PAS 130,6 (20,0) mmHg e PAD 78,9 (12,2) mmHg e das mulheres de PAS 119,5 (22,9) mmHg e PAD 71,4(11,4) mmHg. Verificou-se que a prevalência de hipertensão foi de 26,0% (IC95% 17,0–35,0) entre os homens (32%) e nas mulheres (20%) e a hipertensão arterial referida foi de 10% (IC95% 4,0–16,0). Conclusão: revela-se que os níveis tensionais dos homens foram mais elevados que entre as mulheres e a prevalência de hipertensão arterial foi maior do que a estimada para a população brasileira. Descritores: Pressão Arterial; Hipertensão; Pacientes Ambulatoriais; Estilo de Vida; Doenças Cardiovasculares; Fatores de Risco.ABSTRACTObjective: to evaluate the blood pressure levels and factors associated with arterial hypertension of users attended at a prompt health care service. Method: this is a quantitative, descriptive, exploratory, cross-sectional study with 100 users. The factors with binary logistic regression, with significant values of p≤0.20, were evaluated, and the results are presented in tables and figures, discussed later with the literature. Results: the mean of the men's blood pressure levels was found to be SBP 130.6 (20.0) mmHg and DBP 78.9 (12.2) mmHg and SBP 119.5 (22.9) mmHg and PAD 71.4 (11.4) mmHg. The prevalence of hypertension was 26.0% (CI95% 17.0-35.0) among men (32%) and women (20%), and hypertension was 10% (IC95 % 4.0-16.0). Conclusion: it is shown that men's blood pressure levels were higher than among women and the prevalence of arterial hypertension was higher than that estimated for the Brazilian population.  Descriptors: Arterial Pressure; Hypertension; Outpatients; Life Style; Cardiovascular Diseases; Risk Factors.RESUMENObjetivo: evaluar los niveles tensionales y factores asociados a la hipertensión arterial de usuarios atendidos en un servicio de pronta atención a la salud. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, transversal, con 100 usuarios. Se evaluaron los factores con la regresión logística binaria, con valores significativos de p≤0,20, y, los resultados se presentan en tablas y figuras, discutidos posteriormente con la literatura. Resultados: se encontró que el promedio de los niveles tensionales de los hombres fue de PAS 130,6 (20,0) mmHg y PAD 78,9 (12,2) mmHg y de las mujeres de PAS 119,5 (22,9) mmHg y PAD 71,4 (11,4) mmHg. Se verificó que la prevalencia de hipertensión fue del 26,0% (IC95% 17,0-35,0) entre los hombres (32%) y en las mujeres (20%) y la hipertensión arterial referida fue del 10% (IC95) Conclusión: se revela que los niveles tensionales de los hombres fueron más elevados que entre las mujeres y la prevalencia de hipertensión arterial fue mayor que la estimada para la población brasileña. Descriptores: Presión Arterial; Hipertensión; Pacientes Ambulatorios; Estilo de Vida; Enfermedades Cardiovasculares; Factores de Riesgo.


2010 ◽  
Vol 18 (5) ◽  
pp. 919-927 ◽  
Author(s):  
Danielle Cristina Alves Feitosa Gondo ◽  
Marli Teresinha Cassamassimo Duarte ◽  
Márcia Guimarães da Silva ◽  
Cristina Maria Garcia de Lima Parada

This study identifies the prevalence of vaginal flora alterations in low-risk pregnant women and their association with reported symptoms and gynecological exams. This quantitative, descriptive, cross-sectional study was conducted in public primary care service units in Botucatu, SP, Brazil from 2006 to 2008 with 289 pregnant women from a stratified sample obtained by sampling by care unit. Tests of vaginal content were performed using Gram’s method and testing for Trichomonas vaginalis using Diamond’s medium. The prevalence of altered vaginal flora was 49.5%, of which bacterial vaginosis (20.7%), vaginal candidiasis (11.8%) and intermediate flora (11.1%) were the most frequent, not considering associations. Results revealed a high prevalence of vaginal flora alterations with little relation to symptoms, but in agreement with findings from the gynecological exams. Considering undesirable maternal and perinatal outcomes and feasible laboratory practices, the establishment of a routine for diagnosing vaginal flora alterations in low-risk pregnant women is suggested.


2020 ◽  
Vol 10 (2) ◽  
pp. 1-4
Author(s):  
Asaad Ma. Babker ◽  
Elkhansa Osama Di Elnaim

Aim: The objective of the study is to evaluate the normal physiological changes in values of major hematological parameters occur during the normal pregnancy Method: Blood samples (5ml EDTA) were taken voluntarily after consent obtained from from 50 healthy pregnant women from 20 to 40 years old who presented themselves at Khartoum teaching during their regularly follow-up. Questionnaires and direct interview were used to collect demographic and clinical data. CBC and part differential (WBC, RBC, Hb, PCV, and platelets), were measured by Sysmex and the plasma clotting time PT and PTT were measured by coagulometer. Results: W'BCs mean value was 7.580 cell/mm3, RBCs mean value was 4.1 x l012/L, Hb mean value was 11.79 g/dL, Platelets mean value was 256 x109/L, PT mean value of the study group was 13.40 seconds and PTT mean value was 36.20 seconds. Conclusion: It can be concluded that no statistical significance in RBCs, HB, platelets. PT and PTT between pregnant women in the three different trimesters while white WBCs count showed different decreased but not statistical significant  among the three groups, the highest value was round in the second group followed by the third group and the lowest value found in the first group. Keywords: Normal pregnancy, Hematological Changes, Pregnancy trimesters


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Henik Istikhomah ◽  
Dyah Ayu Putri Mumpuni

Abstract: Psychological Readiness Pregnancy Trimester III, Post-Relaxation Hypnobirthing. A number of fear seen in pregnant women during the third trimester. Unpreparedness to face the birth mother to be one of the causes of high maternal mortality rate. Mother began to feel fear of pain and the physical dangers that will arise at the time of delivery. Because they were, the mother must make themselves maintain the harmony of mind and body through relaxation. Hypnobirthing techniques can help relax the muscles so that mothers avoid the anxiety and may help mothers more calm in the face of labor. The purpose of this study to describe the psychological readiness of third trimester pregnant women in childbirth after relaxation hypnobirthing. Quantitative descriptive research. The population in this study is the third trimester pregnant women who have followed the relaxation hypnobirthing ≥ 4 times in BPM and BPM Yessi Yosi Trihana Aprilia Klaten. Saturated sampling technique is sampling as many as 30 third trimester pregnant women who had attended relaxation hypnobirthing ≥ 4 times as respondents. Of the 30 respondents third trimester pregnant women who attended ≥ 4 times showed 19 respondents (63.30%) declared ready psychologically to face childbirth after following the relaxation of hypnobirthing ≥ 4 times. And 11 respondents (36.70%) are not ready psychologically to face the post-relaxation hypnobirthing childbirth ≥ 4 times. Most of the third trimester pregnant women are better prepared psychologically to face childbirth after following the relaxation of hypnobirthing ≥ 4 times in BPM and BPM Yessi Yosi Trihana Aprilia Klaten.


2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.


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