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Publication
Características das mulheres que recusam exames invasivos: dados do Registo Nacional de Anomalias Congénitas entre 2008 e 2013
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Advisor(s)
Abstract(s)
[PT] Os dados do RENAC mostram que 2,3% das mulheres com suspeita de
anomalia fetal durante a gravidez, entre 2008 e 2010 e 3,5% entre 2011 e
2013 recusaram a realização de exames invasivos. Este estudo pretende
caracterizar estas mulheres tendo-se encontrado na literatura alguns
fatores maternos relacionados com esta decisão. Assim, realizou-se um
estudo descritivo, transversal, com utilização de dados notificados ao
RENAC no período de 2008 a 2013. Neste período 7,7% das grávidas
recusaram a realização de exames invasivos. Estas mulheres tinham
em média 37,3 anos (mín-máx: 18-48, desvio padrão= 5,37), 16,2% não
tinham nacionalidade portuguesa e 30,8% não exerciam uma atividade
profissional. A história obstétrica revelou que em mediana tiveram duas
gestações e dois nados-vivos anteriores. Em 5,5% a presente gestação
resultou de reprodução medicamente assistida. Observou-se a existência
de associação estatisticamente significativa com o grupo etário da grávida,
a naturalidade, a ocupação, a etnia, o estado migratório, a história
obstétrica e o consumo de álcool durante o 1º trimestre de gestação.
Estes resultados são semelhantes aos descritos noutros estudos, nomeadamente,
o facto de pertencerem a um grupo etário mais avançado e a
minorias étnicas, para além de serem multíparas aumentar a probabilidade
de recusarem um exame invasivo.
[EN] Data from the Por tuguese Registr y of Congenital Anomalies (RENAC) show that between 2008 and 2010, 2.3% of women with suspected fetal anomaly during pregnancy, and 3.5% between 2011 and 2013 refused to per form invasive tests. This study aims to characterize these women since the literature indicates that maternal factors are related to these decisions. A descriptive, cross-sectional study, was per formed using data repor ted to RENAC between 2008-2013. 7,7% of the pregnant women refused to perform invasive tests. These women had an average of 37.3 years (Min-Max: 18-48, standard deviation = 5.37), 16.2% were not portuguese and 30.8% had no professional activity. The obstetric history revealed that, on average had two previous pregnancies and two previous live births. In 5.5% of the cases, this pregnancy was a result of medically assisted reproduction. Statistically significant association was found between refusal and: age group of the pregnant; the nationality; the occupation; ethnicity; the migratory status; the obstetric history and alcohol consumption during the first trimester of pregnancy. These results are similar to those described in other studies in particular belonging to a more advanced age group, having previous gestations and belonging to ethnic minorities may increase de odd of refusing invasive tests.
[EN] Data from the Por tuguese Registr y of Congenital Anomalies (RENAC) show that between 2008 and 2010, 2.3% of women with suspected fetal anomaly during pregnancy, and 3.5% between 2011 and 2013 refused to per form invasive tests. This study aims to characterize these women since the literature indicates that maternal factors are related to these decisions. A descriptive, cross-sectional study, was per formed using data repor ted to RENAC between 2008-2013. 7,7% of the pregnant women refused to perform invasive tests. These women had an average of 37.3 years (Min-Max: 18-48, standard deviation = 5.37), 16.2% were not portuguese and 30.8% had no professional activity. The obstetric history revealed that, on average had two previous pregnancies and two previous live births. In 5.5% of the cases, this pregnancy was a result of medically assisted reproduction. Statistically significant association was found between refusal and: age group of the pregnant; the nationality; the occupation; ethnicity; the migratory status; the obstetric history and alcohol consumption during the first trimester of pregnancy. These results are similar to those described in other studies in particular belonging to a more advanced age group, having previous gestations and belonging to ethnic minorities may increase de odd of refusing invasive tests.
Description
Keywords
Anomalias Congénitas Exames Invasivos Amniocentese Biopsia de Vilosidades Coriónicas Cordocentese Diagnóstico pré-natal Estados de Saúde e de Doença RENAC Registo Nacional de Anomalias Congénitas Portugal
Pedagogical Context
Citation
Boletim Epidemiológico Observações. 2016 janeiro-abril;5(15):30-33
Publisher
Instituto Nacional de Saúde Doutor Ricardo Jorge, IP