Ansiedade e Depressão na Morbidade Materna Grave e Near Miss
DOI:
https://doi.org/10.1590/0102.3772e35442Palavras-chave:
Depressão, Ansiedade, Complicações na gravidez, Morbidade, Near missResumo
Com o objetivo de verificar a prevalência da ansiedade e depressão em mulheres com morbidade materna grave (near miss), foi realizado estudo de coorte transversal, com 549 mulheres. Para tanto, foram utilizados o Inventário de Beck de Depressão (BDI) e o Inventário de Ansiedade (BAI). Na análise estatística, aplicaram-se o teste do qui-quadrado de Pearson e o U-Mann-Whitney, além de Razões de Chances brutas e seus Intervalos com 95% de confiança. Houve maior prevalência e maior chance de desenvolver a ansiedade e depressão na MMG/NM, bem como a relação positiva e significativa entre ambos. Considera-se a associação do ponto de vista psicológico, como um fator grave e impactante na saúde mental da mulher.
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Alder, J., Fink, N., Bitzer, J., Hösli, I., & Holzgreve, W. (2007). Depression and anxiety during pregnancy: A risk factor for obstetric, fetal and neonatal outcome? A Critical Review of the Literature, 20(3), 189-209.
Alves, A.A.M., & Rodrigues, N.F.R. (2010). Determinantes sociais e económicos da Saúde Mental. Revista Portuguesa de Saúde Pública, 28(2), 127-131.
Anderson, F.W., Morton, S.U., Naik, S., Gebrian, B. (2007). Maternal mortality and the consequences on infant and child survival in rural Haiti. Maternal and Child Health Journal, 11(4), 395-401.
Association of Women’s Health, Obstetric and Neonatal Nurses. (2015). Mood and anxiety disorders in pregnant and postpartum women. Journal of Obstetric, Gynecologic, & Neonatal Nursing , 44, 687-689.
Buist, A., Gotman, N., & Yonkers, K. A. (2011). Generalized anxiety disorder: course and risk factors in pregnancy. Journal of Affective Disorders, 131(1-3), 277-283.
Carvalheira, A. P. P., Tonete, V. L. P., & Parada, C. M. G. L. (2010). Sentimentos e percepções de mulheres no período gravídico puerperal que sobreviveram à morbidade materna grave. Revista Latino-Americana de Enfermagem, 18(6), 1187-1194.
Cecatti, J. G., Souza, J. P., Parpinelli, M. A., Haddad, S. M., Camargo, R. S., Pacagnella, R. C., ... Pattinson, R. C. (2009). Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences. Reproductive Health, 6, 15.
Chou, D., Tunçalp, Ö., Firoz, T., Barreix, M., Fillipi, V., von Dadelszen, P., … Say, L. (2016). Maternal morbidity - Towards a standard tool to measure and monitor maternal health beyond mortality. BMC Pregnancy Childbirth, 16, 45.
Cunha, J. A. (2001). Manual da versão em português das Es calas Beck. São Paulo: Casa do Psicólogo.
Dias, M. A. B., Domingues, R. M. S. M., Schilithz, A. O. C., Nakamura-Pereira, M., Diniz, C. S. G., Brum, I. R., ... Leal, M.C. (2014). Incidência do near miss materno no parto e pós-parto hospitalar: Dados da pesquisa Nascer no Brasil. Cadernos de Saúde Pública [Internet],30(Suppl 1), S169-S181.
Dunkel, S. C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 25(2), 141-148.
Fairbrother, N., Young, A. H., Janssen, P., Antony, M., & Tucker, E. (2015). Depression and anxiety during the perinatal period. BMC Psychiatry, 15, 206.
Faisal-Cury, A., & Rossi Menezes, P. (2007). Prevalence of anxiety and depression during pregnancy in a private setting sample. Archives of Women s Mental Health, 10, 25-32.
Gandini, R. C., Martins, M. C. F, Ribeiro, M. P., & Santos, D. T. G. (2007). Inventário de Depressão de Beck - BDI: Validação fatorial para mulheres com câncer. Psico-USF, 12(1), 23-31.
Graham, W., Woodd, S., Byass, P., Fillipi, V., Gon, G., Virgo, S., … Singh, S. (2016). Diversity and divergence: The dynamic burden of poor maternal health. Lancet, 388, 2164-2175.
Hardee, J. G., & Blanc, A. K. (2012). Maternal morbidity: Neglected dimension of safe motherhood in the developing world. Global Public Health, 7(6), 603-617.
Koblinsky, M., Chowdhury, M.E., Moran, A., E.C., & Ronsmans C. (2012). Maternal morbidity and disability and their consequences: Neglected agenda in maternal health. Journal of Health Population and Nutrition,30(2), 124-130.
Lancaster, C. A., Gold, K. J., Flynn, H. A., Yoo, H., Marcus, S. M., & Davis, M. M. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202(1), 5-14.
Machiyama, K., Hirose, A., Cresswell, J. A., Barreix, M., Chou, D., Kostanjsek, N., … Filippi V.. (2017). Consequences of maternal morbidity on health-related functioning: A systematic scoping review. BMJ Open, 7, e013903.
Meaney, S., Lutomski, J. E., Connor, L. O., Donoghue, K. O., & Greene, R. A. (2016). Women’s experience of maternal morbidity: a qualitative analysis. BMC Pregnancy and Childbirth, 16, 184.
Pacagnella, R. C., Cecatti, J. G., Camargo, R. S., Silveira, C., Zanardi, D. T., Souza, J. P., … Haddad, S. M. (2010). Rationale for a long-term evaluation of the consequences of potentially life threatening maternal conditions and maternal near miss incidents using a multidimensional approach. Journal D'obstetrique et Gynecologie du Canada, 32, 730-738.
Pereira, P. K., Lovisi, G. M., Pilowsky, D. L., Lima, L. A., & Legay, L. F. (2009). Depression during pregnancy: Prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil. Cadernos de Saúde Pública [Internet] , 25(12), 2725-2736.
Reading, R., & Reynolds, S. (2001). Debt, social disadvantage and maternal depression. Social Science & Medicine, 53, 441-453.
Say, L., Souza, J. P., & Pattinson, R. C. (2009). WHO Working Group on Maternal Mortality and Morbidity Classifications. Maternal near miss-towards a standard tool for monitoring quality of maternal health care. Best Practice & Research. Clinical Obstetrics & Gynaecology, 23, 287-296.
Say, L., Barreix, M., Chou, D., Tunçalp, Ö., Cottler, S., McCaw-Binns, A., … Hindin, M. (2016). Maternal morbidity measurement tool pilot: Study protocol. Reproductive Health , 13(1). DOI: 10.1186/s12978-016-0164-6
Seema, B., Saima, G., Shazia, M., & Shaneela, M. (2012). Severe acute maternal morbidity (SAMM) in postpartum period requiring tertiary hospital care. Iranian Journal of Reproductive Medicine, 10(2), 87-92.
Silva, D. V. R., Silveira, M. F. A., & Gomes-Sponholz, F. A. (2016). Experiences with severe maternal morbidity: A qualitative study on the perception of women.Revista Brasileira de Enfermagem , 69(4), 662-668.
Souza, J. P. D., Duarte, G., & Basile Filho, A. (2002). Near - miss maternal mortality in developing countries. European Journal of Obstetrics & Gynecology and Reproductive Biology, 104, 80.
Souza, J. P., Cecatti, J. G., Parpinelli, M. A., Krupa, F., & Osis, M. J. (2009). An emerging maternal near-miss syndrome”: Narratives of women who almost died during pregnancy and childbirth. Birth, 36, 149-158.
Storeng, K.T., Drabo, S., Ganaba, R., Sundby, J., Calvert, C., & Filippi, V. (2012). Mortality after near-miss obstetric complications in Burkina Faso: Medical, social and health-care factors. Bulletin of the World Health Organization, 90, 418-425C.
Tunçalp, Ö., Hindin, M. J., Souza, J. P., Chou, D., & Say, L. (2012). The prevalence of maternal near miss: a systematic review. BJOG, 119(6), 653-661.
Tunçalp, Ö., Hindin, M. J., Adu-Bonsaffoh, K., & Adanu, R. M. (2013). Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana. International Journal of Gynecology & Obstetrics, 123, 58-63.
Van Bussel, J. C., Spitz, B., & Demyttenaere, K. (2006). Women's mental health before, during, and after pregnancy: A population-based controlled cohort study. Birth , 33, 297-302.
Wolf, A.W., De Andraca, I., & Lozoff, B. (2002). Maternal depression in three Latin American samples. Social Psychiatry and Psychiatric Epidemiology, 37, 169-176
World Health Organization. (2017). Depression and other common mental disorders: global health estimates. Recuperado de http://www.who.int/mental_health/management/depression/prevalence_global_health_estimates/en/.
Wolverton, S., Dombrosky, J., & Lyman, R. L. (2016). Practical Significance: Ordinal Scale Data and Effect Size in Zooarchaeology.International Journal of Osteoarchaeology,26, 255-265.
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Copyright (c) 2019 Monica Silva Silveira, Larissa Paes Leme Galvão, Ricardo Queiroz Gurgel, Ikaro Daniel Carvalho Barreto, Marlizete Maldonado Vargas
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.