Queixas em gestantes assistidas na atenção primária à saúde

Abstract

This research aimed to investigate complaints in pregnant women assisted in Primary Health Care in the city of Montes Claros - Minas Gerais (Brazil). This is an epidemiological, cross sectional, analytical study with 1279 pregnant women. A questionnaire was used that included socioeconomic, occupational, obstetric, behavioral, health, social and emotional conditions. Twenty-nine gestational complaints related to Sleep, Cardiovascular, Cutaneous, Gastrointestinal, Genitourinary, Breast, Musculoskeletal, Neurological, Respiratory, and Weakness/dizziness/fainting were evaluated, and symptomatologic confirmations with yes and no response options. The prevalence of complaints was estimated, with their respective 95% confidence intervals. The average number of complaints was also estimated according to socioeconomic, occupational, obstetric, behavioral, social, emotional, and health-related factors. The negative binomial model was adopted to estimate the average rate of the number of complaints according to the factors investigated. Of the pregnant women evaluated, most were aged between 21 and 30 years, reported having a partner, and had attended high school. It was observed that 44.4% of those surveyed reported having a family income below a monthly minimum wage, 56.4% were homemakers, worked odd jobs, or did not have any professional occupation and 49.2% had two or more children. Overweight was found in 28.1% of pregnant women and 16.6% had symptoms of stress. The results showed a prevalence of 76.2% of nausea, 72.7% of headache, 71.6% of sleep disorders, 70.6% of low back pain, 68.0% of heartburn, 63.2% of vomiting, 56.2% of breast pain, and 54.1% of dizziness among pregnant women. The number of complaints ranged from 0 to 29, with an average of 12.5, and 75,0% of the investigated pregnant women had up to 16 complaints. In the multiple analysis, it was found that the average number of complaints among pregnant women in the 3rd trimester of pregnancy was 1.26 times (95%CI 1.09-1.46) that observed among those in the 1st trimester. It was also found that the average number of complaints among pregnant women with symptoms of stress was 1.24 times (95%CI 1.09-1.48) when compared with those without symptoms of stress. It is concluded that gestational complaints presented a high prevalence and the number of complaints associated with the third gestational trimester and stress in pregnant women.