Abstract
ABSTRACT Objective: to evaluate knowledge, attitude and practice about Gestational Hypertensive Syndrome among pregnant women, after an educational intervention. Method: a controlled, randomized and longitudinal clinical trial, related to the Knowledge, Attitude and Practice survey on Gestational Hypertensive Syndrome complications, carried out with 120 pregnant women at a public maternity hospital in Fortaleza-CE, Brazil. Data collection was performed at three moments and the pregnant women were separated into two groups with 60 participants each. For quantitative comparisons, the Student's t test or the Mann-Whitney's test were applied. To study qualitative associations, the Chi-square or Fisher's exact tests were employed. Results: adequate assessment of knowledge, attitude and practice was identified in the intervention group, on the seventh and thirtieth days after the intervention (p<0.05), with an increased chance of adequate knowledge on the seventh (Odds Ratio=6.63 - Confidence Interval: 3.5-12.55) and on the thirtieth (Odds Ratio=6.25 - Confidence Interval: 3.13-12.50) days. In this group, the attitude was adequate on the seventh (Odds Ratio=6.11 - Confidence Interval: 3.28-11.39) and on the thirtieth (Odds Ratio=6.44 - Confidence Interval: 3.49-11.89) days. The practice was also adequate on the seventh (Odds Ratio=3.73 - Confidence Interval: 2.21-6.28) and on the thirtieth (Odds Ratio=4.91 - Confidence Interval: 2.90-8.32) days. Conclusion: the pregnant women who participated in the educational intervention presented more adequacy in relation to knowledge, attitude and practice, when compared to those in the control group. Brazilian Registry of Clinical Trials (Registro Brasileiro de Ensaios Clínicos, REBEC) RBR-8wyp8j
Highlights
IntroductionGestational hypertension is defined as the occurrence of systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, on two occasions at least four hours apart after 20 gestational weeks, in women with previously normal values[1]
Gestational hypertension is defined as the occurrence of systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, on two occasions at least four hours apart after 20 gestational weeks, in women with previously normal values[1].It is estimated that Gestational Hypertensive Syndrome (GHS) affects nearly 5% to 8% of all the pregnant women worldwide
A total of 120 pregnant women with GHS who agreed to participate in this study were included at three moments: T0 - before the intervention and consultation in the maternity hospital, T1 - seven days after T0, T2 - thirty days after T0
Summary
Gestational hypertension is defined as the occurrence of systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, on two occasions at least four hours apart after 20 gestational weeks, in women with previously normal values[1]. It is estimated that Gestational Hypertensive Syndrome (GHS) affects nearly 5% to 8% of all the pregnant women worldwide. Some pregnant women “lack” information regarding hypertensive syndromes, requiring more effective actions by the professionals, with regard to their prevention and to health promotion, in order to focus on possible complications and on the appropriate treatment[5]. A study carried out in Brazil pointed out that the majority of the pregnant women who participated stated weaknesses in relation to the precise guidelines about GHS during the prenatal consultations. It was observed that the nurses were valued for their work[6]
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