Abstract
Objective. The aim of this study was to analyze associations between the condition of gestation (primigravid or multigravid) and health care (eating habits, physical activity, self-medication); health conditions (joint pain) and expectation (demand) to participate in a health education program. This is a cross-sectional study, involving the participants of a group of users of a primary health care service located in the City of Salvador (Bahia-Brazil). 94 pregnant women accepted to participate in the present study. The grouping variable was the pregnancy (primigravid or multigravid) of the study participants. The non-parametric Chi-Square test was used to compare categorical variables. The data were tabulated in Excel and then exported to SPSS (version 21.0). The data were analyzed by absolute frequencies and percentages. Our findings demonstrate that multigravid women were less likely to adhere to a health education program (?2 = 15.84; p <0.01) as well as they were more likely to use medications without the guidance of a qualified professional (?2 = 18.09; p <0.01). On the other hand, the multigravid condition was more associated with the presence of joint pain (?2 = 8.28; p <0.01). Our findings point to the importance of understanding this characteristic of pregnant women from the perspective of formulating strategies for the development of health education programs.
Highlights
IntroductionCuidados em saúde devem considerar a saúde integral da gestante e do feto. Levando em consideração a experiência adquirida em gestações anteriores, é possível que a gestante desenvolva competências e habilidades para a gestação atual
Taking into account the experience acquired in previous pregnancies, it is possible that the pregnant woman develops skills and abilities for the current pregnancy
We observed an association between gestation (Multigravid / Primigravid) and 1) the presence of joint pain (OR = 3.59; 95% CI = 1.47-8.72); 2) The practice of self-medication (OR = 0.14; 95% CI = 0.050.36); and
Summary
Cuidados em saúde devem considerar a saúde integral da gestante e do feto. Levando em consideração a experiência adquirida em gestações anteriores, é possível que a gestante desenvolva competências e habilidades para a gestação atual. De gesta (primigesta ou multigesta) e os cuidados com a saúde (hábitos alimentares, realização de atividade física, automedicação); as condições de saúde (dores articulares) e a expectativa para participar de um programa de educação em saúde. A variável de agrupamento foi a Gesta (Primigesta ou Multigesta) das participantes do estudo. A condição multigesta apresentava maior associação com a presença de dores articulares (χ2=8.28; p< 0,01). Conclusões: Nossos achados apontam para a importância de compreender esta característica das gestantes na perspectiva da formulação de estratégias para o desenvolvimento de programas de educação em saúde. Health care must consider the integral health of the pregnant woman and the fetus. It is noteworthy that during pregnancy many physiological and anatomical changes occur and it is common for the pregnant woman to start using new drugs[19-21] or even to increase the presence of pain in different parts of the body[22-24]
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