Perfil sociodemográfico e de saúde de gestantes de alto risco com transtornos psiquiátricos atendidas no centro de referência de saúde da mulher de Passo Fundo/RS

Abstract

Among the clinical situations that determine a high risk pregnancy are the psychiatric disorders. The present study aimed to describe the socio-demographic and health profile of high-risk pregnant women with psychiatric disorders treated in the public network of Passo Fundo, RS. Material and Methods: Descriptive cross-sectional study, carried out from December 2018 to March 2019, with a sample of 60 patients seen between January 2016 and December 2017, in a secondary care center. Results: This analysis showed the highest frequency of pregnant women aged between 30 and 39 years (41.7%), with spouses (56.7%), multiparous women (86.7%) and with paid work activity (40%). The most prevalent clinical comorbidity was obesity (31.7%) followed by endocrinopathies (30%) and cardiovasculopathies (21.6%). In addition to the predominance of depressive disorders (65%), with 16.7% of suicide attempts and 18.3% of anxious disorders. The most used psychoactive drug during gestation was selective serotonin reuptake inhibitor (73.3%), followed by antipsychotics (35%) and tricyclic antidepressants (21.7%). Final Considerations: The results found, although within a specific sample, corroborate with those found in the literature regarding the general population of pregnant women, demonstrating the predominance of depressive disorders in the psychiatric disease during pregnancy, as well as the ideation indexes and suicide attempts described.