Exemplos de uso de Primigravidas em Inglês e suas traduções para o Português
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Variables associated with gestational anxiety in primigravidas and multigravidas.
The UI percentage among primigravidas was 7.4% and among women with one or more prior pregnancies, 11.6.
Objective: to analyze the prevalence of anemia andurinary tract infection in the primigravidas.
Primigravidas were more pressured to terminate the pregnancy when compared to multiparous women p 0.0285.
Regarding the obstetric past of the women studied,41.4% were primigravidas, a figure that was shown to be related to age.
The average gestational age was 8.5 weeks SD 1.9,95 19% pregnant women presented UI, of whom 37 38.9% were primigravidas.
Lately, the number of primigravidas over 30 years of age has doubled and has been an 80% increase in cases of gestations in those aged over 40 years.
The patients' ages ranged from 14 to 43 years mean age, 26 years; with respect to parity,57.1% of the women were primigravidas.
The primigravidas are more distressed by their inexperience in the task of being a mother while the multigravidas are more ambivalent with the unplanned pregnancy.
The factors associated with high trait and state anxiety in the primigravidas(Table 4) and in multigravidas(Table 5) in the third trimester of gestation are presented below.
Among the primigravidas, around 20% declared they had had health problems in previous pregnancies, 6% had complications after delivery and 5.7% had postpartum depression.
For the multigravidas low-income appeared to be a risk factor for high anxiety(trait and state), while for the primigravidas it was the threat of abortion in early pregnancy state.
The chi-square test was used to compare the primigravidas and multigravidas regarding the sociodemographic variables related to the clinical and gestational history and high anxiety.
In Table 2 it can also be observed that, significantly, a higher percentage of multigravidas presented high anxiety, both trait(61.8%) andstate(60.9%) in relation to the primigravidas.
There are data indicating that primigravidas have higher marital satisfaction, greater preoccupation with the fetus and better perception of their quality of life than multigravidas Camarneiro& Justo, 2012.
While the possibility of losing the child appeared as a risk factor,having wanted the child was associated with less chance of primigravidas and multigravidas presenting symptoms of high anxiety trace and state.
In Table 4,it can be seen that for the primigravidas, having wanted the baby appeared as a protective factor, while the threat of abortion increased the chance for high state anxiety by 3.464.
Thus, financial difficulties may have increased the tension in the multigravidas faced with the birth of a new child,while the possibility of fetal loss increased the chance of high state anxiety in the primigravidas.
Method: cross-sectional analytical study performed with 58 primigravidas: 29 adolescents(10 to 19 years) and 29 adults(20 to 35 years), who underwent prenatal care at family health units(usf) in cruzeiro sul city acre-brasil.
A cohort study with 1,128 nulliparous pregnant women without previous UI in the first trimester of pregnancy identified a prevalence of 8.3% of UI CI95% 6.6- 10.0,close to the percentage of 7.4% among the primigravidas in this study.
Patients aged 40 years or more presented with a mean parity superior to the others,a fact verified by means of the number of primigravidas, 29.5% for the group studied and 64.1% for the others, with statistically significant difference.
It was hoped that because the multigravidas were older, indicating greater experience, knowledge and the ability to anticipate occurrences acquired in raising other children,they would present lower anxiety compared to the primigravidas.
The study also reinforces that the risk factors for high anxiety are different in primigravidas and multigravidas, justifying the provision of differentiated care for women pregnant for the first time and for those that have been through previous pregnancies.
To identify possible variables that were predictors of risk or protection for high anxiety,a logistic regression model with all dichotomous variables in a single block was applied for the total sample and, separately, for the primigravidas and multigravidas.
Material and method: this is a cross-sectional study,made up by a sample of 883 primigravidas, living in the urban zone of rio branco, acre, assisted during the moment of delivery in the two maternity wards of the aforementioned town, from february to july 2010.
In the case of the primigravidas, experiencing a threat of abortion in early pregnancy appeared as the main variable predicting high anxiety in the third trimester, which indicates the importance of providing maximum information, along with psychological support, at that moment.
Based on the above considerations, this study had the objective of describing andcomparing the anxiety of primigravidas and multigravidas in the third gestational trimester, as well as identifying the sociodemographic and gestational variables associated with high anxiety.
In both the primigravidas and multigravidas, the history of abortion significantly increased the chance of high anxiety(state), possibly because this experience causes pregnant women to experience the new pregnancy with ambivalent feelings of attachment to the baby, as well as insecurity and fear Freire& Chatelard, 2009.
The partner wanting the baby decreased the odds for high trait anxiety in the primigravidas, showing that the desire for a child and possible paternal involvement during the pregnancy may have attenuated the uncertainties regarding the care, especially for the primiparas.
The feelings and fantasies of primigravidas need to be addressed from the moment the threat of abortion occurred to prevent the chronification of the pregnant woman's emotional state, which may ultimately negatively influence both the maternal mental health and the birth, as well as the physical and emotional health of the baby.