Perfil clínico-epidemiológico e fatores de risco associados ao desenvolvimento de depressão perinatal em gestantes de risco acompanhadas nos anos de 2017-2018 em Hospital Materno-Infantil no Distrito Federal / Clinical-epidemiological profile and risk factors associated with the development of perinatal depression in high-risk pregnant women followed in 2017-2018 at the Hospital Materno-Infantil in the Federal District

Antonio Pedro de Melo Moreira Suarte, Júlia Visconti Segovia Barbosa, Maria Marta Neves de Oliveira Feire, Alessandra da Rocha Arrais

Abstract


A prevalência de Depressão Perinatal (DP) em gestantes vai de 10-15%, podendo chegar a 44,2% em gestações de alto risco.  Objetivo: avaliar a prevalência da DP em gestações de alto risco, descrever o perfil clínico e epidemiológico e destacar os principais fatores de risco associados à DP. Método:  estudo retrospectivo, amostra por conveniência, analisou-se os prontuários de 282 usuárias do Ambulatório de Psiquiatria Perinatal do HMIB (234 grupo experimental e 48 grupo controle).  Para a análise das variáveis qualitativas utilizou-se o teste Qui-quadrado de Pearson ou teste exato de Fisher quando mais adequado, e para as variáveis quantitativas, utilizou-se o teste de Kolmogorov Smirnov, e/ou o teste U de Mann-Whitney.  Resultados:  52,56% (n=123) das gestantes desenvolveram DP. Histórico de transtorno mental antenatal, ideação suicida, falta de suporte social, história de tentativa ou abuso sexual na infância foram apontados como fatores de risco para DP.  Conclusões: Mesmo com a crescente da importância de uma abordagem interdisciplinar no pré-natal há tendência de foco apenas no aspecto biológico materno-fetal. A falta de políticas públicas, a ausência de triagem psíquica no pré-natal e poucas intervenções dirigidas a promover prevenção de saúde mental materna e prevenir o adoecimento em mulheres em idade reprodutiva, reforça a necessidade de pré-natal psicológico na rede de atenção pública.


Keywords


Gestação de Risco; Saúde pública; Depressão pós-parto; pré-natal psicológico.

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DOI: https://doi.org/10.34117/bjdv7n11-027

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