9 em cada 10 mulheres na Inglaterra iniciaram a gravidez com pelo menos um indicador que coloca em risco a saúde do bebê
Nove em cada dez mulheres na Inglaterra começam a gravidez com pelo menos um indicador que pode aumentar os riscos de saúde para elas e seus bebês, de acordo com uma nova pesquisa.
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)
9 em cada 10 mulheres começam a gravidez com pelo menos um indicador que coloca em risco a saúde do bebê. Crédito: Universidade de Southampton
Nove em cada dez mulheres na Inglaterra começam a gravidez com pelo menos um indicador que pode aumentar os riscos de saúde para elas e seus bebês, de acordo com uma nova pesquisa.
Indicadores comuns foram mulheres que não pararam de fumar , não tomaram ácido fólico antes da gravidez e tiveram uma perda gestacional anterior.
Pesquisadores do NIHR Southampton Biomedical Research Centre, hospedados pelo University Hospital Southampton e University of Southampton, analisaram dados de mais de 650.000 mães.
Eles criaram um primeiro retrato nacional da saúde da mulher antes da gravidez. A equipe diz que as descobertas mostram uma necessidade urgente de políticas nacionais para ajudar as mulheres a melhorar a saúde antes da gravidez.
Análise em larga escala
As mulheres que estão saudáveis ??e bem quando começam a gravidez são menos propensas a desenvolver complicações. Seus filhos também tendem a ter melhores resultados de desenvolvimento e saúde a longo prazo.
Este estudo utilizou dados de 652.880 mulheres grávidas na Inglaterra. Foi coletado rotineiramente por parteiras em consultas entre abril de 2018 e março de 2019. As informações variaram desde a situação profissional da mulher e apoio social até o histórico de complicações na gravidez, comportamentos de saúde e condições médicas .
Os pesquisadores consideraram uma série de comportamentos e condições que colocam a mãe e o bebê em risco. Estes incluíram fumar, não tomar suplementos de ácido fólico recomendados, obesidade e perda de gravidez anterior.
Os resultados, publicados no BJOG: An International Journal of Obstetrics & Gynecology , encontraram alguns comportamentos e condições comuns.
Entre as 23% das mulheres que fumavam, 85% não pararam de fumar antes da gravidez. Quase três quartos não tomaram um suplemento de ácido fólico recomendado.
A Dra. Danielle Schoenaker, principal autora e pesquisadora da Universidade de Southampton, disse: "Nossa análise mostra que há uma necessidade urgente de o governo, o NHS e as agências de saúde pública desenvolverem e implementarem políticas e programas em nível populacional que apoiem todas as mulheres sejam o mais saudáveis ??possível antes e entre as gestações.
"Tais políticas podem começar com a educação das crianças sobre a importância de serem saudáveis ??antes de constituir família, para melhorar o ambiente alimentar e a acessibilidade e implementar a fortificação obrigatória efetiva da farinha com ácido fólico. Conversas de rotina e apoio para a preparação da gravidez também podem ser oferecidos pelos serviços de saúde primários ."
Desigualdades na saúde
Como os indicadores comuns variaram amplamente com base na idade das mulheres, etnia e nível de privação na área onde viviam.
Por exemplo, as mulheres mais jovens eram menos propensas a ter uma condição de saúde física ao entrar na gravidez, mas mais propensas a ter uma condição de saúde mental em comparação com as mulheres mais velhas.
As mulheres de origem étnica negra eram mais propensas a viver com obesidade, mas menos propensas a fumar na época de engravidar em comparação com as mulheres brancas . Geralmente, mais indicadores de risco de saúde foram observados em mulheres que vivem nas áreas mais carentes.
O professor Nisreen Alwan, professor de saúde pública da Universidade de Southampton, disse: "As desigualdades de saúde antes da gravidez devem ser reduzidas com políticas em nível populacional em vários setores para abordar os determinantes mais amplos da saúde. Isso é para beneficiar todos os futuros pais em sociedade e permitir que eles priorizem sua saúde e bem-estar, particularmente aqueles afetados por dificuldades sociais e econômicas”.
Panorama nacional da saúde da mulher
Os pesquisadores de Southampton continuarão seu trabalho com o OHID para publicar uma imagem anual da saúde das mulheres antes da gravidez. Isso ajudará a avaliar se as políticas atuais são eficazes e defender novas políticas para otimizar a saúde antes da gravidez e reduzir as desigualdades.
A Ministra da Saúde da Mulher, Maria Caulfield, disse: "Todos os bebês merecem o melhor começo de vida, e é por isso que estamos trabalhando para melhorar os cuidados pré-concepcionais e as informações para as mulheres. O site do NHS é um excelente local para acessar ajuda gratuita atualizada e aconselhamento, incluindo apoio para parar de fumar.
"Estamos consultando a quantidade de ácido fólico adicionada à farinha branca - uma medida que pode ajudar as mulheres a ter fetos saudáveis ??e evitar defeitos no tubo neural. E também reuniremos novamente a Força-Tarefa de Disparidades Maternas em abril para continuar a impulsionar o progresso na melhorar o acesso à pré-concepção e cuidados de maternidade para todas as mães e bebês."
Mais informações: Danielle AJM Schoenaker et al, Women's preconception health in England: a report card based on cross-sectional analysis of national maternidade services data 2018/19, BJOG: An International Journal of Obstetrics & Gynecology (2023). DOI: 10.1111/1471-0528.17436