Volume 13, Issue 10 (10-2015)                   IJRM 2015, 13(10): 657-664 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ferreira F R, Russo Akiba H R, Araujo Júnior E, Niglio Figueiredo E, Riedel Abrahão A. Prevention of birth defects in the pre-conception period: knowledge and practice of health care professionals (nurses and doctors) in a city of Southern Brazil. IJRM 2015; 13 (10) :657-664
URL: http://ijrm.ir/article-1-592-en.html
1- Department of Administration and Public Health, Paulista School of Nursing, Federal University of São Paulo (EPE-UNIFESP), São Paulo-SP, Brazil
2- Department of Obstetrics, Paulista School of Medicine, São Paulo Federal University (EPM-UNIFESP), São Paulo-SP, Brazil , araujojred@terra.com.br
Abstract:   (2340 Views)
Background: Some congenital defects can be prevented in the pregestational stage. However, many health professionals are not prepared to provide counselling to couples regarding the same. Objective: This study aimed to assess the performance of doctors and nurses from a primary health-care unit in Florianopolis, Brazil, in preventing birth defects in the preconception period based on the recommendations of the Control Center of Disease Prevention. Materials and Methods: This descriptive cross sectional study was performed at a tertiary referral center. In this study, a semi-structured questionnaire was provided to 160 health professionals comprising doctors and nurses who were actively involved in providing primary health care in family health programs. The non-parametric Chi-square (χ2) test was used to analyse the data obtained through multiple choice questions. Results: Our results showed that although 81.9% of health professionals provided health-care assistance based on protocols, and only 46.2% professionals were aware of the presence of the topic in the protocol. Of the recommendations provided by the Control Center of Disease Prevention, the use of folic acid was the most prescribed. However, this prescription was not statistically different between nurses and doctors (P=0.85). Conclusion: This study identified the fragile nature in these professional’s knowledge about the prevention of birth defects in pre-conception period, as evidenced by the inconsistency in their responses.
Full-Text [PDF 131 kb]   (650 Downloads) |   |   Full-Text (HTML)  (311 Views)  
Type of Study: Original Article |

References
1. Brasil. Presidência da República. Lei nº 9.263, de 12 de janeiro de 1996. Regula o § 7º do art. 226 da Constituição Federal, que trata do planejamento familiar, estabelece penalidades e dá outras providências. Brasília. Available at: http://www.planalto.gov.br/ccivil_03/leis/l9263.htm [accessed 21.02.12].
2. Mumtaz Z, Salway S, Shanner L, Zaman S, Laing L. Addressing disparities in maternal health care in Pakistan: gender, class and exclusion. BMC Pregnancy Childbirth 2012; 12: 80. [DOI:10.1186/1471-2393-12-80]
3. Hoke TH, Mackenzie C, Vance G, Boyer B, Canoutas E, Bratt J, et al. Integrating family planning promotion into the work of environmental volunteers: A population, health and environment initiative in Kenya. Int Perspect Sex Reprod Health 2015; 41: 43-50. [DOI:10.1363/intsexrephea.41.1.43]
4. Frey KA, Files JA. Preconception healthcare: what women know and believe. Matern Child Health J 2006; 10: S73-77. [DOI:10.1007/s10995-006-0110-2]
5. Klerman LV. Family planning services: an essential component of preconception care. Matern Child Health J 2006; 10: S157-160. [DOI:10.1007/s10995-006-0109-8]
6. Cordero JF. Recommendations to improve preconception health and health care [Internet]. 2007. Atlanta: Centers for Disease Control and Prevention: National Center on Birth Defects and Developmental Disabilities. Available at: http://www.cdc.gov/ncbddd/preconception/documents/recommendation%20summary.pdf [accessed 16.07.11].
7. Biermann J, Dunlop AL, Brady C, Dubin C, Brann A Jr. Promising practices in preconception care for women at risk for poor health and pregnancy outcomes. Mater Child Health J 2006; 10: S21-28. [DOI:10.1007/s10995-006-0097-8]
8. Lu MC, Kotelchuck M, Culhane JF, Hobel CJ, Klerman LV, Thorp JM Jr. Preconception care between pregnancies: the content of internatal care. Mater Child Health J 2006; 10: S107-122. [DOI:10.1007/s10995-006-0118-7]
9. Dunlop AL, Jack B, Frey K. National recommendations for preconception care: the essential role of the family physician. J Am Board Fam Med 2007; 20: 81-84. [DOI:10.3122/jabfm.2007.01.060143]
10. Fundo das Nações Unidas para a Infância. Situação Mundial da Infância. Brasília: UNICEF 1989; 117.
11. Duchiade MP, Carvalho ML de, Leal MC. As mortes "em domicílio" de menores de um ano na região metropolitana do Rio de Janeiro em 1986 - um "evento - sentinela" na avaliação dos serviços de saúde. Cad Saude Publica 1989; 5: 251-263. [DOI:10.1590/S0102-311X1989000300002]
12. Salotti JA, Tennant PW, Windebank K, Rankin J. Langerhans cell histiocytosis in children with congenital anomalies: A population-based record linkage study. Birth Defects Res A Clin Mol Teratol 2015; 103: 157-160. [DOI:10.1002/bdra.23350]
13. Center for Disease Control and Prevention. Department of Health and Human Services. Preconception care. Atlanta: CDC. Available at: http://www.cdc.gov/ncbddd/preconception/document s/preconprogbrf.cleareddraft.pdf.
14. Heyes T, Long S, Mathers N. Preconception care: practice and beliefs of primary care workers. Fam Pract 2004; 21: 22-27. [DOI:10.1093/fampra/cmh106]
15. Bardin L. Análise de conteúdo Lisboa: Edições 1977.
16. Brasil. Ministério da Saúde. Parto, Aborto e Puerpério: Assistência humanizada á mulher . Brasília: Secretaria de Políticas de Saúde. Diretos Reprodutivos, Saúde Materna e Perigestational 2001;11-6. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/cd04_13.pdf [accessed 23.01.06].
17. Santa Catarina. Prefeitura municipal de florianópolis secretaria municipal de saúde diretoria de atenção primária gerência de programas estatégicos programa saúde da mulher. Florianópolis: Prefeitura Municipal de Florianópolis 2006. Available at: http://www.protocolo_de_atencao_a_saude_da_mulher.pdf.
18. Pollard I. Neuropharmacology of drugs and alcohol in mother and foetus. Semin Fetal Neonatal Med 2007; 12: 106-113. [DOI:10.1016/j.siny.2006.12.001]
19. Kitamura K, Fetters MD, Ban N. Preconception care by family physicians and general practitioners in Japan. BMC Fam Pract 2005; 6: 31. [DOI:10.1186/1471-2296-6-31]
20. Gitsels-van der Wal JT, Martin L, Manniën J, Verhoeven P, Hutton EK, Reinders HS. Antenatal counselling for congenital anomaly tests: Pregnant Muslim Moroccan women׳s preferences. Midwifery 2015; 31: e50-57. [DOI:10.1016/j.midw.2015.01.002]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb