Socio-demographic features of puerperas and pregnancy follow-up: what has changed in 17 years?.

Authors

  • Vera Santos Serviço de Pediatria, Hospital de Faro, Algarve, Portugal.
  • Márcio Moura
  • João Paulo Pinto
  • Vítor Almeida
  • José Maio

DOI:

https://doi.org/10.20344/amp.1430

Abstract

In recent years, the time for motherhood has been postponed, which is related to social aspects and can lead to health problems for the pregnant women and the child. An appropriate follow-up of the pregnancy is essential for identification and early treatment of possible complications. The purpose of this study was to evaluate some social and demographic characteristics and the pregnancy follow-up among puerperas, in two different times separated by 17 years (1991 e 2008). In this study, we found that the birth of a first child occurs now later, is more planned and happens more frequently outside of marriage. The postponement of motherhood can be associated with an increased rate of miscarriages. There has been a decrease in the rate of induced abortions, which is probably the result of the implementation of strategies for family planning. We noticed a decline in the number of pregnancies that had not a proper follow-up, demonstrating the improvement of health care. The immigrant population is responsible for about one quarter of the births in the Algarve, with a higher percentage of unplanned pregnancies, which eventually might be related to socio-economic vulnerabilities, but no difference was found in the surveillance of pregnancy, demonstrating a good accessibility of this population to health care. It is essential the existence of information about the risks of a late pregnancy and of social infrastructures to support motherhood at younger ages. Pregnancy surveillance programs have been successful, but there are still gaps in obstetric monitoring. Despite good results in terms of surveillance of pregnancy, the immigrant population may present some vulnerabilities, which means that their access to maternal and child health care should be monitored.

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Published

2012-06-20

How to Cite

1.
Santos V, Moura M, Pinto JP, Almeida V, Maio J. Socio-demographic features of puerperas and pregnancy follow-up: what has changed in 17 years?. Acta Med Port [Internet]. 2012 Jun. 20 [cited 2024 Mar. 28];24(6):877-84. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1430

Issue

Section

Arquivo Histórico