Gravidez de alto risco em indígenas no estado do Tocantins

Abstract

Pregnancy is a physiological process that occurs without complications in most cases. However, some women have comorbidities, diseases or develop problems related to pregnancy, when identified, they are referred to specialized care. High-risk pregnancy is gradually taking on new aspects and every day it becomes disturbing and questioning to understand this reality and the need to know its dynamics and specificities, instigating even more when it involves cultural and indigenous contexts. Thus, motivated by the need for information on the obstetric risk profile of indigenous women in the state of Tocantins, the objective was to analyze the health aspects of indigenous pregnant women classified as high risk, in the National System of Regulation of the State of Tocantins. This is a cross-sectional study with a quantitative and documentary approach. The sample had 451 records of obstetrical high-risk pregnant women extracted from the National System of State Regulation, the data were collected and tabulated, analyzed in a statistical package and organized into the following categories: demographic profile of the participants, obstetric risk profile, chronology of risk factors, dichotomous classification and suggestion of interventions. The mean age was 21.8±9.49 years, with a minimum age of 11 years and a maximum of 48 years. The Krahô indigenous group 255 (56.5%) was the most frequent, followed by the Xerente ethnicity 123 (27.3%). About the residence of pregnant women, 95% lived in the village. It is noted that the region responsible for the largest number of referrals and the largest number of high-risk pregnant women is in the macro northern region (69.8%). The majority, 141 (31.3%), were nulliparous. It was noticed that there was an increase in cases of diabetes, toxoplasmosis and alcohol use, decreasing the patterns of multiparity and the Intergestational interval, as well as zeroing the cases of restricted intrauterine growth and attenuating cases of anemia. As for the high risk classifications in relation to the standard of care, 395 (87.6%) were classified as Blue and Green and 54 (12%) received the classification of yellow or red. It is concluded that the profile of indigenous pregnant women in the state of Tocantins, have an early pregnancy due to the early onset of reproductive activity, which implied multiparity and somatizes the other factors associated with greater expressiveness, being obesity and diseases related to increased blood pressure.