Perfil epidemiológico de abortamentos espontâneos na região Sudoeste de Mato Grosso - proposição de um novo fluxograma de atendimento

Abstract

Introduction: Spontaneous abortion is an important public health problem, usually occurring in first 12 weeks of pregnancy, and is often underreported in current literature. In Brazil, there is currently no flowchart for the care of patients diagnosed with initial pregnancy undergoing abortion recommended by the Ministry of Health. Objective: Analyze the epidemiological profile of patients diagnosed with spontaneous abortion in the Southwest region of Mato Grosso between January 2018 at July 2019 and to propose a flow chart of care for these patients. Method: Cross-sectional study based on the analysis of the medical records of pregnant women admitted to the obstetrics service of a reference hospital in the Southwest region of Mato Grosso. Clinical and epidemiological data were analyzed and the incidence rate of early abortions was calculated. Data were only collected and analyzed after approval by the Research Ethics Committee of Universidade Brasil, under opinion No. 3,658,979. Results: 348 patients were included in the study. The mena age was 29.36 years, the most common ethnicity was brown (87.64%) and 56% of the patients were single. The incidence rate of abortions in the period of 2018 was 54.5 cases per 1,000 live births, the highest rates were observed in the older population, 40 to 49 years (113.2 cases / 1,000 live births). Several data regarding the epidemiological profile were missing from the medical record. Once the incompleteness of information and the importance of this data was verified, as well as the systematization of data collection in the medical records of patients hospitalized with this diagnosis, a flowchart of screening and care for these patients was proposed.