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      Health education for the prevention of hypertensive disorders of pregnancy

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      Einstein
      Instituto Israelita de Ensino e Pesquisa Albert Einstein

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          Abstract

          Dear Editor, I have some considerations about the article “Epidemiology of hypertension in pregnant women”.( 1 ) The study is strongly based on evidence scientific, shows that health education is important in this scenario, and demonstrates that inappropriate individual and collective may be associated to onset of hypertension. The following factors are related to hypertension: advanced age, family history, preexisting hypertension, diabetes, obesity and consumption of ultra-processed foods, and strongly corroborate the need for health education.( 2 ) Nurses and physicians are the first professionals to have contact with the pregnant woman and should early identify the signs of complications of hypertensive pregnancy syndromes, using tools that guide the essential actions, not only in the biological aspect of the disease, but also addressing the pregnant woman in her singularity.( 3 – 5 ) Congratulations to the authors! The issue must be fully discussed, and publishing on this topic is a path for excellence.

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          Assistência pré-natal: competências essenciais desempenhadas por enfermeiros

          Pesquisa com objetivo de analisar as competências essenciais desenvolvidas, na prática, pelos enfermeiros que atuam na atenção ao pré-natal. Trata-se de estudo descritivo com abordagem quantitativa, realizado em 16 unidades da rede básica de saúde do município de Rio Branco-AC. A coleta de dados foi realizada por meio de observação sistemática e não participante. Dos enfermeiros que realizam a consulta pré-natal, apenas dois (11,76%) cursaram especialização em obstetrícia. Constatamos que a grande maioria das competências essenciais esperadas na assistência pré-natal foi desenvolvida; entretanto, algumas foram realizadas com baixa frequência, ou seja, não foram realizadas em todas as consultas. Os resultados revelaram que, apesar do bom desempenho dos enfermeiros, é pertinente avaliar a necessidade de esclarecimentos sobre a importância da incorporação de protocolos assistenciais para a melhoria da qualidade dos serviços, a fim de alcançar um nível ótimo de competência na atenção pré-natal.
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            Educational practices with pregnant women at a primary health care

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              Epidemiology of artherial hypertension in pregnants

              ABSTRACT Objective To investigate the epidemiological data of hypertension in pregnant women, as well as to identify its possible associated events. Methods Data collection was performed at the high-risk prenatal outpatient clinic and in the maternity ward at a public hospital in the São Paulo city, during the morning and afternoon periods, from October 2015 to July 2016. A questionnaire with 22 questions prepared by the researchers was used. The margin of error was 5% and the confidence level was 95%. For the calculation, the two-proportion equality, Pearson correlation and ANOVA tests were used. Results Among the interviewees, 43% had chronic hypertension, 33.3% presented with up to 20 weeks of gestation, 23.7% presented after the 20th week of gestation, 62.3% were between 18 and 35 years of age, 78.1% had a family history of hypertension, and among those aged 36 to 45 years, 11.4% were in the first gestation, and 26.3% in the second gestation. Considering the associated conditions, diabetes prevailed with 50%; obesity with 22.2%, and the most selected foods for consumption among pregnant women, 47.5% had high energy content (processed/ultraprocessed). Conclusion After an epidemiological analysis of the prevalence of hypertension, pregnant women with chronic hypertension, preexisting hypertension diagnosed during pregnancy, and hypertensive disease of pregnancy were identified. Regarding the possible factors associated with arterial hypertension, higher age, family history of hypertension, preexistence of hypertension, late pregnancies, diabetes, obesity and frequent consumption of processed/ultraprocessed foods were found.
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                Author and article information

                Journal
                Einstein (Sao Paulo)
                Einstein (Sao Paulo)
                eins
                Einstein
                Instituto Israelita de Ensino e Pesquisa Albert Einstein
                1679-4508
                2317-6385
                12 November 2020
                2020
                : 18
                : eCE6076
                Affiliations
                [1 ] orgnameUniversidade Estadual Paulista “Júlio de Mesquita Filho” orgdiv1Faculdade de Medicina Botucatu SP Brazil originalFaculdade de Medicina, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Botucatu, SP, Brazil.
                [1 ] Botucatu SP Brasil originalFaculdade de Medicina, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Botucatu, SP, Brasil.
                Author information
                https://orcid.org/0000-0003-1615-7646
                Article
                00962
                10.31744/einstein_journal/2020CE6076
                7664823
                49275331-125f-4a7e-9ca5-205ff1561b76

                This content is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 07 August 2020
                : 08 October 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 5
                Categories
                Letter to the Editor

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