Gestational risk before delivery: analysis of agreement between classification methods

ANÁLISE DA CONCORDÂNCIA ENTRE MÉTODOS DE CLASSIFICAÇÃO

Authors

  • Érica Marvila Garcia Faculdade de Saúde Pública da Universidade de São Paulo - FSP/USP
  • Katrini Guidolini Martinelli Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brasil https://orcid.org/0000-0003-0894-3241
  • Silvana Granado Nogueira da Gama Escola Nacional de Saúde Pública, Fiocruz. Rio de Janeiro-RJ, Brasil. https://orcid.org/0000-0002-9200-0387
  • Adauto Emmerich Oliveira Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brasil https://orcid.org/0000-0002-9679-8592
  • Carolina Dutra Degli Esposti Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brasil https://orcid.org/0000-0001-8102-7771
  • Edson Theodoro dos Santos Neto Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brasil https://orcid.org/0000-0002-7351-7719

DOI:

https://doi.org/10.22478/ufpb.2317-6032.2022v26n2.59572

Keywords:

high risk, pregnancy, prenatal care, risk measurement, women's health

Abstract

Objective: To create a classification of gestational risk based on the guidelines of the Ministry of Health (MS) and the Pan American Health Organization (PAHO) and analyze the agreement between them and the knowledge of the puerperal woman about her risk classification. Material and Methods: a cross-sectional study with postpartum women from Espírito Santo. The classifications of gestational risk were based on the MS and PAHO methods and self-report of the puerperal woman. Descriptive statistics were performed and the levels of agreement were verified. Results: factors that most contributed to the gestational risk were: inadequate and very inadequate weight gain (67.1%) and uterine surgery (49.8%). 66.4% were classified as high risk by the Ministry of Health, 74.6% by PAHO and 11.2% self-reported. The agreement between the classifications varied between moderate and poor. Conclusions: There is a need for a qualified and operational instrument that allows the classification of gestational risk.

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Published

2022-06-29

How to Cite

Marvila Garcia, Érica, Guidolini Martinelli, K., Granado Nogueira da Gama, S., Emmerich Oliveira, A., Dutra Degli Esposti, C., & dos Santos Neto, E. T. . (2022). Gestational risk before delivery: analysis of agreement between classification methods: ANÁLISE DA CONCORDÂNCIA ENTRE MÉTODOS DE CLASSIFICAÇÃO. Revista Brasileira De Ciências Da Saúde, 26(2). https://doi.org/10.22478/ufpb.2317-6032.2022v26n2.59572

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Section

Artigo de Pesquisa