Abandonment of health monitoring of babies of mothers with vertical transmission grievance

Keywords: Child Health Services; No-Show Patients; Health Services Accessibility; Patient Dropouts; Continuity of Patient Care.

Abstract

Objective: to analyze the abandonment of the health monitoring of babies of mothers with vertical transmission grievance. Methods: a retrospective documental study. The data came from children’s records stratified as high risk by the Paranaense Mother Network Program, due to being daughters of women diagnosed with syphilis, toxoplasmosis or Human Immunodeficiency Virus in the gestational period, attended in a reference center of maternal-infant care. For the analysis of factors associated with abandonment of treatment, univariate analysis and Fisher’s Exact Test with sociodemographic variables were performed. All ethical precepts were observed. Results: a total of 136 medical records were analyzed. The cases with the highest abandonment rate were the children of women with toxoplasmosis and gestational syphilis, presenting rates of 48.4% and 45.7%, respectively. Conclusion: the abandonment of baby health monitoring is recurrent. The reasons for frequent abandonment were: lack of active search, lack of transportation and unforeseen family events.

References

Domingues RMSM, Leal MC. Incidência de sífilis congênita e fatores associados à transmissão vertical da sífilis: dados do estudo Nascer no Brasil. Cad Saúde Pública. 2016; 32(6):e00082415. doi: https://doi.org/10.1590/0102-311X00082415

Bissati KEL, Levigne P, Lykins J, Adlaoui EB, Barkat A, Berraho A. Global initiative for congenital toxoplasmosis: an observational and international comparative clinical analysis. Micróbios Emerg Infect. 2018; 7(1):165-7. doi: https://doi.org/10.1038/s41426-018-0164-4

Peters H, Byrne L, Ruiter A, Francis K, Harding K, Taylor GP, et al. Duration of ruptured membranes and mother-to-child HIV transmission: a prospective population-based surveillance study. BJOG. 2016; 123(6):975-81. doi: https://doi.org/10.1111/1471-0528.13442

Lopes GDC, Gonçalves AC, Gouveia HG, Armellini CJ. Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork. Rev Latino-Am Enfermagem. 2019; 27:e3139. doi: http://dx.doi.org/10.1590/1518-8345.2643-3139

Acosta LMW, Gonçalves TR, Barcellos NT. HIV and syphilis coinfection in pregnancy and vertical HIV transmission: a study based on epidemiological surveillance data. Rev Panam Salud Publica [Internet]. 2016 [cited Aug 20, 2020] 40(6):435-42. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28718492

Caldeira S, Luz MS, Tacla MTGM, Machineski GG, Silva RMM, Pinto MPV, et al. Nursing care actions in the Paranaense Mother Network Program. Rev Min Enferm. 2017; 21:e-992. doi: https://doi.org/10.5935/1415-2762.20170002

Obiefune M, Dakum P, Byron JP. Identifying and prioritizing implementation barriers, gaps, and strategies through the Nigeria implementation science alliance: getting to zero in the prevention of mother-to-child transmission of HIV. J Acquir Immune Defic Syndr. 2016; 72 (Suppl 2):161-6. doi: https://doi.org/10.1097/QAI.0000000000001066

Faria R, Santana P. Spatial variations and regional inequalities in infant mortality in the state of Minas Gerais, Brazil. Saúde Soc. 2016; 25(3):736-49. doi: https://doi.org/10.1590/s0104-12902016147609

Secretaria de Estado do Paraná. Linha Guia Rede Mãe Paranaense [Internet]. 2018 ]cited Aug 30, 2020]. Available from: https://www.saude.pr.gov.br/Pagina/Mae-Paranaense

Iloghalu EI, Dim CC, Ugwu EO, Onwuka CI, Ozumba BC. Effect of maternal HIV infection on treatment with HAART on neonatal birth weight and other anthropometry: a cohort study of HIV sero-positive women in Enugu, South-East Nigeria. J Clin Diagn Res. 2019; 13(12):QC01-QC04. doi: https://doi.org/10.7860/JCDR/2019/42918.13361

Padovani C, Oliveira RR, Pelloso SM. Syphilis in during pregnancy: association of maternal and perinatal characteristics in a region of southern Brazil. Rev Latino-Am Enfermagem. 2018; 26:e3019. doi: https://doi.org/10.1590/1518-8345.2305.3019

Pereira RM, Fonseca GO, Pereira ACCC, Gonçalves GA, Mafra RA. Novas práticas de atenção ao parto e os desafios para a humanização da assistência nas regiões sul e sudeste do Brasil. Ciênc Saúde Coletiva. 2018; 23(11):3517-24. doi: https://doi.org/10.1590/1413-812320182311.07832016

Reichert APS, Rodrigues PF, Cruz TMAV, Dias TKC, Tacla MTGM, Collet N. Mothers’ perception about the relationship with nurses in the child consultation. Rev Enferm UFPE on line. 2017; 11(2):483-90. doi: 10.5205/reuol.10263-91568-1-RV.1102201701

Gaíva MAM, Monteschio CAC, Moreira MDS, Salge AKM. Avaliação do crescimento e desenvolvimento infantil na consulta de enfermagem. Av Enferm. 2018; 36(1):9-21. doi: https://doi.org/10.15446/av.enferm.v36n1.62150

Monteiro ATA, Ferrari RAP, Tacla MTGM, Souza ALDM. Consulta de enfermagem à criança após alta das maternidades: seguimento na atenção primária. Rev Soc Bras Enferm Ped [Internet]. 2017 [cited Aug 15, 2020]; 17(1):7-13. Available from:https://sobep.org.br/revista/images/stories/pdf-revista/vol17-n1/vol_17_n_1-artigo_original_1.pdf

Paula CC, Silva FS, Toebe TRP, Bick MA, Ferreira T, Padoin SMM. Chemopophilaxia, clinical follow-up and immunizations of children exposed to HIV: assessment of family capacity. Cienc Cuid Saúde. 2019; 18(1):e45024. doi: https://doi.org/10.4025/cienccuidsaude.v18i1.45024

Mirnia K, Akrami F, Jodeiry B, Heidarzadeh M, Safavinia S. Clinical outcomes of high-risk infant follow-up Program in a Tertiary Care Centre. Iran J Nurs Midwifery Res. 2017; 22(6):476-80. doi: https://doi.org/10.4103/ijnmr.IJNMR_62_16

Klossoswski DG, Godói VC, Xavier CR, Fujinaga CI. Integral assistance to premature infant: implications of practices and public policy. Rev CEFAC. 2016; 18(1):137-50. doi: https://doi.org/10.1590/1982-021620161814515

Martins PCR, Pontes ERJC, Higa LT. Convergência entre as taxas de mortalidade infantil e os Índices de Desenvolvimento Humano no Brasil no período de 2000 a 2010. Interações. 2018; 19(2):57-62. doi: https://doi.org/10.20435/inter.v19i2.1552

Published
2021-02-23
Section
Research Article