Obesity and periodontitis are not associated in pregnant women.

OBJECTIVE: The objective of this study was to investigate an association between obesity (exposure) and periodontitis (outcome) in pregnant women. BACKGROUND: This association was investigated and only five studies were identified as showing a positive association. However, some of these studies had limitations such as reduced sample sizes, inadequate exposure criteria and outcome measures, which question the internal validity of these investigations. METHODS: A cross-sectional study was carried out with a sample of 644 pregnant women of the public health service of the municipality of Santo Antônio de Jesus, Bahia, Brazil. Data were obtained by collecting of socioeconomic-demographic information, health behavior, health conditions, and reproductive history through an interview. Obesity was evaluated using body mass index adjusted for gestational age and expected weight gain. The diagnosis of periodontitis followed two criteria: (a) Center for Disease Prevention and Control and American Academy of Periodontology (CDC/AAP); (b) Gomes-Filho et al (2018) using criterion that also evaluated bleeding upon probing; Prevalence ratios and respective 95% confidence intervals were obtained by Poisson regression analysis. RESULTS: In accordance with the outcome diagnostic criterion, the frequency of periodontitis was 17.24% (Gomes-Filho et al) and 66.92% (CDC/AAP). The participants were classified as low weight (19.72%), adequate weight (42.39%), overweight (24.84%), and obesity (13.04%), based on the exposure diagnostic criterion. The low weight and overweight groups were excluded from the data analysis, giving a final sample of 357 pregnant women. The association between obesity in pregnant women and periodontitis was not statistically significant, after adjusting for confounders such as age, schooling level, alcoholic beverage consumption, alimentary and nutritional orientation, urinary infection, and dental flossing. CONCLUSIONS: The findings showed a high frequency of periodontitis, obesity, and overweight in the studied population but no association between obesity and periodontitis in pregnant women was found.

Maternal anemia and birth weight: A prospective cohort study.

OBJECTIVE: To investigate the association between maternal anemia and low/insufficient birth weight. DESIGN: A prospective cohort study of pregnant women who underwent prenatal care at the healthcare units in a municipality of northeast Brazil together with their newborn infants was carried out. The pregnant women were classified as having anemia when the hemoglobin level was below 11 g/dl. Infants who were born full term weighing less than 2500 grams were classified as low birth weight, and those weighing between 2500 and 2999 grams were classified as insufficient weight. The occurrence of maternal anemia and its association with birth weight was verified using crude and adjusted Relative Risk (RR) estimates with their corresponding 95% confidence intervals (95%CIs). RESULTS: The final sample was comprised of 622 women. Maternal anemia was considered a risk factor for low/insufficient birth weight, after adjusting the effect measurement for maternal age, family income, urinary infection, parity, alcoholic beverage consumption during pregnancy and gestational body mass index: RRadjusted = 1.38 [95% CI: 1.07 to 1.77]. CONCLUSIONS: Maternal anemia was associated with low/insufficient birth weight, representing a risk factor for the gestational outcomes studied.

Práticas de planejamento em uma unidade de saúde da família: um relato de experiência / Práctica de la planificación de una unidad de salud de la familia: un relato de experiencia / Practice planning on a family health unit: an experience report

Para a garantia da saúde enquanto direito de todos e dever do Estado, é necessário planejar e organizar os serviços. Com o objetivo de conhecer sobre o planejamento e a operacionalização do serviço de atenção à saúde, este estudo é resultado de um relato de experiência a partir da vivência das práticas de planejamento em saúde em uma Unidade de Saúde da Família (USF) do município de Santo Antônio de Jesus (BA). Buscou-se a identificação dos problemas enfrentados pela equipe e das estratégias utilizadas para a resolução local das adversidades, utilizando-se da extensão das atividades para a população coberta, interagindo com a equipe e a comunidade diante de uma didática problematizadora. Assim, foi possível perceber a relevância de se planejar em saúde para que haja uma melhor eficácia na oferta de serviços.

To guarantee health as a right of all and duty of the State, it is necessary to the planning and organization of services. Aiming to know about planning and operation of health care services, this study it is an experience report from practical experience in health planning in a family health unit in Santo Antônio de Jesus (BA). We sought to identify the problems faced by the team and the strategies used to solve the same location, using the extension of the activities for the covered population, interacting with staff and the community before a didactic problematical. Thus, it was possible to realize the importance of planning in health so there is greater efficiency in service delivery.

Para garantizar la salud como un derecho y un deber del Estado, es necesario la planificación y organización de los servicios. Con el objetivo de conocer acerca de la planificación y operación del servicio de atención de la salud, este estudio es un relato de experiencia a partir de la vivencia en práctica de planificación de la salud en una unidad de salud de la familia en Santo Antônio de Jesus - Bahia. Hemos tratado de identificar los problemas que enfrentó el equipo y las estrategias utilizadas para resolverlos en el mismo local, con la extensión de las actividades de la población cubierta, interactuando con el personal y la comunidad ante una didáctica problematizadora. Por lo tanto, fue posible darse cuenta de la importancia de la planificación en materia de salud para que haya una mayor eficiencia en la prestación de servicios.

Práticas de planejamento em uma unidade de saúde da família: um relato de experiência / Practice planning on a family health unit: an experience report

Para a garantia da saúde enquanto direito de todos e dever do Estado, énecessário planejar e organizar os serviços. Com o objetivo de conhecer sobre o planejamentoe a operacionalização do serviço de atenção à saúde, este estudo é resultado de um relato deexperiência a partir da vivência das práticas de planejamento em saúde em uma Unidadede Saúde da Família (USF) do município de Santo Antônio de Jesus (BA). Buscou-sea identificação dos problemas enfrentados pela equipe e das estratégias utilizadas para aresolução local das adversidades, utilizando-se da extensão das atividades para a populaçãocoberta, interagindo com a equipe e a comunidade diante de uma didática problematizadora.Assim, foi possível perceber a relevância de se planejar em saúde para que haja uma melhoreficácia na oferta de serviços...

To guarantee health as a right of all and duty of the State, it is necessary to theplanning and organization of services. Aiming to know about planning and operation of healthcare services, this study it is an experience report from practical experience in health planningin a family health unit in Santo Antônio de Jesus (BA). We sought to identify the problemsfaced by the team and the strategies used to solve the same location, using the extension ofthe activities for the covered population, interacting with staff and the community before adidactic problematical. Thus, it was possible to realize the importance of planning in health sothere is greater efficiency in service delivery...

Para garantizar la salud como un derecho y un deber del Estado, es necesariola planificación y organización de los servicios. Con el objetivo de conocer acerca de laplanificación y operación del servicio de atención de la salud, este estudio es un relato deexperiencia a partir de la vivencia en práctica de planificación de la salud en una unidadde salud de la familia en Santo Antônio de Jesus - Bahia. Hemos tratado de identificar losproblemas que enfrentó el equipo y las estrategias utilizadas para resolverlos en el mismolocal, con la extensión de las actividades de la población cubierta, interactuando con elpersonal y la comunidad ante una didáctica problematizadora. Por lo tanto, fue posible darsecuenta de la importancia de la planificación en materia de salud para que haya una mayoreficiencia en la prestación de servicios...