RESUMO
Los objetivos de este estudio fueron estudiar la frecuencia de dificultades en el desarrollo cognitivo y detectar los factores de riesgo a partir de la evaluación de 956 niños de 6 a 30 meses de edad, sanos, nacidos a término, con peso de nacimiento normal, provenientes de 11 provincias argentinas. Resultados: 3 de cada 10 niños presentaron déficits en el desarrollo cognitivo. Las variables: edad del niño (mayores de 15 meses), edad gestacional (37 y 38 semanas), menor edad materna, desocupación paterna y ausencia paterna están asociados a mayor frecuencia de riesgo y retraso en el desarrollo cognitivo. Conclusiones: Destacamos la relevancia del segundo año de vida para detección de dificultades y repensar las características del desarrollo cognitivo en niños de 37 y 38 semanas de gestación. Se encontraron factores de riesgo ambientales que consideramos marcadores de nivel socioeconómico bajo. (AU)
The aims of this study were to investigate the frequency of difficulties in cognitive development and to detect risk factors assessing 956 children, from 6 to 30 months old, healthy, born on term, with normal birth weight, from 11 Argentine provinces. Results: 3 out of 10 children presented cognitive development deficits. The variables: child age (older than 15 months), gestational age (37 and 38 weeks), younger maternal age, jobless and absent father figure were associated to greater risk frequency and delay in cognitive development. Conclusions: we highlight the relevance of the second year of life for thedetection of difficulties as well as to reconsider cognitive development characteristics in children with a 37 and 38 period of gestation. Environmental risk factors that we consider markers of low socioeconomic level markers were found.(AU)
Assuntos
Humanos , Desenvolvimento Infantil , Fatores Biológicos , Cognição , Lactente , PsicologiaRESUMO
AIMS: To describe the frequency of depressive symptoms compatible with a postpartum depression diagnosis, the associated factors and the temporal stability. METHODS: During 2006-2007 398 hospitalized puerperal women who attended CEMIC were interviewed 5 days after childbirth using the Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire. A logistic regression analysis was performed to identify associated factors with a positive screening. During the following 6-12 months a follow up was carried with two groups of similar characteristics. RESULTS: The frequency of depressive symptoms at post partum was 17.8% (cut off = 10). Depressive history and neonatal intensive care were significantly related to a positive screening. From the 110 interviewed women, 24 were positive in the follow-up. CONCLUSION: The prevalence of risk for postpartum depression in the sample of patients surveyed is within the parameters reported in international literature. At the 6 month follow up, 6 previously asymptomatic women during the first screening turned on positive. It is theorize the existence of potential postpartum depression cases that can manifest up to a year after childbirth.
Assuntos
Depressão Pós-Parto/diagnóstico , Depressão Pós-Parto/epidemiologia , Adolescente , Adulto , Feminino , Seguimentos , Humanos , Prevalência , Fatores de Tempo , Adulto JovemRESUMO
OBJECTIVE: To analyze the different variables that affect couples' decision-making about prenatal screening of chromosome abnormalities in a population with limited access to prenatal diagnosis and no legal termination of pregnancy (TOP). METHODS: From February through August 2004, 79 couples who requested for prenatal screening at centers from Argentina and Uruguay participated in a study. A cross-sectional survey was administered to assess attitudes toward prenatal screening, the decision-making process, and knowledge and attitudes toward TOP. RESULTS: Mean maternal age was 32.8 +/- 0.4 years. Among the couples, 88.61% knew that TOP due to fetal anomalies is not legal in their countries. When asked about the possibility of TOP in case of a serious fetal anomaly, 53% would contemplate this option. CONCLUSION: Prenatal screening is a common practice worldwide. However, unlike most developed countries, our region has a limited access to prenatal diagnosis and no legal TOP. Those couples who stated that 'reassurance about fetal well-being' was the most important reason to perform prenatal screening had more positive attitudes toward TOP than those who considered this screening important 'to be better prepared to receive the baby'. Our findings can be used to inform and revise current health-care policies.
