Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Scholarship holder at the Programa Institucional de Bolsas de Iniciação Científica/Conselho Nacional de Desenvolvimento Científico e Tecnológico (PIBIC/CNPq), Brazil.
Rev Lat Am Enfermagem. 2021 Nov 19;29:e3506. doi: 10.1590/1518-8345.5356.3506. eCollection 2021.
to analyze the correlation between child development and pregnancy planning and other associated aspects.
a cross-sectional study conducted with 125 mother-child dyads, the children aged from 11 to 23 months old and attending daycare centers located in socially disadvantaged areas. Child development according to domains was assessed using the Ages & Stages Questionnaire-BR and pregnancy planning was evaluated through the London Measure of Unplanned Pregnancy. The mothers were interviewed at their homes and non-parametric tests were used for data analysis.
17.6% of the pregnancies were unplanned, 24.8% were planned and 57.6% were ambivalent. Inadequate development in the different domains ranged from 21% to 40% and was not associated with pregnancy planning. However, the "communication" domain was associated with Bolsa Família and the "personal/social" and "communication" domains, with gender; while "personal/social", "broad motor coordination" and "fine motor coordination" were domains related to the child's age.
no correlation between pregnancy planning and child development was observed; however, the low frequency of planned pregnancies and the high percentages of inadequate child development show the need to invest in the training of health professionals, both for contraceptive care and preconception health and for the promotion of child development, especially in socioeconomically disadvantaged contexts.
分析儿童发育与妊娠计划及其他相关方面的相关性。
这是一项横断面研究,共纳入 125 对母婴,儿童年龄为 11 至 23 个月,均就读于社会经济地位较低地区的日托中心。采用《年龄与阶段问卷-BR》评估儿童的发育情况,采用《伦敦意外妊娠量表》评估妊娠计划。通过家访对母亲进行访谈,采用非参数检验进行数据分析。
17.6%的妊娠为非计划妊娠,24.8%为计划妊娠,57.6%为矛盾妊娠。不同领域的发育不足比例为 21%至 40%,与妊娠计划无关。然而,“沟通”领域与“家庭援助计划”(Bolsa Família)有关,“个人/社会”和“沟通”领域与性别有关;而“个人/社会”、“粗大运动协调”和“精细运动协调”则与儿童年龄有关。
未观察到妊娠计划与儿童发育之间的相关性;然而,计划妊娠的频率较低,儿童发育不足的比例较高,这表明需要投资培训卫生专业人员,既要进行避孕护理和孕前保健,也要促进儿童发育,尤其是在社会经济地位较低的环境中。