CARTÃO DA GESTANTE E DEPOIMENTOS DAS PUÉRPERAS: CORRESPONDÊNCIA DAS INFORMAÇÕES

Objetivo: analisar a correspondência entre os dados registrados no cartão da gestante e informações fornecidas pelas puérperas. Método: trata-se de um estudo descritivo, retrospectivo, de corte transversal, realizado com 425 puérperas em pós-parto mediato, internadas em uma maternidade de um município do Noroeste do Paraná. Resultados: A correspondência entre os registros do cartão da gestante e o relato das puérperas foi forte entre as informações à respeito da história clínica e obstétrica da mulher, e discreta em relação aos procedimentos clínicos e exames complementares. Conclusão: Tanto o subregistro do cartão da gestante, quanto a possível confusão materna, pode ter contribuído para os devidos graus de concordância. No entanto, o grande número de cartões sem preenchimento, evidencia uma subutilização do instrumento de comunicação entre os profissionais que acompanham a mulher durante o pré-natal, parto e puerpério, podendo influenciar negativamente na qualidade da assistência e na saúde da mulher e da criança

The Rise in Mortality from Breast Cancer in Young Women: Trend Analysis in Brazil

<div><p>Introduction</p><p>Breast cancer is the most common cause of cancer death among women.</p><p>Objective</p><p>The objective of this study was to analyze time trends in overall mortality from breast cancer in Brazil, Brazilian regions and States.</p><p>Methods</p><p>This is an exploratory study, of the time series of deaths from breast cancer contained in the Mortality Information System (SIM), of women living in Brazil, Brazilian regions and States, from 1996 to 2013. For the trend analysis, the polynomial regression model was used, and a significant trend was considered when the estimated model obtained a p value <0.05.</p><p>Results</p><p>There was a tendency of increased mortality from breast cancer in Brazilian women (average increase of 0.18 per year; <i>p</i> <0.001), with regional differences, particularly in the age group 20–49 years (0.07 per year; <i>p</i> <0.001). The age group 50–69 years remained constant but had high average rates (37.14).</p><p>Conclusion</p><p>More effective planning is needed to focus on the different scenarios of the Brazilian regions. Screening strategies for the incidence and mortality from breast cancer must also be rethought according to age group in the country.</p></div

Breast cancer mortality in Brazil across age groups over three time periods.

<p>(A) The data of mortality from the evolution of breast cancer in Brazil were assembled by age group along three time periods.</p

Mortality rate for breast cancer in women, according to place of residence, 1996–2013.

<p>(A) Presentation of mortality rate for breast cancer in Brazil and large regions along time period of eighteen years.</p

Trend models of the mortality rates from breast cancer according to age.

<p>Brazil, 1996–2013.</p

Trend models of mortality rates from breast cancer.

<p>Brazil, 1996–2013.</p

Distribution of the mortality rates from breast cancer in the Brazilian States.

<p>(A) Represents the thematic map of Brazil by regions and States and shows the distribution of the general mortality rates and age groups 20–49 years and 50–69 years in three-year periods (1996–1198, 2003–2005 and 2011–2013).</p