Artigo Acesso aberto Produção Nacional Revisado por pares

Uso indicado e uso referido de medicamentos durante a gravidez

2004; Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz; Volume: 20; Issue: suppl 1 Linguagem: Inglês

10.1590/s0102-311x2004000700008

ISSN

1678-4464

Autores

Cláudia Garcia Serpa Osorio-de-Castro, Vera Lúcia Edais Pepe, Vera Lúcia Luiza, Marly Aparecida Elias Cosendey, Aline Matias de Freitas, Frederico Fonseca Miranda, Jorge Antônio Zepeda Bermudez, María do Carmo Leal,

Tópico(s)

Maternal and fetal healthcare

Resumo

Few studies describe drug utilization in pregnancy focusing on prescribing practices. This study is part of a larger survey on perinatal care in the City of Rio de Janeiro, Brazil. The type of hospital (public, contracted out by the Unified National Health System, or private) determined the stratification of 10,072 hospitalized post-partum women, who were asked about medication used during pregnancy. Hospital records supplied information on drugs prescribed during labor. Drugs were classified according to the Anatomical Therapeutic Chemical (ATC) system. Another system was used for specific cases of referred use. A mean of 2.08 drugs was prescribed during labor, and a mean of 2.3 was reported during pregnancy. Anesthetics, antibiotics, oxytocin, and analgesics were the most frequently prescribed during labor, with significant differences between strata. Ferrous sulfate, vitamins, scopolamine, and acetaminophen were the main drugs reported during pregnancy. Women who had attempted abortion referred use of various kinds of tea (49.7%) and misoprostol (9.2%). The drug utilization pattern was consistent with the literature. This study offers knowledge on prescribing patterns during labor and self-reported use during pregnancy in both the public and private sectors.

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