Keywords
risk factors
medical students Riesgo preconcepcional
factores de riesgo
estudiantes de medicina
How to Cite
Abstract
Introduction: Preconception risk is the probability that a non-pregnant woman will suffer harm during the reproductive process. The maternal and perinatal mortality rate reflects the implicit morbidity, the environment and quality of life of the woman. Objective: Identify preconception risk factors in a sample of medical students. Methodology: An observational, prospective, cross-sectional study was carried out on 185 medical students from the Universidad Veracruzana. The questionnaire of the first section of the risk traffic light System for Detection and Evaluation of Perinatal Risk (PREVIGEN-1) was applied; the Maternal and Child Research Center Gen. (CIMIGen) developed this tool. Which consists of 40 questions sent by Google Forms. The responses were evaluated according to colors: Level I Green: low risk; Level II Yellow: medium risk; and Level III Red: high risk. Results: The age of 21.4±3.1 years. The marital status of 179 corresponds to single (97%), 3 are married (2%) and 3 are in a common law union (2%). 6 have a history of pregnancy (3%). The association of marital status and pregnancy was r = 0.65, we found a high relationship as an associated risk. According to the PREVIGEN-1 risk traffic light, 147 participants (79.45%) are at medium risk for 32 (17.29%), and 6 (3.24%) are at high risk. Conclusion: PREVIGEN-1 is a tool that measures preconception risk and allows determining and evaluating the woman's health status to consider a satisfactory pregnancy.
References
Barriguete, P., Farfán-Labonne, B., Ibarra-Puig, J., Olivias-Peña, E., Flores-Ramos, M., Chinchilla-Ochoa, D. y Garza-Morales, S. (2018). Epilepsia y embarazo. Un estudio comparativo dos décadas después. Revista Mexicana de Neurociencia, 19(5), 27-36. https://www.medigraphic.com/cgibin/new/resumen.cgi?IDARTICULO=85230
Bermúdez Pérez, R. S., Linares Segovia, B., Serrano Ramos, M. G., & Álvarez Jiménez, V. (2017). PROYECTO SAELCI-GUANAJUATO. EXPOSICIÓN AL ALCOHOL PERICONCEPCIONAL Y SALUD DEL RECIÉN NACIDO EN EL HOSPITAL MATERNO INFANTIL DE IRAPUATO. JÓVENES EN LA CIENCIA, 2(1), 1536–1540. https://www.jovenesenlaciencia.ugto.mx/index.php/jovenesenlaciencia/article/view/1337
Cauldwell, M., Ghonimb, S., Uebing A., Swan, L., Steer, P., Gatzouils, M. y Johnson, M. (2017). Preconception counseling, predicting risk and outcomes in women with mWHO 3 and 4 heart disease. International Journal of Cardiology, 234, 76-80. https://doi.org/10.1016/j.ijcard.2017.02.003
Centro Nacional de Equidad de Género y Salud Reproductiva. (2009). Estrategias para acelerar la disminución de la muerte materna en México. México: Secretaría de Salud/Dirección General de Salud Reproductiva.
Chronopoulou, E., Raperporta C., Serhal, P., Saab. y Seshadri, S. (2021). Preconception tests at advanced maternal age, Best Practice & Research Clinical Obstetrics & Gynaecology, 70, 28-50.
Dean, S., Lassi, Z., Imam, A., Imam, A. y Bhutta, Z. (2014). Preconception care: nutricional risks and interventions. Reproductive Health, 11. https://doi.org/10.1186/1742-4755-11-S3-S3
Dickinson H. y Parker L. (2002). Leukaemia and non-hodkings lymphoma in children of male sellafield radiations workers. International Journal of Cancer, 101(1), 100. https://doi.org/10.1002/ijc.10564
Gayathree, M., Alvero, R., Lyell, D., Khandelwal, A. y Leonard, S. (2021). Development and validation of a risk prediction index for severe maternal morbidity based on preconception comorbidities among infertile patients. Fertility and Sterility, 116(5), 1372-1380. https://tinyurl.com/2ct8bjcx
Grimmer, I., Bührer, C., Dudenhausen, J., Stroux, A., Reiher, H., Halle, H. y Obladen, M. (2002). Preconceptional factors associated with very low birthweight delivery in East and West Berlin: a case control study. BMC Public Health, 2(10). https://doi.org/10.1186/1471-2458-2-10
Guo, C., Qian Y., Xu R., Li, Z., Wang, Z., Zhu, Z., Peng, J., Su, Q. y Wei, Y. (2023). Exposure to ambient air pollution from the preconceptional period and risk of gestational hypertension. Science of The Total Environment, 885. https://doi.org/10.1016/j.scitotenv.2023.163690
Hall, J., Chawla, M., Watson, D., Chandni, M., Schoenaker, D., Connolly, A., Barrett, G. y Stephenson, J. (2023). Addressing reproductive health needs across the life course:an integrated, community-based model combining contraception and preconception care. The Lancet. Public Health, 8(1), 76-84. https://doi.org/10.1016/S2468-2667(22)00254-7
Hemsing, N., Greaves, L. y Poole, N. (2017). Preconception health care interventions: A scoping review. Sexual & Reproductive Healthcare, 14, 24-32. https://doi.org/10.1016/j.srhc.2017.08.004
Khan, N., Boyle, J., Lang A. y Harrison C. (2019). Preconception Health Attitudes and Behaviours of Women: A Qualitative Investigation. Nutrients, 11(7), 1490. https://doi.org/10.3390/nu11071490
Leuzzi, R. y Scoles, K. (1996). Preconception counseling for the primary care physician. The Medical clinics of North America, 80(2), 337-374. https://doi.org/10.1016/s0025-7125(05)70444-2
Lumbiganon, P., Laopaiboon, M., Intarut, N., Vogel, J., Souza, J., Gülmezoglu, A. y Mori, R. (2014). Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health. BJOG, An International Journal of Obstetrics and Gynaecology, 121(1), 32-39. https://doi.org/10.1111/1471-0528.12647
Montanaro, C., Lacey, L., Robson, L., Estill, A. y Vukovik, S. (2019). Preconception Care: A Technology-Based Model for Delivery in the Primary Care Setting Supported by Public Health. Matern Child Health Journal, 23, 1581–1586. https://doi.org/10.1007/s10995-019-02806-4
Moreira-Díaz, L.¸ Palenzuela-Ramos, Y., Gamboa-Díaz, Y., Díaz-González, L. y Valdés-González, G. (2020). Caracterización de mujeres con riesgo preconcepcional en un consultorio médico. Universidad Medica Pinareña, 16(2), 416. http://revgaleno.sld.cu/index.php/ump/article/view/416
Organización Panamericana de la Salud [OPS]. (2018). Indicadores de salud. Aspectos conceptuales y operativos. Washington, D.C.
Poix, S. y Elmusharaf, K. (2023). Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram. Preventive Medicine Reports, 34. https://doi.org/10.1016/j.pmedr.2023.102274
Posner, S., Johnson, K., Parker, C., Atrash, H. y Biermann, J. (2006). The national summit on preconception care: a summary of concepts and recommendations. Matern Child Health Journal, 10(5), 197-205. https://doi.org/10.1007/s10995-006-0107-x
Purdue-Smithe, A., Kim, K., Schliep, K., DeVilbiss, E., Hinkle, S., Ye, A., Perkins, N. J., Sjaarda, L., Silver, R., Schisterman, E. y Mumford, S. (2022). Preconception caffeine metabolites, caffeinated beverage intake, and fecundability. The American journal of clinical nutrition, 115(4), 1227-1236. https://doi.org/10.1093/ajcn/nqab435
Secretaria de Salud [SSA]. Programa de Acción Especifico 2013-2018. Salud Materna y Perinatal: programa sectorial de salud. http://cnegsr.salud.gob.mx/contenidos/descargas/SMP/SaludMaternayPerinatal_2013_2018
Thomas, S., Mobley, S., Hudgins, J., Sutherland, D., Inglett, S. y Ange, B. (2018). Conditions and Dynamics That Impact Maternal Health Literacy among High Risk Prenatal-Interconceptional Women. International journal of environmental research and public health, 15(7), 1383. https://doi.org/10.3390/ijerph15071383
Zetina-Hernández, Z., Gerónimo-Carrillo, G., Herrera-Castillo, Y., Santos-Córdova, L. y Mirón-Hernández, G. (2018). Factores de riesgo reproductivo preconcepcional en mujeres de edad fértil de una comunidad de Tabasco. Revista Salud Quintana Roo, 11(40), 7-10.
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