Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Oeste Paulista
|
Programa de Pós-Graduação: |
Mestrado em Ciências da Saúde
|
Departamento: |
Mestrado em Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bdtd.unoeste.br:8080/jspui/handle/jspui/1220 |
Resumo: | INTRODUCTION: High Risk pregnancies are those in which maternal conditions and / or acquired during pregnancy may increase the risks of gestational adversities with consequent maternal and perinatal morbidity, and inflammatory process seems to influence such outcomes, however, specific markers to prevent the resulting gestational complications are not fully described. OBJECTIVES: The objective of the present study was to characterize High Risk pregnancies in relation to uninterrupted pregnancies to the sociodemographic and gestational outcome with the presence of inflammatory mediators in maternal serum. MATERIAL AND METHODS: Were included 63 pregnant women in the High Risk Clinic and 65 low-risk pregnant women, attended at Family Health Strategies, included as a control group, gestational age matched of each High Risk sample. Personal, sociodemographic and obstetric data were compared. Maternal peripheral blood was collected during obstetric consultation, and analyzed for the presence of inflammatory cytokines, interleukin (IL) -1β, IL-6, IL-8 and tumor necrosis factor (TNF) -α by the ELISA technique. RESULTS: The median maternal age was statistically higher in High Risk pregnant women, as well as the number of women declared non-white (brown and black), with higher socializing with smokers, with the presence of previous diseases, multiparous and with abortions was statistically higher in this group, the gestational age at childbirth of High Risk pregnancies was lower in relation to the Low Risk group, the type of birth, sex, birth weight and newborn apgar variables did not differ between groups the concentration of all cytokines evaluated was statistically lower in the High Risk pregnant group, in relation to the Low Risk group (p<0,05). In a following analysis, considering the gestational period, term pregnancies did not show diferences in cytokines concentration independently of studied group. CONCLUSION: This study has demonstrated important sociodemographic and gestational characteristics of the studied population, and has not shown increase of inflammatory cytokines in high-risk pregnancies, probably due to the heterogeneity of this study group, and, at term, inflammatory cytokines participate on gestational process independently of studied group. |
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Morceli, Morcelihttp://lattes.cnpq.br/9829229885197371Polettini, Jossimarahttp://lattes.cnpq.br/1030780371889609Lordelo, Eliana Peresihttp://lattes.cnpq.br/2445481664621061Moreli, Jusciele Broginhttp://lattes.cnpq.br/4202797799003193http://lattes.cnpq.br/3714205745888020Souza, Luciana Vasconcelos de Jesus2020-01-14T20:21:46Z2019-02-15SOUZA, Luciana Vasconcelos de Jesus. Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019.http://bdtd.unoeste.br:8080/jspui/handle/jspui/1220INTRODUCTION: High Risk pregnancies are those in which maternal conditions and / or acquired during pregnancy may increase the risks of gestational adversities with consequent maternal and perinatal morbidity, and inflammatory process seems to influence such outcomes, however, specific markers to prevent the resulting gestational complications are not fully described. OBJECTIVES: The objective of the present study was to characterize High Risk pregnancies in relation to uninterrupted pregnancies to the sociodemographic and gestational outcome with the presence of inflammatory mediators in maternal serum. MATERIAL AND METHODS: Were included 63 pregnant women in the High Risk Clinic and 65 low-risk pregnant women, attended at Family Health Strategies, included as a control group, gestational age matched of each High Risk sample. Personal, sociodemographic and obstetric data were compared. Maternal peripheral blood was collected during obstetric consultation, and analyzed for the presence of inflammatory cytokines, interleukin (IL) -1β, IL-6, IL-8 and tumor necrosis factor (TNF) -α by the ELISA technique. RESULTS: The median maternal age was statistically higher in High Risk pregnant women, as well as the number of women declared non-white (brown and black), with higher socializing with smokers, with the presence of previous diseases, multiparous and with abortions was statistically higher in this group, the gestational age at childbirth of High Risk pregnancies was lower in relation to the Low Risk group, the type of birth, sex, birth weight and newborn apgar variables did not differ between groups the concentration of all cytokines evaluated was statistically lower in the High Risk pregnant group, in relation to the Low Risk group (p<0,05). In a following analysis, considering the gestational period, term pregnancies did not show diferences in cytokines concentration independently of studied group. CONCLUSION: This study has demonstrated important sociodemographic and gestational characteristics of the studied population, and has not shown increase of inflammatory cytokines in high-risk pregnancies, probably due to the heterogeneity of this study group, and, at term, inflammatory cytokines participate on gestational process independently of studied group.INTRODUÇÃO: As gestações de Alto Risco são aquelas nas quais condições maternas prévias e ou adquiridas na gestação podem aumentar os riscos de adversidades gestacionais com consequentes morbidades maternas e perinatais, e o processo inflamatório parece influenciar tais desfechos, no entanto, marcadores específicos para prevenir as intercorrências gestacionais decorrentes não estão completamente descritos. OBJETIVOS: Caracterizar as gestações de Alto Risco em relação a gestações sem intercorrências aos aspectos sociodemográficos e obstétricos e relacionar o desfecho gestacional com mediadores inflamatórios no soro materno. MATERIAL E MÉTODOS: Foram incluídas 63 gestantes atendidas no Ambulatório de Alto Risco e 65 gestantes de Baixo Risco, atendidas em Estratégias de Saúde da Família, incluídas como grupo controle, pareadas à idade gestacional de cada amostra de Alto Risco. Os dados pessoais, sociodemográficos e obstétricos foram comparados. O sangue periférico materno foi coletado durante consulta obstétrica, e analisado quanto à presença de citocinas inflamatórias, interleucina (IL)-1β, IL-6, IL-8 e fator de necrose tumoral (TNF)-α pela técnica de ELISA. RESULTADOS: A mediana da idade materna foi estatisticamente superior nas gestantes de Alto Risco, assim como o número de mulheres declaradas não brancas (pardas e negras), com maior convívio com fumantes, com presença de doenças prévias, multíparas e com abortos anteriores foi estatisticamente maior nesse grupo, a idade gestacional no parto das gestações de Alto Risco foi inferior em relação ao grupo de Baixo Risco, as variáveis tipo de parto, sexo, peso ao nascer e apgar do recém-nascido não diferiram entre os grupos, a concentração de todas as citocinas avaliadas foi estatisticamente inferior no grupo de gestantes de Alto Risco, em relação ao grupo Baixo Risco (p<0,05). Na análise por faixa de idade gestacional, gestantes a termo não apresentaram diferença na concentração de citocinas independente do grupo estudado. CONCLUSÃO: O estudo demostrou características sociodemográficas e gestacionais importantes da população estudada, e não demonstrou aumento de citocinas nas gestações de Alto Risco, provavelmente devido à heterogeneidade dos desfechos que caracterizam esse grupo de estudo, e, a termo, as citocinas inflamatórias participam do processo gestacional independente do grupo estudadoSubmitted by Jakeline Ortega (jakortega@unoeste.br) on 2020-01-14T20:21:46Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Luciana Vasconcelos de Jesus Souza.pdf: 700925 bytes, checksum: 891ccd2cc5235084a95075d34cababda (MD5)Made available in DSpace on 2020-01-14T20:21:46Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Luciana Vasconcelos de Jesus Souza.pdf: 700925 bytes, checksum: 891ccd2cc5235084a95075d34cababda (MD5) Previous issue date: 2019-02-15application/pdfhttp://bdtd.unoeste.br:8080/jspui/retrieve/3489/Luciana%20Vasconcelos%20de%20%20Jesus%20Souza.pdf.jpgporUniversidade do Oeste PaulistaMestrado em Ciências da SaúdeUNOESTEBrasilMestrado em Ciências da Saúdehttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessGestaçãocomplicações gestacionaismorbidade maternaGestationgestational complicationsmaternal morbidityCIENCIAS DA SAUDECitocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto riscoInflammatory cytokines in maternal serum and obstetrics outcomes in high-risk gestationsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis454847406252007416850050060045484740625200741688765449414823306929reponame:Biblioteca Digital de Teses e Dissertações da UNOESTEinstname:Universidade do Oeste Paulista (UNOESTE)instacron:UNOESTETHUMBNAILLuciana Vasconcelos de Jesus Souza.pdf.jpgLuciana Vasconcelos de Jesus Souza.pdf.jpgimage/jpeg3551http://bdtd.unoeste.br:8080/tede/bitstream/jspui/1220/6/Luciana+Vasconcelos+de++Jesus+Souza.pdf.jpgf55f9ee1a4d3f4d6d3007bfc208bcfe3MD56ORIGINALLuciana Vasconcelos de Jesus Souza.pdfLuciana Vasconcelos de Jesus Souza.pdfapplication/pdf700925http://bdtd.unoeste.br:8080/tede/bitstream/jspui/1220/5/Luciana+Vasconcelos+de++Jesus+Souza.pdf891ccd2cc5235084a95075d34cababdaMD55CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.por.fl_str_mv |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
dc.title.alternative.eng.fl_str_mv |
Inflammatory cytokines in maternal serum and obstetrics outcomes in high-risk gestations |
title |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
spellingShingle |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco Souza, Luciana Vasconcelos de Jesus Gestação complicações gestacionais morbidade materna Gestation gestational complications maternal morbidity CIENCIAS DA SAUDE |
title_short |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
title_full |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
title_fullStr |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
title_full_unstemmed |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
title_sort |
Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco |
author |
Souza, Luciana Vasconcelos de Jesus |
author_facet |
Souza, Luciana Vasconcelos de Jesus |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Morceli, Morceli |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9829229885197371 |
dc.contributor.advisor-co1.fl_str_mv |
Polettini, Jossimara |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1030780371889609 |
dc.contributor.referee1.fl_str_mv |
Lordelo, Eliana Peresi |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2445481664621061 |
dc.contributor.referee2.fl_str_mv |
Moreli, Jusciele Brogin |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/4202797799003193 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3714205745888020 |
dc.contributor.author.fl_str_mv |
Souza, Luciana Vasconcelos de Jesus |
contributor_str_mv |
Morceli, Morceli Polettini, Jossimara Lordelo, Eliana Peresi Moreli, Jusciele Brogin |
dc.subject.por.fl_str_mv |
Gestação complicações gestacionais morbidade materna Gestation gestational complications maternal morbidity |
topic |
Gestação complicações gestacionais morbidade materna Gestation gestational complications maternal morbidity CIENCIAS DA SAUDE |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
INTRODUCTION: High Risk pregnancies are those in which maternal conditions and / or acquired during pregnancy may increase the risks of gestational adversities with consequent maternal and perinatal morbidity, and inflammatory process seems to influence such outcomes, however, specific markers to prevent the resulting gestational complications are not fully described. OBJECTIVES: The objective of the present study was to characterize High Risk pregnancies in relation to uninterrupted pregnancies to the sociodemographic and gestational outcome with the presence of inflammatory mediators in maternal serum. MATERIAL AND METHODS: Were included 63 pregnant women in the High Risk Clinic and 65 low-risk pregnant women, attended at Family Health Strategies, included as a control group, gestational age matched of each High Risk sample. Personal, sociodemographic and obstetric data were compared. Maternal peripheral blood was collected during obstetric consultation, and analyzed for the presence of inflammatory cytokines, interleukin (IL) -1β, IL-6, IL-8 and tumor necrosis factor (TNF) -α by the ELISA technique. RESULTS: The median maternal age was statistically higher in High Risk pregnant women, as well as the number of women declared non-white (brown and black), with higher socializing with smokers, with the presence of previous diseases, multiparous and with abortions was statistically higher in this group, the gestational age at childbirth of High Risk pregnancies was lower in relation to the Low Risk group, the type of birth, sex, birth weight and newborn apgar variables did not differ between groups the concentration of all cytokines evaluated was statistically lower in the High Risk pregnant group, in relation to the Low Risk group (p<0,05). In a following analysis, considering the gestational period, term pregnancies did not show diferences in cytokines concentration independently of studied group. CONCLUSION: This study has demonstrated important sociodemographic and gestational characteristics of the studied population, and has not shown increase of inflammatory cytokines in high-risk pregnancies, probably due to the heterogeneity of this study group, and, at term, inflammatory cytokines participate on gestational process independently of studied group. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-02-15 |
dc.date.accessioned.fl_str_mv |
2020-01-14T20:21:46Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SOUZA, Luciana Vasconcelos de Jesus. Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019. |
dc.identifier.uri.fl_str_mv |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1220 |
identifier_str_mv |
SOUZA, Luciana Vasconcelos de Jesus. Citocinas inflamatórias no soro materno e resultados obstétricos de gestações de alto risco. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019. |
url |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1220 |
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por |
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por |
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500 500 600 |
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4548474062520074168 |
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8765449414823306929 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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Universidade do Oeste Paulista |
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Mestrado em Ciências da Saúde |
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UNOESTE |
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Brasil |
dc.publisher.department.fl_str_mv |
Mestrado em Ciências da Saúde |
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Universidade do Oeste Paulista |
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