Uso de medicamentos durante a gestação em pacientes atendidas em serviço de pré-natal público e privado em Aracaju-SE

Abstract

Purpose: To know and classify the drugs used by pregnant women attending antenatal public and private service in Aracaju/SE. Methods: Cross-sectional study. Interviewed pregnant women on prenatal public and private services in Aracaju/SE from January to June 2016. The drugs were classified according to FDA risk (Food and Drug Administration). Statistical analyzes were performed using Epi-Info 7. Results: In private service, N=100, 22% reported self-medication, 89% received information on the risks of self-medication with an average of 5.73 medicines/pregnant women; 4.19% of the drugs were not prescribed by doctors; 42.25% were used in the 1st quarter; 4.91% caused some kind of unwanted reaction and the FDA risk classification 46.87% were category A, 28.09% category B, 17.64% Category C 7.40% D category and no category X. In public service, N=50, 24% reported self-medication, 64% received information on the risks of self-medication with an average of 3.28 medicines/pregnant women; 7.32% of the drugs were not prescribed by doctors, 49.24% were used in the 1st quarter; 7.45% caused some kind of unwanted reaction and the risk classification of the FDA 50.93% were category A, 32.92% category B, 13.67% Category C 2.48% D category and no category X. There was statistical significance between self- medication and abortion in both services (p = 0.00), self-medication and the beginning of prenatal care (p = 0.053) and number of medications and educational level (p = 0.052). Conclusion: Most patients received information on self-medication, not practiced self- medication, but patients from the particular service were who used more drugs. Predominated drugs category A, prescribed by doctors, mainly in the first quarter that did not need to be interrupted. The women who began prenatal before the second quarter and had more history of abortions, did not practice a lot of self-medication. Patients with lower educational level used less drugs.