Sickle cell disease and pregnancy: An integrative review
International Journal of Development Research
Sickle cell disease and pregnancy: An integrative review
Received 27th March, 2018; Received in revised form 28th April, 2018; Accepted 02nd May, 2018; Published online 28th June, 2018
Copyright © 2018, Renata Costa da Silva et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: To analyze the scientific productions about gestation in women with sickle cell anemia. Method: It is an integrative review study carried out in the Virtual Health Library (VHL) database, using the descriptors pregnancy and sickle cell anemia, from 2008 to 2017. Results: The publications focused on the Southeast region of Brazil in which the number of cases is lower than in the other regions. The complicating gestational factors in sickle cell anemia (HF) were anemia, infections, preterm labor, teenage pregnancy, among others. And factors that increased maternal and fetal risks were spontaneous abortion, early rupture of membranes, restricted intrauterine growth, postpartum infection, among others. Conclusion: Pregnant women with sickle cell anemia must be accompanied by a multi-professional reference group in high-risk pregnancy, the hematologist and the primary care team, aiming at integral care and the reduction and / or control of maternal and fetal risks.