Abstract

VARONA DE LA PENA, Florinda; HECHAVARRIA RODRIGUEZ, Nerys  and  ORIVE RODRIGUEZ, Nora M.. Screening of the pre-conception and prenatal risks. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.4, pp. 565-572. ISSN 1561-3062.

The assessment of reproductive risk at community level includes the diagnosis of conditions that are a potential risk for the healthy development of pregnancy and the baby. In the present paper the results of a screening of the pre-conception and prenatal risks in women of fertile age and pregnants, respectively, resident of the Las Tunas provinceare shown. The authors analyzed the registries and statistical reports from the Provincial Central of Medical Genetic corresponding to years 2007 and 2008 in order to include both the universe of women assessed and studied, estimating the coverage of both programs. The frequencies related to each risk condition, e.g. chromosomal diseases, hemoglobinopathies, birth defects, theratogenicity and other hereditary affections were al determined. 55.0 % of women assessed during the last year and 79.3 % in 2007 were classified with some pre-conception risk with a predominance of chromosomal diseases as the most frequent criterion of risk. The 40.7 % of the 5 746 pregnants seen in 2008 was considered in prenatal risks, a figure under the 49.2 % in the previous year. The risk of chromosomal disease was predominant in the prenatal assessment, present in the 62.1 % and the 71.3 % of pregnants in 2007 and 2008, respectively, at the expense of the pregnant during adolescence. It is necessary the presence of uniform criteria to assess the genetic risk in women who receive a specialized follow-up by Genetics community services and inter-consultation with other specialties.

Keywords : Genetic risk; pre-conception risk; prenatal risk; reproductive health; adolescence pregnancy.

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