The Importance of Early Initiation of Prenatal Care: A Case Report
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Abstract
Accurate determination of gestational age is essential for proper prenatal care management, directly impacting maternal and fetal health. This study addresses the importance of a detailed medical history and thorough physical examination in estimating gestational age. The patient was initially classified as being in an early gestational stage; however, due to the absence of a meticulous clinical examination, the actual gestational age was underestimated. The case highlights the need for a complementary diagnostic approach when clinical uncertainties arise, ensuring more accurate follow-up. Early recognition of pregnancy and correct estimation of gestational age are crucial to reducing complications and improving maternal-fetal outcomes. Therefore, this study aims to reinforce the importance of early physical examination and the support of complementary investigations.
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References
Montenegro CAB, Rezende Filho J de. Rezende: obstetrícia fundamental [Internet]. Rio de Janeiro: GEN Guanabara Koogan; 2022.
Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM, et al. Williams Obstetrics. 26th ed. New York: McGraw-Hill Education; 2022.
Zugaib M. Obstetrícia. 3rd ed. Barueri (SP): Manole; 2016.
Ministério da Saúde (BR). Manual de gestação de alto risco [Internet]. Brasília (DF): Ministério da Saúde; 2022 [cited 2025 Mar 24].
Van Brouwershaven AC, Dijkstra CI, Bolt SH, Werdmuller AM. Discovering a pregnancy after 30 weeks: a qualitative study on explanations for unperceived pregnancy. J Psychosom Obstet Gynaecol. 2023;44(1):1-7. doi: 10.1080/0167482x.2023.2197139
Leal MC, et al. Prenatal care in the Brazilian public health services. Rev Saude Publica [Internet]. 2020;54:8 [cited 2025 Mar 24]. Available from: https://doi.org/10.11606/s1518-8787.2020054001458
Peralta CFA, Barini R. Ultrassonografia obstétrica entre a 11ª e a 14ª semanas: além do rastreamento de anomalias cro-mossômicas. Rev Bras Ginecol Obstet. 2011;33(1):49-57. doi: 10.1590/s0100-72032011000100008
Whitworth M, Bricker L, Mullan C. Ultrasound for fetal assessment in early pregnancy. Cochrane Database Syst Rev. 2015;(7):CD007058. doi: 10.1002/14651858.CD007058.pub3
American College of Obstetricians and Gynecologists. Methods for estimating the due date [Internet]. Washington (DC): ACOG; 2021 [cited 2025 Mar 24]. Available from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/05/methods-for-estimating-the-due-date
Heslehurst N, Ngongalah L, Bigirumurame T, Nguyen G, Odeniyi A, Flynn A, et al. Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: systematic review and meta-analysis. Obes Rev. 2022;23(7):e13449. doi: 10.1111/obr.13449
Santos Júnior JAD, Santos JAD, Santos Neto JAD, Santos JAD. Infecção do trato urinário na gravidez: uma revisão de literatura. Rev Uninassau. 2016;2(2):1-7. Available from: https://periodicos.set.edu.br/unitsaude/article/view/3243
Khan KN, Wojcieszek AM. Urinary tract infection in pregnancy and perinatal outcomes: a systematic review and me-ta-analysis. BMC Pregnancy Childbirth. 2019;19(1):1-13.
World Health Organization. WHO recommendations for caesarean section. Geneva: WHO; 2021.
Braga FO, Cabizuca CA, Abi-Abib RC, Cobas RA, Gomes MB. Gestação e obesidade: um problema emergente. Rev HUPE. 2014;13(3):36-40.
Mancini MC. Obstáculos diagnósticos e desafios terapêuticos no paciente obeso. Sociedade Brasileira de Endocrinologia e Metabologia; 2001.
Creanga AA, Catalano PM, Bateman BT. Obesity in pregnancy. N Engl J Med. 2022;387(3):248-259. doi: 10.1056/NEJMra1801040
Barker DJ. The developmental origins of adult disease. J Am Coll Nutr. 2004;23(6 Suppl):588S-595S. doi: 10.1080/07315724.2004.10719428
Ramos JLA, Corradini HB, Vaz FAC. Fisiologia do feto e do recém-nascido: adaptação perinatal. In: Marcondes E, editor. Pediatria básica. São Paulo: Sarvier; 1991.
Garg N, Chandrasekharan PK. Meconium aspiration syndrome: current concepts. Clin Perinatol. 2020;47(4):755-769.
Osava RH, Silva FMB, Oliveira SMJV, Tuesta EF, Amaral MC. Factores maternos y neonatales asociados al meconio en el líquido amniótico en un centro de parto normal. Rev Saude Publica. 2012;46(6):1024-1029.
World Health Organization. Recommendations on antenatal care for a positive pregnancy experience [Internet]. Geneva: WHO; 2022 [cited 2025 Mar 24]. Available from: https://www.who.int/publications/i/item/9789241549912
Huatuco Hidalgo C. Incidencia de cesáreas en el Hospital de Pampas, 2018 [thesis]. Huancavelica (PE): Facultad de Ciencias de La Salud; 2019. 53 p.