Abstract：
OBJECTIVE: To evaluate the knowledge of pregnant women and the clinical management of hemolytic disease of the fetus and newborn, as well as to describe the gestational profile, risk factors and socio-epidemiological profile of pregnant women treated at two municipal health units in Belém (Pará, Brazil).
METHODS: This was a cross-sectional analytical study, which consisted in the application of questionnaires to pregnant women who underwent prenatal care at the municipal health units.
RESULTS: A total of 104 pregnant women were evaluated; most were aged between 24 and 29 years old, had high school degrees (38 %), family incomes between 1 and 2 minimum wages (45 %) and blood type O+ (43 %). Regarding the gestational profile, the participants were predominantly in the third trimester of pregnancy (49 %), started prenatal care in the first gestational trimester (81 %) and were primiparous (61 %). Failures in the management of prenatal care were observed, especially with regard to access to information about the disease, since most pregnant women did not receive information about blood incompatibility during prenatal care. This led to limited knowledge about the pathology of the disease evidenced by the fact that most of the correct answers were between Questions 0-4, which were significantly associated with the women\'s education and income.
CONCLUSIONS: Although hemolytic disease of the fetus and newborn is serious, the pregnant women in this study demonstrated little knowledge about the disease and had inadequate care by health professionals, reinforcing the importance of improving care for women\'s health and prenatal care.
METHODS: This was a cross-sectional analytical study, which consisted in the application of questionnaires to pregnant women who underwent prenatal care at the municipal health units.
RESULTS: A total of 104 pregnant women were evaluated; most were aged between 24 and 29 years old, had high school degrees (38 %), family incomes between 1 and 2 minimum wages (45 %) and blood type O+ (43 %). Regarding the gestational profile, the participants were predominantly in the third trimester of pregnancy (49 %), started prenatal care in the first gestational trimester (81 %) and were primiparous (61 %). Failures in the management of prenatal care were observed, especially with regard to access to information about the disease, since most pregnant women did not receive information about blood incompatibility during prenatal care. This led to limited knowledge about the pathology of the disease evidenced by the fact that most of the correct answers were between Questions 0-4, which were significantly associated with the women\'s education and income.
CONCLUSIONS: Although hemolytic disease of the fetus and newborn is serious, the pregnant women in this study demonstrated little knowledge about the disease and had inadequate care by health professionals, reinforcing the importance of improving care for women\'s health and prenatal care.
摘要：
目的：评价孕妇对胎儿和新生儿溶血病的认识和临床处理。以及描述妊娠概况，在贝伦的两个市政卫生部门接受治疗的孕妇的风险因素和社会流行病学特征（帕拉，巴西)。
方法：这是一项横断面分析研究，其中包括对在市政卫生部门接受产前护理的孕妇进行问卷调查。
结果：共评估了104名孕妇；大多数年龄在24至29岁之间，高中学历（38%），家庭收入在1至2最低工资(45%)和O型血(43%)之间。关于妊娠概况，参与者主要在妊娠晚期（49％），在妊娠早期(81%)和初产(61%)开始产前护理。观察产前护理管理的失败，特别是在获取有关疾病的信息方面，因为大多数孕妇在产前护理期间没有收到有关血液不兼容的信息。这导致对疾病病理学的知识有限，事实证明，大多数正确答案都在问题0-4之间，这与妇女的教育和收入显着相关。
结论：尽管胎儿和新生儿的溶血病很严重，这项研究中的孕妇对这种疾病知之甚少，卫生专业人员的护理不足，加强改善对妇女健康和产前护理的重要性。
方法：这是一项横断面分析研究，其中包括对在市政卫生部门接受产前护理的孕妇进行问卷调查。
结果：共评估了104名孕妇；大多数年龄在24至29岁之间，高中学历（38%），家庭收入在1至2最低工资(45%)和O型血(43%)之间。关于妊娠概况，参与者主要在妊娠晚期（49％），在妊娠早期(81%)和初产(61%)开始产前护理。观察产前护理管理的失败，特别是在获取有关疾病的信息方面，因为大多数孕妇在产前护理期间没有收到有关血液不兼容的信息。这导致对疾病病理学的知识有限，事实证明，大多数正确答案都在问题0-4之间，这与妇女的教育和收入显着相关。
结论：尽管胎儿和新生儿的溶血病很严重，这项研究中的孕妇对这种疾病知之甚少，卫生专业人员的护理不足，加强改善对妇女健康和产前护理的重要性。
