Fatores associados à cesariana entre primíparas adolescentes no Brasil, 2011-2012

Para reinventar o parto e o nascimento no Brasil: de volta ao futuro

“…In public services, there is often a disconnect between antenatal care and care at childbirth 8 , facilities repeatedly denying admission 8 , and routine use of episiotomy and oxytocin 3,7 . In private services, most deliveries are by scheduled caesarean, even among first-time mothers 4,9,10 . In both sectors, the right to information is not assured nor is women's autonomy respected, their bodily integrity is violated and their legally-assured right to a companion is denied 6 , making childbirth lonely, unsafe and painful 11 .…”

Factors associated with Specific Hypertensive Gestation Syndrome (SHGS) in postpartum adolescent and young adult mothers in the Northeast of Brazil: a multiple analysis of hierarchical models

“…9 The adolescents were subdivided into two groups: ten to 16 year olds (early and intermediate adolescence) and 17 to 19 year olds (late adolescence). 10 The variables studied sought to contemplate the research objectives, whose independent variables (predictors) were organized in a theoretical conceptual model with three levels of hierarchy (distal, intermediate and proximal) [10][11][12] (Figure 1). …”

“…4 Based on these criteria, a minimum prenatal care adequacy indicator was developed that considered some items for prenatal adequacy, such as: 1) initiation of follow-up prenatal care, when performed until the 12 th gestational week, as recommended by the Stork Network 14 ; 2) adequate number of consultations for gestational age at delivery, with a minimum schedule of six consultations, recommended by the Brazilian Ministry of Health, which recommends at least one consultation in the first trimester of pregnancy, two in the second and three in the last trimester 15 ; 3) the registration of at least one result of each of the exams recommended in a For the analysis of the proximal level, the variable referring to the characteristics of childbirth was used: birth payment source (public and private). This variable was constructed based on a previous study on the theme, 10 being classified as proximal because it reflects the model of assistance that currently predominates in Brazil. Thus, the births occurred in Public Units and Mixed Units and which were not financed by health insurance, were classified as a source of public payment; the births financed by health plan, occurring in Mixed or Private Units, as well as, the births occurred in Private Units, regardless of whether they were financed by health insurance, were classified as having private source of payment.…”

“…The bivariate analysis was then performed using the Pearson chi-square test, with a significance level of 5%, to verify possible associations between SGHS (dependent variable) and independent variables. 10 The multivariate analysis in hierarchical models was performed from the results of the bivariate analyzes and respective p values, with significance level <0.20, by the Wald test. The variables were organized by level of proximity to the outcome, first entering those of the distal level.…”

Mortalidade materna tardia: comparação de dois comitês de mortalidade materna no Brasil

“…A taxa de cesárea continua aumentando no nosso país, embora o procedimento esteja associado à maior permanência hospitalar, à maior morbidade respiratória perinatal, à maior incidência de complicações em futuras gestações, além de onerar o sistema de saúde. A proporção de cesariana cresceu de 38% em 2000 para 52% em 2010, elevação associada às mudanças nas práticas obstétricas, não necessariamente relacionadas a razões clínicas, elevando o risco de morbimortalidade, como demonstrado e debatido em estudos recentes 25,26 .…”