Relationship between the type of delivery and the epidemiological profile of prenatal and perinatal assistance in a municipality of Minas Gerais

Abstract

Objectives: to describe the profile of prenatal and perinatal health by correlating it with sociodemographic and clinical conditions, verifying the effectiveness of health actions. Methods: quantitative, descriptive and retrospective research using data from the Live Birth Information System (Sinasc) of the municipality of Patos de Minas in the period of 2011 to 2015. Results: between 2011 and 2014 there was a reduction in the rate of vaginal births and a slight increase in 2015, however, the rates of cesarean delivery were higher than recommended by the Ministry of Health. In both types of delivery, most pregnant women attended seven or more prenatal consultations, however, this rate was significantly higher for pregnant women who underwent cesarean section. Maternal age > 35 years was also related to cesarean delivery, however, there was no significant relationship between type of delivery, the gestation time, birth weight and occurrence of maternal death. Conclusions: during the analyzed period there were more cesarean sections in relation to vaginal deliveries, with no significant change in the number of maternal deaths. A significant association was found between the highest number of prenatal consultations and maternal age > 35 years in pregnant women who underwent caesarean section. Verification of these associations can help in reorienting health practices in the region.

Perfil Materno-Neonatal E as Práticas De Atenção Ao Parto E Nascimento*

“…Pesquisa sobre o perfil epidemiológico do parto normal mostrou que 90,8% das mulheres que passaram pelo parto vaginal possuíam idade inferior aos 35 anos 29 . Sobre o número de consultas de pré-natal, é menor em mulheres com baixa escolarização, mães solo, multíparas, com gravidezes não planejadas e que tentaram abortamento 30 .…”

Perfil de saúde de recém-nascidos admitidos em unidade de cuidados intermediários neonatais convencionais

“…Brasil tiene una de las tasas de cesáreas más altas del mundo, frente al 15% recomendado por la Organización Mundial de la Salud (OMS). Una investigación que realizó una comparación de las cesáreas realizadas en 21 países, mostró un aumento creciente de las tasas, sin embargo, este hecho solo tuvo una diferencia en las unidades de hospitalización en Japón (14) .Así, las consecuencias negativas de la cesárea son numerosas y pueden ser tanto materna, como neonatal, tales como: hemorragias, infecciones, embolismo pulmonar y complicaciones anestésicas. Al observar las repercusiones en los recién nacidos, presentan: disfunciones respiratorias, ictericia, prematuridad iatrogénica, anoxia, mortalidad neonatal y aumento del riesgo de hospitalización en Unidad Neonatal (14,15) .…”