Associação entre pré-natal e parto na rede de saúde suplementar e cesárea eletiva

Ferrari, Anna Paula; Carvalhães, Maria Antonieta de Barros Leite; Parada, Cristina Maria Garcia de Lima

doi:10.1590/1980-5497201600010007

Cited by 18 publications

(10 citation statements)

References 20 publications

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“…16 Alike, a study in Botucatu/SP, found an association between elective cesarean section and the performance of a prenatal care in the complementary health network. 17 These findings may a suggest an influence of the health professionals from the private healthcare who might frequently recommend this type of childbirth.…”

Section: Discussionmentioning

confidence: 96%

Factors associated with the route of birth delivery in a city in the Northeast region in the State of Rio Grande do Sul, Brazil

Rasador

Abegg

2019

Rev. Bras. Saude Mater. Infant.

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Objectives: to investigate factors associated with the route of birth delivery in a hospital extending public and private healthcare services, in the Northeast region in the State of Rio Grande do Sul. Methods: a cross-sectional study with 676 postpartum women, conducted from January to May 2017. The data were collected from the hospital records and women were interviewed shortly after childbirth in the maternity. Data analysis was performed by associating the Pearson’s chi-square and the Poisson regression tests with robust variance. Results: the prevalence of cesarean sections was 58.7%, that is, 41.7% in public health-care and 83.9% in private healthcare. The main reason for having a cesarean section was having had a previous one (PR=5.69; CI95%=3.64 - 8.90; p<0.001), followed by having source of childbirth financing (PR=1.54; CI95%=1.27 - 1.87; p<0.001), having source of prenatal care financing (PR=1.48; CI95%=1.22 - 1.79; p<0.001), the childbirth and prenatal care professional (PR=1.46; CI95%=1.28 - 1.66; p<0.001) and the prenatal care professional (PR=1.43; CI95%=1.07 - 1.90; p=0.016). Conclusions: the high cesarean section rates identified in this study were mainly associated with previous cesarean section. The findings suggest a change in the current childbirth care model in the city, characterized as highly medicalized, focused on the physician and on hospital care.

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Section: Discussionmentioning

confidence: 96%

Factors associated with the route of birth delivery in a city in the Northeast region in the State of Rio Grande do Sul, Brazil

Rasador

Abegg

2019

Rev. Bras. Saude Mater. Infant.

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“…These rates are similar in developing countries, and may be related to cultural aspects in the maternity care model. 16 It is also considered essential to welcome women in childbirth. Thus, it is essential to adopt strategies to publicize the advantages of the vaginal delivery, to offer educational activities about it in order to support the woman and her family in their decision on the way of delivery.…”

Section: Discussionmentioning

confidence: 99%

Gestação, Parto, Nascimento E Internação De Recém-Nascidos Em Terapia Intensiva Neonatal: Relato De Mães

Naidon¹,

Neves

Silveira

et al. 2018

Texto contexto - enferm.

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Objective: to describe the trajectory of the delivery, birth and hospitalization of the newborn in a neonatal intensive care unit.Method: a qualitative research developed with 25 mothers of newborns hospitalized in neonatal intensive care. The data collection was carried out in the months of August to October 2014, through a semi-structured interview, addressing prenatal issues when the baby was hospitalized. The data were submitted to a thematic content analysis.Results: the trajectory pointed to complications in the pregnancy, unplanned gestation and non-attachment to the professional with whom they were caring for in the prenatal period; the need for displacement for the childbirth and birth conditions revealed an important impact on the mothers' experience. Conclusion:it were characteristics of the trajectory of these women the late onset of the prenatal care and the fragility of the bond with the professional who performed the prenatal care. In addition, the difficulty of access to health services for the childbirth culminated in the impact of a risk birth and hospitalization in intensive care. DESCRIPTORS:Newborn. Health care. Neonatal nursing. Women's health. Childbirth. GESTAÇÃO, PARTO, NASCIMENTO E INTERNAÇÃO DE RECÉM-NASCIDOS EM TERAPIA INTENSIVA NEONATAL: RELATO DE MÃESRESUMO Objetivo: descrever a trajetória do parto, nascimento e internação do recém-nascido em unidade de terapia intensiva neonatal.Método: pesquisa qualitativa desenvolvida com 25 mães de recém-nascidos internados na terapia intensiva neonatal. A coleta de dados ocorreu nos meses de agosto a outubro de 2014, por meio de entrevista semiestruturada, abordando questões do pré-natal à internação do bebê. Os dados foram submetidos à análise de conteúdo temática.Resultados: a trajetória apontou complicações na gravidez, gestação não-planejada e a não vinculação com o profissional com quem estava realizando o pré-natal; necessidade de deslocamento para o parto e condições do nascimento revelaram importante impacto na vivencial das mães.Conclusão: foram características da trajetória destas mulheres o início tardio do pré-natal e a fragilidade de vínculo com o profissional que realizou o pré-natal. Além disso, a dificuldade de acesso aos serviços de saúde para o parto culminou com o impacto de um nascimento de risco e internação na terapia intensiva. DESCRITORES: GESTACIÓN, PARTO, NACIMIENTO E INTERNACIÓN DE RECIÉN NACIDOS EN TERAPIA INTENSIVA NEONATAL: RELATO DE LAS MADRES RESUMENObjetivo: describir la trayectoria del parto, nacimiento e internación del recién nacido en la unidad de terapia intensiva neonatal.Método: investigación cualitativa desarrollada con 25 madres de recién nacidos internados en terapia intensiva neonatal. La recolección de datos se realizó en los meses de Agosto y Octubre del 2014 por medio de entrevistas semiestructuradas sobre asuntos del prenatal hasta la internación del bebé. Los datos fueron sometidos al análisis del contenido temático.Resultados: la trayectoria mostró complicaciones en la gravidez, gestaci...

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“…Advanced maternal age, chronic health problems, multiple pregnancies as a result of the development of assisted reproductive technologies, and an insufficient supplementary health network can be considered as the reasons why mothers and obstetricians prefer a C-section. 5 Notwithstanding, C-section includes some short and long-term risks, such as reduction in fertility, increased risk of maternal mortality and morbidity, poor obstetric outcomes, requirement of treatment in an intensive care unit (ICU), and need for blood transfusion due to the risky surgical procedure. Women who delivered vaginally are much more likely to have a subsequent vaginal birth.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Intrapartum Cesarean Section Delivery in Low-risk Multiparous Women Following at Least a Prior Vaginal Birth (Robson Classification 3 and 4)

Buyuk

Kansu-Celik

Kaplan

et al. 2021

Rev Bras Ginecol Obstet

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Objective The aim of the present study was to evaluate the risk factors for cesarean section (C-section) in low-risk multiparous women with a history of vaginal birth. Methods The present retrospective study included low-risk multiparous women with a history of vaginal birth who gave birth at between 37 and 42 gestational weeks. The subjects were divided into 2 groups according to the mode of delivery, as C-section Group and vaginal delivery Group. Risk factors for C-section such as demographic characteristics, ultrasonographic measurements, smoking, weight gain during pregnancy (WGDP), interval time between prior birth, history of macrosomic birth, and cervical dilatation at the admission to the hospital were obtained from the charts of the patients. Obstetric and neonatal outcomes were compared between groups. Results The most common C-section indications were fetal distress and macrosomia (33.9% [n = 77 and 20.7% [n = 47] respectively). A bivariate correlation analysis demonstrated that mothers aged > 30 years old (odds ratio [OR]: 2.09; 95% confidence interval [CI]: 1.30–3.34; p = 0.002), parity >1 (OR: 1.81; 95%CI: 1.18–2.71; p = 0.006), fetal abdominal circumference (FAC) measurement > 360 mm (OR: 34.20; 95%CI: 8.04—145.56; p < 0.001)) and < 345 mm (OR: 3.06; 95%CI: 1.88–5; p < 0.001), presence of large for gestational age (LGA) fetus (OR: 5.09; 95%CI: 1.35–19.21; p = 0.016), premature rupture of membranes (PROM) (OR: 1.52; 95%CI: 1–2.33; p = 0.041), and cervical dilatation < 5cm at admission (OR: 2.12; 95%CI: 1.34–3.34; p = 0.001) were associated with the group requiring a C-section. Conclusion This is the first study evaluating the risk factors for C-section in low-risk multiparous women with a history of vaginal birth according to the Robson classification 3 and 4. Fetal distress and suspected fetal macrosomia constituted most of the C-section indications.

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Associação entre pré-natal e parto na rede de saúde suplementar e cesárea eletiva

Abstract: Actions in the supplementary health network are required to approach the cesarean delivery rate in the municipality to the international recommendations.

Cited by 18 publications

References 20 publications

Factors associated with the route of birth delivery in a city in the Northeast region in the State of Rio Grande do Sul, Brazil

Factors associated with the route of birth delivery in a city in the Northeast region in the State of Rio Grande do Sul, Brazil

Gestação, Parto, Nascimento E Internação De Recém-Nascidos Em Terapia Intensiva Neonatal: Relato De Mães

Risk Factors for Intrapartum Cesarean Section Delivery in Low-risk Multiparous Women Following at Least a Prior Vaginal Birth (Robson Classification 3 and 4)

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