Fatores associados a cesáreas em um hospital universitário de alta complexidade do sul do Brasil

Saraiva, Juliana Manera; Gouveia, Helga Geremias; Gonçalves, Annelise de Carvalho

doi:10.1590/1983-1447.2017.03.69141

Cited by 9 publications

(8 citation statements)

References 14 publications

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“…As causas do aumento da proporção de cesarianas têm sido discutidas e hipóteses têm sido levantadas, dentre elas cita-se o desejo das mulheres pelo parto cesáreo, até a conveniência desse tipo de parto para os profissionais que o realizam 4 .…”

Section: Introductionunclassified

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Fatores Associados À Ocorrência Do Parto Cesáreo Em Um Hospital Público Da Bahia

Souza¹,

Mamédio²,

Brito³

et al. 2018

Rev. baiana de saúde pública

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A escolha do tipo de parto está diretamente relacionada aos indicadores de qualidade de saúde materno-infantil positivos e, na atualidade, observa-se que o número de parto cirúrgico tem aumentado. Com isso, este estudo objetivou analisar os fatores associados à ocorrência do parto cesáreo em um hospital público, no ano de 2014. Trata-se pesquisa quantitativa de corte transversal, com amostra probabilística de 263 partos realizados no Hospital Regional de Guanambi, Bahia. Os resultados indicaram que, no modelo de investigação, os fatores associados à ocorrência do parto cesáreo foram o índice de Apgar, com associação negativa e o parto prematuro; o sexo masculino; a raça negra e apresentação não cefálica apresentaram associação positiva. Após ajuste, mantiveram-se no modelo à raça negra, a apresentação não cefálica, o sexo masculino e a prematuridade como fatores associados à ocorrência do parto prematuro. Concluiu-se, diante da importância do ciclo gravídico-puerperal para a saúde da mulher e indicadores de saúde populacional, que é necessário estudar junto aos profissionais de saúde quais são os fatores que são associados à ocorrência de partos cesáreos nos serviços de saúde pública, buscando identificar questões que possam diminuir o número de cesariana desnecessária e as complicações decorrentes desse processo. Palavras-chave: Cesárea. Parto normal. Parto humanizado. Saúde da mulher.

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Section: Introductionunclassified

“…4. Ser responsável por todos os aspectos do trabalho na garantia da exatidão e integridade de qualquer parte da obra: Cinoélia Leal de Souza, Leide Jane Ferreira Mamédio,…”

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Fatores Associados À Ocorrência Do Parto Cesáreo Em Um Hospital Público Da Bahia

Souza¹,

Mamédio²,

Brito³

et al. 2018

Rev. baiana de saúde pública

View full text Add to dashboard Cite

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“…In this study, among first-time pregnant women, there was a higher chance of having children by cesarean section. In primigravida, a cesarean delivery must also be performed with precise indication (23) . It is known that the evolution of labor tends to take longer among primiparous women (24) and culminates in a higher number of unnecessary interventions (25) , including cesarean sections.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

et al. 2020

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Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte. Methods: cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio. Results: increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section. Final Considerations: the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.

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“…The percentage in the study sample is a reflection of what is occurring throughout the country. According to the World Health Organization (WHO) cesarean deliveries should not exceed 15%, and natural childbirth should be strongly promoted, with a focus on humanized care [34, 35].…”

Section: Discussionmentioning

confidence: 99%

Chest circumference in full-term newborns: how can it be predicted?

et al. 2019

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Background Although over the years a number of studies have used chest circumference (CC) as a sensitive tool to identify the health status of infants, a particularly important aspect for this population is the lack of data on normal values and prediction equations. In order to facilitate and validate the interpretation of CC data in newborn (NB), the aim was to study the relation between CC and other anthropometric variables and develop a predictive equation for CC in a population of full-term newborns. Methods Cross-sectional study, carried out with full-term infants. The anthropometric (CC, head circumference - HC, length, age and weight) and hemodynamic variables were evaluated during the first 24 h of life. Bivariate analysis was performed between CC and HC, weight, length and type of delivery, followed by multiple linear regression analysis, including variables that were significant in the bivariate analysis. For data analysis, we used the SPSS program, considering p < 0.05 and 95% CI. Results The birth weight of the 120 NB varied between 2580 and 4225 g (mean 3360 g) and the gestational age between 37 and 42 weeks (mean 39 weeks). Approximately 61% of the sample were delivered vaginally and 67 (56%) were boys. The variables that remained statistically associated with CC after multivariate analysis were weight (β 0.003, CI: 0.002: 0.003, p = 0.001) and HC (β 0.287, CI: 0.156: 0.417, p = 0.001). For the linear regression model, the predictive equation of CC was 14.87+ (0.003 x weight) + (0.287 x HC), with a prediction of 76%. Conclusion The results show a positive correlation between CC and weight, length and HC, and based on the linear regression model, the predictive equation for CC is based only on weight and HC.

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Fatores associados a cesáreas em um hospital universitário de alta complexidade do sul do Brasil

Cited by 9 publications

References 14 publications

Fatores Associados À Ocorrência Do Parto Cesáreo Em Um Hospital Público Da Bahia

Fatores Associados À Ocorrência Do Parto Cesáreo Em Um Hospital Público Da Bahia

Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

Chest circumference in full-term newborns: how can it be predicted?

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