Mortalidade materna e desenvolvimento: a transição obstétrica no Brasil

Souza, João Paulo

doi:10.1590/s0100-72032013001200001

Cited by 27 publications

(30 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Quality of care has a direct impact on maternal mortality and morbidity . Although the use of appropriate health technology is essential to reduce maternal morbidity and mortality, “excessive use of medication, or excessive and unnecessary use of health technologies during pregnancy and/or at birth also represent risks to women, fetuses and newborns.” This reinforces the need for regulation and health policies on pregnancy and childbirth care to prevent harming women and babies. This is part of the concept of “quaternary prevention,” a set of activities designed to identify women at risk of excessive interventions, reduce iatrogenic procedures, and offer harm‐free care …”

Section: Discussionmentioning

confidence: 99%

“…According to the latest available data in Brazil, 55.4% of all live births in 2018 were by cesarean birth and 10.1% of all deliveries were preterm . National maternal mortality ratios, which were practically stagnant since the turn of the century, increased in recent years reaching 64 deaths per 100 000 live births in 2017 . According to the World Health Organization (WHO), Brazil is a country that has improved over the last 15 years, although it still faces major challenges to ensure safe maternal and perinatal health care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Using the Maternity Safety Thermometer to estimate harm‐free care in Southeast Brazil: A hospital‐based cohort

Salgado

Queiroz

Santos

et al. 2019

Birth

View full text Add to dashboard Cite

Background High rates of unnecessary cesareans and interventions in vaginal births contribute to stagnant maternal and neonatal mortality rates in Brazil. We used the Maternity Safety Thermometer (MST) to assess the prevalence of harm during maternity care. Methods This secondary analysis of the “Birth in Brazil” survey included a representative sample of 10 155 women who gave birth in public and private hospitals in southeastern Brazil. The main outcomes were perineal and abdominal trauma, maternal infection and hemorrhage, newborn vitality, and women's perception of safety. We calculated the odds ratios (OR) for the number of MST harms (dependent variable). Results About 81.6% of the women with vaginal births had sutures for perineal trauma (87.7% of these due to episiotomies). Poor perception of safety was reported by 83.1% of women, and 69.5% of all infants not admitted to the NICU were separated from their mother after birth. The overall rate of cesarean birth was 52.6%, and 7.5% of term infants were admitted to the NICU. In public settings, having an intrapartum cesarean significantly increased the chances of one (OR 2.21; 95% CI 1.20‐4.07), or two or more (4.08 [2.27‐7.32]) harms. In private settings, cesarean deliveries without labor were also associated with higher chances of one (4.26 [2.65‐6.85]), or two or more (4.60 [2.35‐9.02]) harms. Only 2% of the women had harm‐free care. Conclusions In southeastern Brazil, there is a high prevalence of preventable harm during maternity care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Using the Maternity Safety Thermometer to estimate harm‐free care in Southeast Brazil: A hospital‐based cohort

Salgado

Queiroz

Santos

et al. 2019

Birth

View full text Add to dashboard Cite

show abstract

“…11 Fatores que influenciaram negativamente neste momento, como atendimento inadequado e dificuldade para marcação de consultas, podem desestimular a gestante e, consequentemente, interferir na valorização do pré-natal.…”

Section: Resultados E Discussâounclassified

Atenção no pré-natal de baixo risco na ótica de puérperas

et al. 2015

View full text Add to dashboard Cite

RESUMO: Objetivo: conhecer a atenção prestada às mulheres durante o pré-natal de baixo risco. Método: estudo qualitativo, realizado com oito puérperas internadas em uma unidade obstétrica, no período de outubro a novembro de 2013. A pesquisa foi aprovada por Comitê de Ética em Pesquisa, sob o parecer 372.047. A coleta dos dados ocorreu por meio de entrevistas semiestruturadas, as quais foram analisadas de acordo com a proposta operativa e pesquisa nos cartões de gestante. Resultados: os serviços demonstraram algumas fragilidades com atendimento, por vezes, inadequado e de forma tecnicista. Foram identificadas dificuldades de acesso nas Unidades Básicas de Saúde impedindo, assim, a captação precoce das gestantes. Conclusão: há uma lacuna a ser preenchida por parte dos serviços de saúde, sendo necessária a realização de atividades de capacitação aos profissionais e promoção de atividades educativas. Descritores: Gravidez; Cuidado pré-natal; Atenção à saúde; Enfermagem.ABSTRACT: Aim: to know the attention provided to pregnant women during low risk prenatal. Method: a qualitative study, developed with eight women hospitalized in an obstetric unit, from october to november 2013. This study was approved by Research Ethical Committee, under the number 372.047. Data collection occurred through semistructured interviews analyzed under the operative proposal and research in the maternity cards. Results: services showed some treatment weaknesses, such as inappropriate and technicist care. Access difficulties at the Basic Health Unit were identified, what interfered on early identification of pregnant women. Conclusion: there is a gap to be filled by the health services, requiring professional training and promotion of educational actions.

show abstract

“…This is because studies performed in other regions, where states show a more developed socioeconomic standard and Comitês de Mortalidade Materna (CMM -Committees on Maternal Mortality) investigate maternal deaths, identified MMR as being higher than that found in the state of Pará, reflecting better surveillance on maternal deaths in these locations to the detriment of other regions. 5,[40][41][42][43] Moreover, according to a study 44 conducted in the United States, pre-eclampsia should be dealt with and treated to prevent maternal and fetal deaths, as it is considered to be a severe pregnancy disorder that affects up to 8% of pregnant women in this country.…”

Section: Discussionmentioning

confidence: 99%

Maternal mortality in the indigenous and non-indigenous population in Pará: contribution to the surveillance of deaths

et al. 2017

View full text Add to dashboard Cite

Se pudo comprobar 884 óbitos maternos, correspondientes a la Razón de Mortalidad Materna 60,7 por 100 mil nacidos vivos de no indígenas y 135,8 de 100 mil nacidos vivos de indígenas. El edema, la proteinuria y los trastornos de hipertensión en el embarazo, parto y puerperio corresponden a 30,5% (n = 270). Conclusión e implicaciones para la práctica: La mortalidad materna es aún un grave problema de salud pública en el estado, demostrando claramente que las indígenas requieren de una mayor atención, ya que presentaron índices más elevados de mortalidad materna si lo compara con no indígenas.

show abstract

Mortalidade materna e desenvolvimento: a transição obstétrica no Brasil

Cited by 27 publications

References 3 publications

Using the Maternity Safety Thermometer to estimate harm‐free care in Southeast Brazil: A hospital‐based cohort

Using the Maternity Safety Thermometer to estimate harm‐free care in Southeast Brazil: A hospital‐based cohort

Atenção no pré-natal de baixo risco na ótica de puérperas

Maternal mortality in the indigenous and non-indigenous population in Pará: contribution to the surveillance of deaths

Contact Info

Product

Resources

About