Fatores associados à morbi-mortalidade perinatal em uma amostra de maternidades públicas e privadas do Município do Rio de Janeiro, 1999-2001

Abstract

This study compares socio-demographic factors, mothers' biological characteristics, and quality of care at maternity hospitals in the City of Rio de Janeiro, Brazil. A sample of 10,072 post-partum women in 47 hospitals was selected. Data were collected by interviewing mothers in the immediate post-partum and from medical records. The chi2 test was used to analyze homogeneity of ratios. Significant differences were found between patients in public and private hospitals in relation to family support, healthy habits during pregnancy, reproductive history, access to and satisfaction with prenatal care and delivery, and particularly adverse effects in the newborns. Private maternity hospitals showed better results, although they displayed excessive cesarean and neonatal inter-hospital transfer rates. The stratum consisting of public Federal and State maternity hospitals received women with greater morbidity, had lower neonatal transfer rates, and received a more positive assessment by clients of the Unified National Health System (SUS). Private maternity centers contracted out by the SUS were the ones that most refused treatment to patients, leading to delays in patient care for delivery.

Desigualdades raciais, sociodemográficas e na assistência ao pré-natal e ao parto, 1999-2001

“…11 In a proportional stratified sample, health facilities were categorized as: 1) municipal and federal facilities; 2) National Unified Health System (SUS)-contracted private facilities; and military, state, and charitable facilities; and 3) private facilities.…”

Pesquisa sobre mortalidade perinatal no Brasil: revisão da metodologia e dos resultados

“…A fonte de dados foi o inquérito 57 37 usaram a de Williams. Destaca-se também a mensuração do pré-natal, que foi apenas quantitativa na maioria dos estudos, com diferentes pontos de corte para número de consultas.…”

Fatores de risco para mortalidade neonatal precoce

“…1,2,8,14 However, the cause pathway of these factors is complex encompassing biological maternal and newborns characteristics with live conditions, of he families and health care and its social context. 2,7,12,18 Many studies were carried out on risk factors of neonatal mortality in Brazil, in recent years, mainly due to the improvement of access, quality, and utilization of linkage techniques of the data bases of mortality and live births information systems. Additionally to risk factors that express more biological conditions of the development of pregnancy and of newborns, we have also included variables that express socioeconomic dimension, maternal schooling and prenatal and delivery care.…”