Aspectos relacionados à escolha do tipo de parto: um estudo comparativo entre uma maternidade pública e outra privada, em São Luís, Maranhão, Brasil

Mandarino, Natália Ribeiro; Chein, Maria Bethânia da Costa; Júnior, Francisco das Chagas Monteiro; Brito, Luciane Maria Oliveira; Lamy, Zeni Carvalho; Nina, Vinicius José da Silva; Mochel, Elba Gomide; Neto, José Albuquerque de Figueiredo

doi:10.1590/s0102-311x2009000700017

Cited by 52 publications

(69 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This higher demand for cesareans is likely based on the belief that the quality of obstetric care is strongly associated with the technology that is used to perform cesarean deliveries. The rate is higher than would be expected for the level of risk, but it is consistent with worldwide trends 28 .…”

Section: Discussionsupporting

confidence: 83%

Revisiting head circumference of Brazilian newborns in public and private maternity hospitals

Amorim

Melo

2017

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

In newborns, measurements of head circumference (HC) provide an indirect method of estimating head growth during the intrauterine and neonatal periods and during the first years of life. Head size reflects the growth of the brain and has been associated with body size, brain malformations, or merely be familial factors 1 . Dobbing, in 1974 2 , emphasized that brain growth does not occur in a linear and symmetrical fashion but is, instead, characterized by periods of increased cell growth. The human brain experiences two growth spurts. The initial growth spurt occurs from 12 to 18 weeks of gestation and is characterized by neuronal multiplication. The second growth spurt begins at 28 weeks of gestation and extends through birth until the third year of life. This growth is considered the major period of growth of the brain. During these growth spurt phases, the brain is more vulnerable and susceptible to the presence of both internal and external factors that can affect brain and body growth. Davies 3 argued that HC is more influenced by genetic factors than by weight and height and that it is less susceptible to maternal factors, such as diabetes, multipara, prior abortions, hypertension, malnutrition, or placental anomalies.Several studies have investigated HC in newborns and infants and correlated them with maternal, placental, and fetal factors 4 . In fact, previous studies 5 have reported correlations between HC and other anthropometric measurements or gestational age (GA). Up until now, few research groups in Brazil have studied HC or its correlation with GA and gender 6 . Therefore, the aim of this study was to revisit newborn HC Universidade Federal do Rio Grande do Norte, Departamento de Pediatria, Programa de Pós-Graduação em Ciências da Saúde, Natal RN, Brasil. ABSTRACTObjective: To revisit the head circumference (HC) of newborns in public and private maternity hospitals; to correlate our findings with the gestational age, gender, and type of delivery; and build and validate graphs and curves. Methods: This was a prospective study performed on healthy newborns. Differences in HC were analyzed as a function of gestational age, gender, the healthcare system and the type of delivery.Smoothed percentile curves were created using the least mean squares method. Results: Of the included newborns, 697 were born in private maternity hospitals and 2,150 were born in public maternity hospitals. In all, 839 were born by vaginal delivery, and 1,311 were born by cesarean delivery. At 37 to 42 weeks of gestation, male newborns had a larger HC than females. Infants born in private maternity and those born by cesarean delivery had a larger HC. Conclusion: An important result of the present study is that our analyses allowed us to generate curves and statistically-validated graphs that can be used in clinical neonatal practice.Keywords: neonatal head circumference; gestational age; gender; public and private maternity; newborn. Importante consequência deste estudo foi que os resultados permitiram a criação de curvas e g...

show abstract

Section: Discussionsupporting

confidence: 83%

Revisiting head circumference of Brazilian newborns in public and private maternity hospitals

Amorim

Melo

2017

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…No tocante ao terceiro eixo (Tabela 4), é possível constatar que 81,55% (n = 9.240) obtiveram partos normais. Estudos realizados em outras regiões do país mostram que as taxas de partos normais estão abaixo do preconizado pela OMS (REIS et al, 2009;MANDARINO et al, 2009;SOA-RES;MENEZES, 2010).…”

Section: Resultsunclassified

Delineamento Epidemiológico Dos Nascidos Vivos Em Tefé, Amazonas, No Período De 2006 a 2012

Cella

Marinho²

2017

Arq. Ciênc. Saúde Unipar

View full text Add to dashboard Cite

Umuarama, v. 20, n. 2, p, 99-104, maio/ago. 2017. RESUMO:O objetivo deste estudo foi descrever as características epidemiológicas dos nascidos vivos em um município no interior do Amazonas. Realizou-se um estudo de corte transversal de caráter quantitativo e descritivo no município de Tefé no período de 2006 a 2012. Os dados dos nascidos vivos foram obtidos pela secretaria municipal de saúde, no departamento de vigilância epidemiológica no banco de dados do Sistema de Informações Sobre Nascidos Vivos (SISNAC). As variáveis utilizadas foram: características sociodemográficas, condições da gestação, parto e características dos nascidos vivos divididos em três eixos (maternas; pré-natal e recém-nascido). A partir dos resultados apresentados pôde-se evidenciar alto percentual de mães adolescentes, acompanhamento pré-natal insuficiente, baixa escolaridade e preenchimento inadequado do Apgar. Diante desses resultados, observou-se que o perfil epidemiológico dos nascidos vivos do município de Tefé distingue-se de outras regiões do país, sendo imprescindível que o município aperfeiçoe a rede de atenção básica e, consequentemente, aprimore a assistência e a formulação de políticas públicas materno-infantil. PALAVRAS-CHAVE: Gravidez. Nascidos vivos. Saúde materno-infantil. EPIDEMIOLOGICAL DESIGN OF LIVE BIRTHS IN TEFÉ, AMAZONAS, FROM 2006 TO 2012ABSTRACT: The aim of this study was to describe the epidemiological characteristics of live births in a city in the countryside of the state of Amazonas. A cross-sectional, quantitative and descriptive study was carried out in the municipality of Tefé from 2006 to 2012. The data on live births were obtained by the municipal health department from the epidemiological surveillance department, at the Live Birth Information System (SISNAC) database. The variables analyzed were: socio-demographic characteristics, gestational conditions, childbirth and characteristics of live births divided into three fronts (maternal, prenatal and newborn). The results evidenced a high percentage of teenage mothers, insufficient prenatal care, a low level of education and inadequate filling of Apgar. The results revealed that the epidemiological profile of the live births in Tefé is different from other regions in Brazil, and it is imperative that the municipality improves the basic care network and, as a result, improves the formulation of policies to support both maternal and children health.

show abstract

“…The perceived need for CD is shaped by the cultural belief that delivery by Cesarean section is a method of choice for women of higher social status, as well as higher quality of care [42][43][44] . Among patients seeking maternal services in the public sector, mothers with higher education and economic status and of Caucasian origin are more likely to deliver by CD [45] . The print media and women's magazines also seem to influence patients' preferences by hinting the favorable aspects of CD rather than reporting the long term negative consequences of Cesarean delivery [46] .…”

Section: The Case Of Brazilmentioning

confidence: 99%

Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

Hou¹,

Rakhshani

Iunes³

2014

JHA

View full text Add to dashboard Cite

Background: Annually 6.2 million unnecessary Cesarean Deliveries (CD) are performed globally. Such high unnecessary CD rate is a concern not only due to the additional financial burden it places on the health system, but also because the quality of care could be compromised. There is an even more imperative need to reduce elective surgeries in moving towards the Universal Health Coverage (UHC), to ensure the ever stretched resources are effectively channeled for the best health outcomes. Methods:The paper uses a case study method. China and Brazil were selected primarily due to their alarmingly high number and percentage of the CD rate. Systematic literature review was conducted and the analyses were structured based on the framework "Determinants of High Cesarean Delivery Rates", developed by the authors. Results:In China and Brazil, cultural belief, fear of labor pain and patient's perception regarding quality of care may play a role in the patient's preference for CD but these perceptions are shaped by their health care providers as well. The principal-agent relation comes into play as the health professionals can modify perceived needs of their patients. Availability of health insurance to mothers, physicians' preference for convenient working hours, and payment incentives for performing higher yielding Cesarean procedures are driving the high CD rate phenomena in China and Brazil.Understand the social determinants of CD and using various instruments to change women's perceptions of birthing options and physicians' behaviors are critical in managing the CD rate. Conclusion:In the context of the rapid movement towards UHC, the evidence presented in this paper supports the call for implementing complementary policy interventions and regulation to ensure minimal efficiency loss due to resources being diverted to unnecessary procedures or hospital stays.

show abstract

Aspectos relacionados à escolha do tipo de parto: um estudo comparativo entre uma maternidade pública e outra privada, em São Luís, Maranhão, Brasil

Cited by 52 publications

References 29 publications

Revisiting head circumference of Brazilian newborns in public and private maternity hospitals

Revisiting head circumference of Brazilian newborns in public and private maternity hospitals

Delineamento Epidemiológico Dos Nascidos Vivos Em Tefé, Amazonas, No Período De 2006 a 2012

Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

Contact Info

Product

Resources

About