Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

Abstract

Objective To analyze the occurrence, profile and main causes of hospitalization during pregnancy according to the type of childbirth financial coverage. Method A cross-sectional population-based study carried out with puerperal women through a stratified sample, calculated according to the hospital and the type of childbirth financial coverage source: public sector (SUS) or private (not SUS). The sociodemographic profile, the rate of obstetric complications and the causes of hospitalization were analyzed, coded according to International Classification of Diseases. Results A total of 928 postpartum women were interviewed, of whom 32.2% reported at least one hospitalization during pregnancy. Those with childbirth covered by SUS were less favored because they were the majority among hospitalized women (57.2%), with a higher percentage of adolescents (18.1%), lower education level (91.8%), low family income (39.3%) and fewer prenatal consultations (25.3%). The most frequent causes of hospitalization were "other maternal diseases that complicate pregnancy" (24.6%) (with emphasis on anemia and influenza), urinary tract infection (13.1%), preterm labor (8.7%) and hypertension (7.2%). Conclusion Anemia, influenza, urinary tract infection, preterm labor and hypertension should especially be prevented and treated to avoid hospital admissions during pregnancy, especially among pregnant women covered by SUS.

Postpartum obstetric assistance to primiparous women according to funding / Assistência obstétrica no pós-parto às primíparas conforme o financiamento

“…9 In Maringá, Paraná, women with SUS-funded delivery presented characteristics considered less favorable, as most pregnant women in this group were adolescents, of low income, low education, of black and brownish ethnicity, and had less than seven prenatal consultations. 1,10 These data are in line with those found in this research: adolescents, non-white, of low education and low income, who were predominantly assisted by public funding.…”

“…1 In another study, it was evident that there is a difference between complications during pregnancy and the source of financing, since 32.2% (299) of puerperal women in private financing reported having had at least one hospitalization, while the highest proportion was for those who gave birth through the SUS (57.2%). 10 Despite all the advances achieved with the implementation of the SUS, Brazil still faces difficulties in ensuring comprehensive care and timely access of the population to certain types of care. There are still challenges in public financing, such as the shortage of doctors and their poor distribution, the latter referring to Brazilian geographic areas and among levels of care.…”

Infecção urinária na gestação e as repercussões ao recém-nascido: uma revisão integrativa

“…Oliveira CS, et al (2015), afirma que o cuidado a este tipo de RN torna-se necessário durante e após o parto, já que estes são muito vulneráveis a manipulação e ao desenvolvimento de doenças, o suporte hospitalar é importante, para reduzir a permanência no hospital. Falavina LP, et al (2018), diz que a infecção urinária é um dos casos mais graves de hospitalização na gestação, teve como resultado, 76 gestantes tiveram como causa de internação, a infecção do trato urinário.…”

Complicações clínicas na gravidez: uma revisão sistemática de estudos com gestantes brasileiras

“…Em um artigo a informação sobre a idade não foi referida 40 (dados não apresentados em quadro). Dos 36 artigos empíricos sistematizados, apenas um é do tipo caso-controle 28 , sete são de coorte 1,10,12,22,31,38,40 e os outros transversais 4,7,11,[13][14][15][16][17][18][19][20][21][23][24][25][26][27]29,30,[32][33][34][35][36][37]39,41 . Em relação ao local de realização dos estudos, destaca-se que 11 deles são de âmbito nacional 19,[21][22][23][24]30,32,34,37 ou regional 29,41 .…”