Avaliação da incompletude da variável escolaridade materna nos registros das Declarações de Nascidos Vivos nas capitais brasileiras - 1996 a 2013

Abstract

The article assessed the quality of completion of the maternal school variable in Brazilian state capitals and its regional distribution, based on the Brazilian Information System on Live Births (SINASC) with processed data from live birth certificates. A descriptive study was conducted in the time series from 1996 to 2013, with a total de 12,062,064 births, of which 11,442,494 (94.86%) had valid information on the maternal schooling variable. The results were calculated as the number of incomplete results in the variable per 1,000 live births, and the trend was assessed with the Joinpoint software, version 4.3.1. According to regional analysis, the South of Brazil showed a downward trend in incompleteness of maternal schooling throughout the study in all the state capitals of that region. Most of the country's other state capitals also showed improvement in the variable's completeness. However, there were different trends in some state capitals, even with greater incompleteness at the end of the period when compared to the beginning. SINASC proved to be a valuable source of data on mothers and their newborns, besides information on conditions in labor, delivery, and birth in the country. Maternal schooling, considered an important factor for obstetric and neonatal outcomes, is particularly useful for elaborating and evaluating policies and measures in maternal and child health. Thus, to achieve maximum completeness in data on this variable requires joint effort by health professionals and administrators, thereby guaranteeing the data's trustworthiness.

Tendência da incompletude das estatísticas vitais no período neonatal, estado do Rio de Janeiro, 1999-2014*

“…15 National evaluations for the periods 2006-2010 and 1996-2013 found differences between regions of the country and state capital cities. 10,11 The Northeast region, for example, had the highest percentage of incompleteness, mainly for the 'race/skin color' and '5-minute Apgar' variables; 10 the same region also had the poorest LBC incompleteness for 'maternal schooling', although it has improved regarding this variable in recent years; the Southern region had the best performance. 11 With regard to the SIM system, variable completeness quality is lower than that of SINASC, in particular completeness of sociodemographic variables.…”

“…10,11 The Northeast region, for example, had the highest percentage of incompleteness, mainly for the 'race/skin color' and '5-minute Apgar' variables; 10 the same region also had the poorest LBC incompleteness for 'maternal schooling', although it has improved regarding this variable in recent years; the Southern region had the best performance. 11 With regard to the SIM system, variable completeness quality is lower than that of SINASC, in particular completeness of sociodemographic variables. 3,[12][13][14][16][17][18][19] There is a high proportion of data incompleteness on SIM, above all for the following variables: 'race/ skin color', maternal 'schooling', 'liveborn children' and 'stillborn children', maternal 'age' and 'length of pregnancy'.…”

“…[1][2][3][4][5][6] With regard to completeness, studies of SINASC have shown it to be good to excellent, with few exceptions in the case of some variables. 4,[6][7][8][9][10][11][12][13][14] The variables identified by these studies as having poorest completeness were: race/skin color, parity, maternal schooling and occupation, liveborn children and stillborn children. It should be noted that more recent studies have found lower levels of LBC incompleteness, mostly below 10%, 10 even for specific at-risk live birth populations.…”

Caderneta De Saúde Da Criança: Coordenação Do Cuidado E Acesso À Saúde

“…Ele se faz presente na Atenção Básica, orientando os cuidados pré-natais; na maternidade, para atender ao parto e ao nascimento, bem como recebe de volta na unidade de saúde o binômio após a alta. Embora o enfermeiro não seja o único profissional que preencha tal documento, ele tem potencial para favorecer, entre os membros da equipe, ações que promovam os registros da CSC e a conscientização desse importante instrumento, haja vista seu potencial para reduzir morbimortalidade infantil e permitir acesso ao cuidado e aproximação entre família e profissionais de saúde (12)(13) .…”

“…Pesquisa revelou incompletude da escolaridade materna como um fator importante sobre desfechos na saúde da mãe e do feto em outro importante documento, a Declaração de Nascidos Vivos (12) , sendo que os autores recomendaram a premência de esforços conjuntos de profissionais e gestores para registro dessas informações.…”