Factors associated to the type of childbirth in public and private hospitals in Brazil

Guimarães, Raphael Mendonça; Silva, Rafael Leiróz Pereira Duarte; Dutra, Viviane Gomes Parreira; Andrade, Pedro Gomes; Pereira, Arnaldo César; Jomar, Rafael Tavares; Freire, Renata Pascoal

doi:10.1590/1806-93042017000300009

Cited by 12 publications

(19 citation statements)

References 17 publications

(15 reference statements)

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“…According to 2014 data, Brazil has a high prevalence of operative births (52.8%), with 38.1% being performed in public hospitals. 28,29 These figures are consistent with the findings of the present study, in which the cesarean section rate was 48.9% in LPI and 30.6% in TI. However, the variable for recommended cesarean delivery was not evaluated, thus limiting the analysis of the high rate found, which can be justified due to the obstetric characteristics attended.…”

Section: Discussionsupporting

confidence: 92%

Maternal and Fetal Risk Factors Associated With Late Preterm Infants

Vanin

Zatti

Soncini

et al. 2020

Rev. paul. pediatr.

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Objective: To determine maternal and fetal risk factors associated with the birth of late preterm infants in comparison to those born at term. Methods: A case-control study was carried out in a tertiary center for high-risk pregnancies. For the cases, the study enrolled post-partum mothers and their respective newborns with gestational ages equal or greater than 34 weeks and less than 37 weeks. As controls, the post-partum mothers and their newborns with gestational ages of 37 weeks or greater were selected. The sample was calculated with a ratio of two controls for each case, resulting in 423 patients. Association studies were performed using the chi-square test or Fisher’s exact test and logistic regression analysis. Results: The variables associated with late prematurity were inadequate prenatal (Odds Ratio [OR] 1.23; confidence interval of 95% [95%CI] 1.12-1.34; p≤0.001), premature rupture of membranes (OR 4.98; 95%CI 2.66-9.31; p≤0.001), length of hospital stay ≥24 hours until birth (OR 0.18; 95%CI 0.06-0.52; p≤0.001), cesarean section (OR 2.74; 95%CI 1.69-4.44; p≤0.001) and small for gestational age newborn (OR 3.02; 95%CI 1.80-5.05; p≤0.001). Conclusions: Inadequate prenatal care and membranes’ premature rupture were found as factors associated with the late preterm birth. It is important to identify the factors that allow intervention with adequate prenatal care in order to reduce poor outcomes due to late prematurity.

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Section: Discussionsupporting

confidence: 92%

Maternal and Fetal Risk Factors Associated With Late Preterm Infants

Vanin

Zatti

Soncini

et al. 2020

Rev. paul. pediatr.

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“…Finally, this study showed that cesarean rates are related to the funding of the hospital, that is, women in the private system are more likely to have surgical delivery compared to women in public hospitals, with a significant association after adjustments. This relationship has been observed in other studies (4,28) , thereby suggesting the occurrence of a large number of cesarean sections without indication, mainly, in the private sector.…”

Section: Discussionsupporting

confidence: 81%

“…Therefore, socioeconomic issues can be related to female protagonism in the choice for the mode of delivery, issues of access and equity in health services (30) . In this direction, choosing a cesarean delivery can also be related to social status and the fact that women can choose the day and time the baby will be born and the perspective of avoiding the pain of vaginal delivery (28) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

et al. 2020

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Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte. Methods: cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio. Results: increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section. Final Considerations: the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.

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“…Estudos de abrangência nacional 29,30 encontraram elevadas proporções de nascimentos por cesariana (mais de 50%) em estabelecimentos privados e entre mães de melhor condição socioeconômica. Para as gestantes da Região Norte, no tocante a essas características, foram observados 41% e 42,8% de partos cesarianos, respectivamente 15,29 .…”

Section: Primeiro Inquérito Nacional De Saúde E Nutrição Dosunclassified

Avaliação da atenção pré-natal ofertada às mulheres indígenas no Brasil: achados do Primeiro Inquérito Nacional de Saúde e Nutrição dos Povos Indígenas

et al. 2019

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Resumo: Este estudo avalia a atenção pré-natal de mulheres indígenas com idades entre 14-49 anos, com filhos menores de 60 meses no Brasil. O Primeiro Inquérito Nacional de Saúde e Nutrição dos Povos Indígenas avaliou 3.967 mulheres que atendiam a tais requisitos, sendo 41,3% da Região Norte; 21,2% do Centro-oeste; 22,2% do Nordeste; e 15% do Sul/Sudeste. O pré-natal foi ofertado a 3.437 (86,6%) delas. A Região Norte registrou a maior proporção de mulheres que não fizeram pré-natal. A cobertura alcançada foi de 90,4%, mas somente cerca de 30% iniciaram o pré-natal no 1º trimestre e apenas 60% das elegíveis foram vacinadas contra difteria e tétano. Somente 16% das gestantes indígenas realizaram 7 ou mais consultas de pré-natal. Ter acesso a pelo menos um cuidado clínico-obstétrico foi observado em cerca de 97% dos registros, exceto exame de mamas (63%). Foi baixa a solicitação de exames (glicemia 53,6%, urina 53%, hemograma 56,9%, citologia oncótica 12,9%, teste de sífilis 57,6%, sorologia para HIV 44,2%, hepatite B 53,6%, rubéola 21,4% e toxoplasmose 32,6%) e prescrição de sulfato ferroso (44,1%). No conjunto, a proporção de solicitações de exames laboratoriais preconizados não ultrapassou 53%. Os percentuais de realização das ações do pré-natal das indígenas são mais baixos que os encontrados para mulheres não indígenas no conjunto do território nacional, e até mesmo para as residentes em regiões de elevada vulnerabilidade social e baixa cobertura assistencial como a Amazônia Legal e o Nordeste. Os resultados reafirmam a persistência de desigualdades étnico-raciais que comprometem a saúde e o bem-estar de mães indígenas.

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Factors associated to the type of childbirth in public and private hospitals in Brazil

Abstract: (OR = 23.26;

Cited by 12 publications

References 17 publications

Maternal and Fetal Risk Factors Associated With Late Preterm Infants

Maternal and Fetal Risk Factors Associated With Late Preterm Infants

Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

Avaliação da atenção pré-natal ofertada às mulheres indígenas no Brasil: achados do Primeiro Inquérito Nacional de Saúde e Nutrição dos Povos Indígenas

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