Impact on pregnant/parturient women's health resulting from displacement between residence and health service

Rodrigues, Ivana Rios; Sales, Luiz Belino Ferreira; Oriá, Mônica Oliveira Batista; Gomes, Maria Luziene de Sousa; Moura, Nádya dos Santos

doi:10.15253/2175-6783.20212261115

Cited by 4 publications

(3 citation statements)

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“…However, geographic barriers, such as delta areas, can also interfere. Travel time to the maternity hospital is a factor cited in the literature as important for carrying out adequate care management in a timely manner, reducing bad prognoses ( 22 ) . Greater distances and travel time may be associated with births that occur during the maternity hospital ( 23 ) as well as adverse birth outcomes, such as the need for admission to Intensive Care Units, postpartum transfusion, post-cesarean hysterectomy, among others ( 24 ) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará

Mesquita,

Rodrigues,

Ferreira

et al. 2024

Rev. esc. enferm. USP

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Objective: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil. Method: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson’s chi-square test selected variables for adjusted Poisson regression. Results: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04–1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03–1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. Conclusion: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.

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Section: Discussionmentioning

confidence: 99%

Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará

Mesquita,

Rodrigues,

Ferreira

et al. 2024

Rev. esc. enferm. USP

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“…Além disso, o tempo de viagem, a precariedade no transporte público, locais de moradia socioeconomicamente desfavorecidas e menor escolaridade das mulheres são fatores que obstaculizam o deslocamento do domicílio aos serviços de saúde. 21 O acesso aos serviços de saúde é tema multidimensional, envolvendo determinantes políticos, econômicos, sociais, organizativos e geográficos no estabelecimento dos caminhos percorridos por pessoas na busca de cuidados. No cotidiano da Estratégia Saúde da Família, as dificuldades de acesso, a elevada demanda espontânea e a falta de profissionais, exacerbam a acessibilidade da atenção à saúde.…”

Section: Discussionunclassified

Fatores associados ao desmame precoce e padrão espacial do aleitamento materno em território na Zona da Mata de Pernambuco, Brasil

Holanda

Silva

2022

Rev. Bras. Saude Mater. Infant.

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Resumo Objetivos: avaliar os fatores associados ao desmame precoce e o padrão de distribuição espacial do aleitamento materno no território de adscrição de uma Unidade Básica de Saúde (UBS). Métodos: estudo analítico transversal realizado com 47 mães de crianças menores de dois anos em uma UBS, de Vitória de Santo Antão, Pernambuco. A associação entre as variáveis independentes e o desmame precoce foi verificada por meio de análise bivariada e multivariada. Para análise espacial dos casos de aleitamento materno, empregou-se a técnica de densidade de Kernel, buffers de proximidade dos endereços das participantes à Unidade de Saúde e mapa de fluxo. Resultados: a prevalência de desmame precoce foi de 61,7% (IC95%= 47,8-75,6). Os fatores associados ao desmame precoce foram: distância da residência para a UBS maior de 500 metros, não ser primípara, não participação no grupo educativo de gestante durante o pré-natal e o uso de mamadeira. Receber bolsa família e residir em domicílio com água encanada constituíram fator de proteção a esse desfecho. Encontrou-se dois aglomerados de casos de desmame precoce em locais mais afastados da UBS. Conclusões: houve alta prevalência de desmame precoce e associação deste desfecho com o deslocamento domicílio-unidade de saúde, primiparidade, não participação da gestante em atividades educativas durante o pré-natal e utilização de mamadeira.

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“…Furthermore, the time of travel, the public transport precariousness, locations or residence socioeconomically underprivileged and lower schooling of women are factors that hinder displacement from home to health services. 21 The access to health services is a multidimensional theme, involving political, economic, social, organizing and geographic aspects in the establishment of paths taken by people seeking for care. In Family Health Strategy quotidian, access difficulties, high spontaneous demand and lack of professionals exacerbate the health care accesibilty.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with early weaning and spatial pattern of breastfeeding in territory in the Zona da Mata of Pernambuco, Brazil

Holanda

Silva

2022

Rev. Bras. Saude Mater. Infant.

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Objectives: to assess factors associated with early weaning and the pattern of spatial distribution of breastfeeding in the ascription territory of a Basic Health Unit (BHU). Methods: analytic cross-sectional study performed with 47 mothers of children under 2 years of age in a BHU from Vitória de Santo Antão, Pernambuco. The association of independent variables and early weaning was verified using bivariate and multivariate analysis. For spatial analysis of cases of breastfeeding, we applied Kernel density estimation, proximity analysis buffers of the addresses of participants to the Health Unit and flow map. Results: the prevalence of early weaning was 61.7% (CI95% = 47.8-75.6). Factors associated with early weaning were: distance of residence to the BHU higher than 500 meters, not being primiparous, non-participation in educational groups for pregnant women during prenatal period and use of nursing bottles. Being beneficiary of welfare program Bolsa Família and residing in a home with piped water constituted a protective factor for this outcome. Two clusters of early weaning cases were found in locations further away from the BHUs. Conclusions: there was high prevalence of early weaning and association of this outcome with the home-health unit displacement, being primiparous, non-participation of pregnant women in educational activities during prenatal period and use of nursing bottles.

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Impact on pregnant/parturient women's health resulting from displacement between residence and health service

Cited by 4 publications

References 0 publications

Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará

Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará

Fatores associados ao desmame precoce e padrão espacial do aleitamento materno em território na Zona da Mata de Pernambuco, Brasil

Factors associated with early weaning and spatial pattern of breastfeeding in territory in the Zona da Mata of Pernambuco, Brazil

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