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- Title
ASSISTÊNCIA PRÉ-NATAL E SUA ASSOCIAÇÃO COM O TIPO DE PARTO NA REDE SUPLEMENTAR DE SAÚDE.
- Authors
de Sousa Rosa, Zelina Hilária; de Albuquerque, Rosemeire Sartori; Gabrielloni, Maria Cristina; Barbieri, Márcia
- Abstract
Objective: to analyze the factors associated with prenatal care with the type of childbirth in the supplementary health network. Method: epidemiological, cross-sectional study conducted by secondary analysis of part of the research data 'Healthy Birth: a prospective study to evaluate the implementation and effects of a multifaceted intervention to improve the quality of childbirth and birth care in hospitals in Brazil'. The sample included 2,435 women, admitted to five maternity hospitals in the cities of São Paulo and Santos through interviews in the postpartum period, consultations in medical records and prenatal card. The data were analyzed descriptively. Chi-square and Fisher's exact test was used for association between variables and, for comparison of means between groups, the Student t test. Result: prenatal care for most pregnant women (44.6%) was performed in a private office followed by an outpatientclinic of the health plan (38.3%). The predominance of care for pregnant women was done by the doctor (92.5%). The outcome of childbirth, mostly cesarean (76.6%), followed by 23.4% of vaginal childbirths. Conclusion: puerperal women who performed prenatal care in the private office with private financing of childbirth had a greater chance of cesarean section. The joint participation of the obstetrician nurse with the doctor showed a slight tendency to impact the vaginal childbirth route.
- Subjects
BRAZIL; CHILDBIRTH; MEDICAL quality control; HOSPITALS; CROSS-sectional method; INTERVIEWING; FISHER exact test; WOMEN; CLINICS; T-test (Statistics); PREGNANCY outcomes; VAGINA; HEALTH insurance; PUERPERIUM; MEDICAL referrals; MEDICAL records; DESCRIPTIVE statistics; CHI-squared test; PRENATAL care; PHYSICIANS; DELIVERY (Obstetrics); CESAREAN section; EPIDEMIOLOGICAL research; SECONDARY analysis
- Publication
Ciencia, Cuidado e Saude, 2023, Vol 22, p1
- ISSN
1677-3861
- Publication type
Article
- DOI
10.4025/ciencuidsaude.v22i0.66358