Loading…

Evolution of care during pregnancy and childbirth in the extreme south of Brazil

OBJECTIVESTo describe the evolution of care during pregnancy and childbirth among postpartum women living in the municipality of Rio Grande, Southern Brazil, using data from surveys carried out every three years between 2007 and 2019.METHODSWithin 48 hours after delivery, a single, standardized ques...

Full description

Saved in:
Bibliographic Details
Published in:Revista de saúde pública 2021-01, Vol.55, p.50-50
Main Authors: Cesar, Juraci A, Mendoza-Sassi, Raul A, Marmitt, Luana P
Format: Article
Language:eng ; por
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 50
container_issue
container_start_page 50
container_title Revista de saúde pública
container_volume 55
creator Cesar, Juraci A
Mendoza-Sassi, Raul A
Marmitt, Luana P
description OBJECTIVESTo describe the evolution of care during pregnancy and childbirth among postpartum women living in the municipality of Rio Grande, Southern Brazil, using data from surveys carried out every three years between 2007 and 2019.METHODSWithin 48 hours after delivery, a single, standardized questionnaire was applied to all mothers who had children in local hospitals and met the inclusion criteria. Demographic and reproductive characteristics, lifestyle habits, socioeconomic level of the family, and care received during pregnancy and childbirth were investigated. In the analysis, the chi-square test for linear trend was used to assess the distribution of indicators per survey.RESULTSA total of 12,645 parturients were interviewed (98% of the women eligible to participate in the surveys). In the period evaluated, the proportion of births fell 35% among adolescents and increased 25% among women aged 35 years and over. Mothers gained, on average, two years of schooling, and their families experienced an important economic improvement, followed by loss of income in the last survey. Maternal smoking, before and during pregnancy, fell by half. The rate of mothers who started prenatal care in the first trimester and the number of consultations and laboratory tests increased. Almost 60% of prenatal consultations and 80% of births took place in the Brazilian Unified Health System. In 2019, vaginal delivery was once again the most common. The rates of low birth weight (9%) and prematurity (17%) virtually remained unchanged.CONCLUSIONSWe found an important change in the reproductive profile and increased coverage of various prenatal care and delivery services. Children continue to be born well, but low birth weight and prematurity remain endemic.
doi_str_mv 10.11606/s1518-8787.2021055003128
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_ce0763db172e4ee2a2b2d134afceb82b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><scielo_id>S0034_89102021000100240</scielo_id><doaj_id>oai_doaj_org_article_ce0763db172e4ee2a2b2d134afceb82b</doaj_id><sourcerecordid>2562518077</sourcerecordid><originalsourceid>FETCH-LOGICAL-d278t-baacfc43213bbe218c266ed34f836f2d2a0335f1908400df38a7b3d3471b41353</originalsourceid><addsrcrecordid>eNpVkV9rFDEUxYModlv9DvHNl1mTezMz2RdBS9VCQUF9DvlzZzfLbLJmZor105t2S6EPlwvncH5czmXsnRRrKTvRfZhkK3Wje92vQYAUbSsEStAv2OrJeclWVVSN3khxxs6naS8EIKB-zc5QKdGh3KzYj6vbPC5zzInngXtbiIelxLTlx0LbZJO_4zYF7ndxDC6Wecdj4vOOOP2dCx2IT3mpYg1_LvZfHN-wV4MdJ3r7uC_Y7y9Xvy6_NTffv15ffrppAvR6bpy1fvAKQaJzBFJ76DoKqAaN3QABrEBsB7kRWgkRBtS2d1j9XjolscULdn3ihmz35ljiwZY7k200D0IuW2PLHP1IxpPoOwxO9kCKCCw4CBKVHTw5Da6y1ifW5CON2ezzUlI93vy8b9DcN_hQsxB1QIka-HgKHBd3oOApzcWOz6547qS4M9t8azSCbiVUwPtHQMl_Fppmc4iTp3G0ifIyGWg7qI8UfY__AQ90lIk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2562518077</pqid></control><display><type>article</type><title>Evolution of care during pregnancy and childbirth in the extreme south of Brazil</title><source>SciELO</source><source>PubMed Central</source><creator>Cesar, Juraci A ; Mendoza-Sassi, Raul A ; Marmitt, Luana P</creator><creatorcontrib>Cesar, Juraci A ; Mendoza-Sassi, Raul A ; Marmitt, Luana P</creatorcontrib><description>OBJECTIVESTo describe the evolution of care during pregnancy and childbirth among postpartum women living in the municipality of Rio Grande, Southern Brazil, using data from surveys carried out every three years between 2007 and 2019.METHODSWithin 48 hours after delivery, a single, standardized questionnaire was applied to all mothers who had children in local hospitals and met the inclusion criteria. Demographic and reproductive characteristics, lifestyle habits, socioeconomic level of the family, and care received during pregnancy and childbirth were investigated. In the analysis, the chi-square test for linear trend was used to assess the distribution of indicators per survey.RESULTSA total of 12,645 parturients were interviewed (98% of the women eligible to participate in the surveys). In the period evaluated, the proportion of births fell 35% among adolescents and increased 25% among women aged 35 years and over. Mothers gained, on average, two years of schooling, and their families experienced an important economic improvement, followed by loss of income in the last survey. Maternal smoking, before and during pregnancy, fell by half. The rate of mothers who started prenatal care in the first trimester and the number of consultations and laboratory tests increased. Almost 60% of prenatal consultations and 80% of births took place in the Brazilian Unified Health System. In 2019, vaginal delivery was once again the most common. The rates of low birth weight (9%) and prematurity (17%) virtually remained unchanged.CONCLUSIONSWe found an important change in the reproductive profile and increased coverage of various prenatal care and delivery services. Children continue to be born well, but low birth weight and prematurity remain endemic.</description><identifier>ISSN: 0034-8910</identifier><identifier>ISSN: 1518-8787</identifier><identifier>EISSN: 1518-8787</identifier><identifier>DOI: 10.11606/s1518-8787.2021055003128</identifier><identifier>PMID: 34406319</identifier><language>eng ; por</language><publisher>Faculdade de Saúde Pública da Universidade de São Paulo</publisher><subject>Birthing Centers, methods ; Health Policy &amp; Services ; Maternal-Child Health Services ; Original ; Prenatal Care, trends ; Program Evaluation ; Reproductive Health Services</subject><ispartof>Revista de saúde pública, 2021-01, Vol.55, p.50-50</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-4641-9056 ; 0000-0003-0526-7954 ; 0000-0003-0864-0486</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328512/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328512/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,24129,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Cesar, Juraci A</creatorcontrib><creatorcontrib>Mendoza-Sassi, Raul A</creatorcontrib><creatorcontrib>Marmitt, Luana P</creatorcontrib><title>Evolution of care during pregnancy and childbirth in the extreme south of Brazil</title><title>Revista de saúde pública</title><addtitle>Rev. Saúde Pública</addtitle><description>OBJECTIVESTo describe the evolution of care during pregnancy and childbirth among postpartum women living in the municipality of Rio Grande, Southern Brazil, using data from surveys carried out every three years between 2007 and 2019.METHODSWithin 48 hours after delivery, a single, standardized questionnaire was applied to all mothers who had children in local hospitals and met the inclusion criteria. Demographic and reproductive characteristics, lifestyle habits, socioeconomic level of the family, and care received during pregnancy and childbirth were investigated. In the analysis, the chi-square test for linear trend was used to assess the distribution of indicators per survey.RESULTSA total of 12,645 parturients were interviewed (98% of the women eligible to participate in the surveys). In the period evaluated, the proportion of births fell 35% among adolescents and increased 25% among women aged 35 years and over. Mothers gained, on average, two years of schooling, and their families experienced an important economic improvement, followed by loss of income in the last survey. Maternal smoking, before and during pregnancy, fell by half. The rate of mothers who started prenatal care in the first trimester and the number of consultations and laboratory tests increased. Almost 60% of prenatal consultations and 80% of births took place in the Brazilian Unified Health System. In 2019, vaginal delivery was once again the most common. The rates of low birth weight (9%) and prematurity (17%) virtually remained unchanged.CONCLUSIONSWe found an important change in the reproductive profile and increased coverage of various prenatal care and delivery services. Children continue to be born well, but low birth weight and prematurity remain endemic.</description><subject>Birthing Centers, methods</subject><subject>Health Policy &amp; Services</subject><subject>Maternal-Child Health Services</subject><subject>Original</subject><subject>Prenatal Care, trends</subject><subject>Program Evaluation</subject><subject>Reproductive Health Services</subject><issn>0034-8910</issn><issn>1518-8787</issn><issn>1518-8787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkV9rFDEUxYModlv9DvHNl1mTezMz2RdBS9VCQUF9DvlzZzfLbLJmZor105t2S6EPlwvncH5czmXsnRRrKTvRfZhkK3Wje92vQYAUbSsEStAv2OrJeclWVVSN3khxxs6naS8EIKB-zc5QKdGh3KzYj6vbPC5zzInngXtbiIelxLTlx0LbZJO_4zYF7ndxDC6Wecdj4vOOOP2dCx2IT3mpYg1_LvZfHN-wV4MdJ3r7uC_Y7y9Xvy6_NTffv15ffrppAvR6bpy1fvAKQaJzBFJ76DoKqAaN3QABrEBsB7kRWgkRBtS2d1j9XjolscULdn3ihmz35ljiwZY7k200D0IuW2PLHP1IxpPoOwxO9kCKCCw4CBKVHTw5Da6y1ifW5CON2ezzUlI93vy8b9DcN_hQsxB1QIka-HgKHBd3oOApzcWOz6547qS4M9t8azSCbiVUwPtHQMl_Fppmc4iTp3G0ifIyGWg7qI8UfY__AQ90lIk</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Cesar, Juraci A</creator><creator>Mendoza-Sassi, Raul A</creator><creator>Marmitt, Luana P</creator><general>Faculdade de Saúde Pública da Universidade de São Paulo</general><general>Universidade de São Paulo</general><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4641-9056</orcidid><orcidid>https://orcid.org/0000-0003-0526-7954</orcidid><orcidid>https://orcid.org/0000-0003-0864-0486</orcidid></search><sort><creationdate>20210101</creationdate><title>Evolution of care during pregnancy and childbirth in the extreme south of Brazil</title><author>Cesar, Juraci A ; Mendoza-Sassi, Raul A ; Marmitt, Luana P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d278t-baacfc43213bbe218c266ed34f836f2d2a0335f1908400df38a7b3d3471b41353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2021</creationdate><topic>Birthing Centers, methods</topic><topic>Health Policy &amp; Services</topic><topic>Maternal-Child Health Services</topic><topic>Original</topic><topic>Prenatal Care, trends</topic><topic>Program Evaluation</topic><topic>Reproductive Health Services</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cesar, Juraci A</creatorcontrib><creatorcontrib>Mendoza-Sassi, Raul A</creatorcontrib><creatorcontrib>Marmitt, Luana P</creatorcontrib><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cesar, Juraci A</au><au>Mendoza-Sassi, Raul A</au><au>Marmitt, Luana P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evolution of care during pregnancy and childbirth in the extreme south of Brazil</atitle><jtitle>Revista de saúde pública</jtitle><addtitle>Rev. Saúde Pública</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>55</volume><spage>50</spage><epage>50</epage><pages>50-50</pages><issn>0034-8910</issn><issn>1518-8787</issn><eissn>1518-8787</eissn><abstract>OBJECTIVESTo describe the evolution of care during pregnancy and childbirth among postpartum women living in the municipality of Rio Grande, Southern Brazil, using data from surveys carried out every three years between 2007 and 2019.METHODSWithin 48 hours after delivery, a single, standardized questionnaire was applied to all mothers who had children in local hospitals and met the inclusion criteria. Demographic and reproductive characteristics, lifestyle habits, socioeconomic level of the family, and care received during pregnancy and childbirth were investigated. In the analysis, the chi-square test for linear trend was used to assess the distribution of indicators per survey.RESULTSA total of 12,645 parturients were interviewed (98% of the women eligible to participate in the surveys). In the period evaluated, the proportion of births fell 35% among adolescents and increased 25% among women aged 35 years and over. Mothers gained, on average, two years of schooling, and their families experienced an important economic improvement, followed by loss of income in the last survey. Maternal smoking, before and during pregnancy, fell by half. The rate of mothers who started prenatal care in the first trimester and the number of consultations and laboratory tests increased. Almost 60% of prenatal consultations and 80% of births took place in the Brazilian Unified Health System. In 2019, vaginal delivery was once again the most common. The rates of low birth weight (9%) and prematurity (17%) virtually remained unchanged.CONCLUSIONSWe found an important change in the reproductive profile and increased coverage of various prenatal care and delivery services. Children continue to be born well, but low birth weight and prematurity remain endemic.</abstract><pub>Faculdade de Saúde Pública da Universidade de São Paulo</pub><pmid>34406319</pmid><doi>10.11606/s1518-8787.2021055003128</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4641-9056</orcidid><orcidid>https://orcid.org/0000-0003-0526-7954</orcidid><orcidid>https://orcid.org/0000-0003-0864-0486</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0034-8910
ispartof Revista de saúde pública, 2021-01, Vol.55, p.50-50
issn 0034-8910
1518-8787
1518-8787
language eng ; por
recordid cdi_doaj_primary_oai_doaj_org_article_ce0763db172e4ee2a2b2d134afceb82b
source SciELO; PubMed Central
subjects Birthing Centers, methods
Health Policy & Services
Maternal-Child Health Services
Original
Prenatal Care, trends
Program Evaluation
Reproductive Health Services
title Evolution of care during pregnancy and childbirth in the extreme south of Brazil
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T04%3A30%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evolution%20of%20care%20during%20pregnancy%20and%20childbirth%20in%20the%20extreme%20south%20of%20Brazil&rft.jtitle=Revista%20de%20sa%C3%BAde%20p%C3%BAblica&rft.au=Cesar,%20Juraci%20A&rft.date=2021-01-01&rft.volume=55&rft.spage=50&rft.epage=50&rft.pages=50-50&rft.issn=0034-8910&rft.eissn=1518-8787&rft_id=info:doi/10.11606/s1518-8787.2021055003128&rft_dat=%3Cproquest_doaj_%3E2562518077%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-d278t-baacfc43213bbe218c266ed34f836f2d2a0335f1908400df38a7b3d3471b41353%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2562518077&rft_id=info:pmid/34406319&rft_scielo_id=S0034_89102021000100240&rfr_iscdi=true