Provider-initiated Late preterm births in Brazil: differences between public and private health services

Detalhes bibliográficos
Autor(a) principal: Leal, Maria do Carmo
Data de Publicação: 2016
Outros Autores: Esteves-Pereira, Ana Paula, Nakamura-Pereira, Marcos, Torres, Jacqueline Alves, Domingues, Rosa Maria Soares Madeira, Dias, Marcos Augusto Bastos, Moreira, Maria Elizabeth, Theme-Filha, Mariza, Gama, Silvana Granado Nogueira da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29309
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Leal, Maria do CarmoEsteves-Pereira, Ana PaulaNakamura-Pereira, MarcosTorres, Jacqueline AlvesDomingues, Rosa Maria Soares MadeiraDias, Marcos Augusto BastosMoreira, Maria ElizabethTheme-Filha, MarizaGama, Silvana Granado Nogueira da2018-10-03T19:32:56Z2018-10-03T19:32:56Z2016LEAL, Maria do Carmo et al. Provider-initiated late preterm births in Brazil: differences between public and private health services. PLoS ONE, v. 11, n. 5, p. 1-14, May 19 2016.1932-6203https://www.arca.fiocruz.br/handle/icict/2930910.1371/journal.pone.0155511engProvider-initiated Late preterm births in Brazil: differences between public and private health servicesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Ministério da Saúde. Agência Nacional de Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Background: A large proportion of the rise in prematurity worldwide is owing to late preterm births, which may be due to the expansion of obstetric interventions, especially pre-labour caesarean section. Late preterm births pose similar risks to overall prematurity, making this trend a concern. In this study, we describe factors associated with provider-initiated late preterm birth and verify differences in provider-initiated late preterm birth rates between public and private health services according to obstetric risk. Methods: This is a sub-analysis of a national population-based survey of postpartum women entitled “Birth in Brazil”, performed between 2011 and 2012. We included 23,472 singleton live births. We performed non-conditional multiple logistic regressions assessing associated factors and analysing differences between public and private health services. Results: Provider-initiated births accounted for 38% of late preterm births; 32% in public health services and 61% in private health services. They were associated with previous preterm birth (s) and maternal pathologies for women receiving both public and private services and with maternal age 35 years for women receiving public services. Women receiving private health services had higher rates of provider-initiated late preterm birth (rate of 4.8%) when compared to the ones receiving public services (rate of 2.4%), regardless of obstetric risk–adjusted OR of 2.3 (CI 1.5–3.6) for women of low obstetric risk and adusted OR of 1.6 (CI 1.1–2.3) for women of high obstetric risk. The high rates of provider-initiated late preterm birth suggests a considerable potential for reduction, as such prematurity can be avoided, especially in women of low obstetric risk. To promote healthy births, we advise introducing policies with incentives for the adoption of new models of birth care.Preterm birthsPublic and private health servicesWomen of low obstetric riskinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/29309/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALProvider-Initiated Late Preterm Births in Brazil Differences between Public and Private Health Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdfProvider-Initiated Late Preterm Births in Brazil Differences between Public and Private Health Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdfapplication/pdf279636https://www.arca.fiocruz.br/bitstream/icict/29309/2/Provider-Initiated%20Late%20Preterm%20Births%20in%20Brazil%20Differences%20between%20Public%20and%20Private%20Health%20Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdf0f9aeba3036693cf33f47d452c7cd1c6MD52TEXTProvider-Initiated Late Preterm Births in Brazil Differences between Public and Private Health Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtProvider-Initiated Late Preterm Births in Brazil Differences between Public and Private Health Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtExtracted texttext/plain47365https://www.arca.fiocruz.br/bitstream/icict/29309/3/Provider-Initiated%20Late%20Preterm%20Births%20in%20Brazil%20Differences%20between%20Public%20and%20Private%20Health%20Services_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txte770c5e44cfb124988e40ec3a1c147caMD53icict/293092023-01-12 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dc.title.pt_BR.fl_str_mv Provider-initiated Late preterm births in Brazil: differences between public and private health services
title Provider-initiated Late preterm births in Brazil: differences between public and private health services
spellingShingle Provider-initiated Late preterm births in Brazil: differences between public and private health services
Leal, Maria do Carmo
Preterm births
Public and private health services
Women of low obstetric risk
title_short Provider-initiated Late preterm births in Brazil: differences between public and private health services
title_full Provider-initiated Late preterm births in Brazil: differences between public and private health services
title_fullStr Provider-initiated Late preterm births in Brazil: differences between public and private health services
title_full_unstemmed Provider-initiated Late preterm births in Brazil: differences between public and private health services
title_sort Provider-initiated Late preterm births in Brazil: differences between public and private health services
author Leal, Maria do Carmo
author_facet Leal, Maria do Carmo
Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Torres, Jacqueline Alves
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elizabeth
Theme-Filha, Mariza
Gama, Silvana Granado Nogueira da
author_role author
author2 Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Torres, Jacqueline Alves
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elizabeth
Theme-Filha, Mariza
Gama, Silvana Granado Nogueira da
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Leal, Maria do Carmo
Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Torres, Jacqueline Alves
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elizabeth
Theme-Filha, Mariza
Gama, Silvana Granado Nogueira da
dc.subject.en.pt_BR.fl_str_mv Preterm births
Public and private health services
Women of low obstetric risk
topic Preterm births
Public and private health services
Women of low obstetric risk
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2018-10-03T19:32:56Z
dc.date.available.fl_str_mv 2018-10-03T19:32:56Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv LEAL, Maria do Carmo et al. Provider-initiated late preterm births in Brazil: differences between public and private health services. PLoS ONE, v. 11, n. 5, p. 1-14, May 19 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29309
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0155511
identifier_str_mv LEAL, Maria do Carmo et al. Provider-initiated late preterm births in Brazil: differences between public and private health services. PLoS ONE, v. 11, n. 5, p. 1-14, May 19 2016.
1932-6203
10.1371/journal.pone.0155511
url https://www.arca.fiocruz.br/handle/icict/29309
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/29309/1/license.txt
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