Efetividade de uma intervenção educativa na adequação da indicação de cesárea em um hospital universitário

• Autor(a) principal: Marquini, Gisele Vissoci
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFU
• Texto Completo: https://repositorio.ufu.br/handle/123456789/12819; https://doi.org/10.14393/ufu.di.2014.294
• topic: Cesárea; Obstetrícia; Epidemiologia; Organização mundial da saúde; Medicina baseada em evidências; Gravidez; Políticas públicas; Centros de atenção terciária; Cesarean section; Obstetrics; Epidemiology; World health organization; Evidence-based medicine; Pregnancy; Public policies; Tertiary care centers; CNPQ::CIENCIAS DA SAUDE

Objective: Despite the importance of cesarean section, when appropriately indicated, organs such as the World Health Organization (WHO) are concerned about its increasing incidence worldwide. The objective of this study was to evaluate the effectiveness of an intervention in order to readjust the indications for cesarean sections in a Brazilian teaching hospital. Methods: This study was carried out in three stages: I: Random selection of 160 cesarean records of May, June and July, 2011; II: Implantation of the guideline of cesarean sections indications; III: Random selection of 160 cesarean records of May, June and July, 2012. These records were classified into high and low-risk, according to type of prenatal, and into consistent and inconsistent clinical cases based on the guideline. Statistical analysis: Binomial Test for Two Proportions. P-values under 0.05 were considered statistically significant. Results: Among the lowrisk cesareans, 27 (51.92%) were consistent with the protocol at stage I, and 49 (72.05%) at stage III (p=0.02). Conclusion: The proposed intervention, under the conditions by which it was tested, favors the suitability of indications for cesarean sections in low-risk pregnancies.