Unplanned pregnancy in Brazil: national study in eight university hospitals

Detalhes bibliográficos
Autor(a) principal: Nilson, Tainá Vieira
Data de Publicação: 2023
Outros Autores: Amato, Angélica Amorim, Resende, Ceres Nunes, Primo, Walquíria Quida Salles Pereira, Nomura, Roseli Mieko Yamamoto, Costa, Maria Laura, Opperman, Maria Lúcia, Brock, Marianna, Trapani Junior, Alberto, Damasio, Lia Cruz Vaz da Costa, Reis, Nadia, Borges, Vera, Araújo, Ana Cristina, Ruano, Rodrigo, Zaconeta, Alberto Carlos Moreno
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/213893
Resumo: OBJECTIVE: To estimate the prevalence of unplanned pregnancy in eight public university hospitals, distributed in the five regions that make up Brazil. METHODS: A secondary analysis of a national multicenter cross-sectional study, carried out in eight public university hospitals between June 1 and August 31, 2020, in Brazil. Convenience sample including women who gave birth within sixty consecutive days and met the following criteria: over 18 years old; gestational age over 36 weeks at delivery; with a single and live newborn, without malformations. RESULTS: Sample composed of 1,120 postpartum women, of whom 756 (67.5%) declared that the pregnancy had not been planned. The median prevalence of unplanned pregnancy was 59.7%. The prevalence of unplanned pregnancy across hospitals differed significantly: Campinas (54.8%), Porto Alegre (58.2%), Florianópolis (59%), Teresina (61.2%), Brasília (64.3%), São Paulo (64.6%), Campo Grande (73.9%) and Manaus (95.3%) (p < 0.001). Factors significantly associated with unplanned pregnancy were maternal age, black color, lower family income, greater number of children, greater number of people living in household, and not having a partner. CONCLUSION: In the studied sample, about two thirds of the pregnancies were declared as unplanned. The prevalence of unplanned pregnancies was related to social and demographic factors and varied significantly across the university hospitals evaluated.
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spelling Unplanned pregnancy in Brazil: national study in eight university hospitalsGravidez não planejada no Brasil: estudo nacional em oito hospitais universitáriosUnplanned PregnancyFamily Development PlanningHormonal ContraceptionReproductive RightsGravidez Não PlanejadaPlanejamento FamiliarAnticoncepçãoDireitos Sexuais e ReprodutivosOBJECTIVE: To estimate the prevalence of unplanned pregnancy in eight public university hospitals, distributed in the five regions that make up Brazil. METHODS: A secondary analysis of a national multicenter cross-sectional study, carried out in eight public university hospitals between June 1 and August 31, 2020, in Brazil. Convenience sample including women who gave birth within sixty consecutive days and met the following criteria: over 18 years old; gestational age over 36 weeks at delivery; with a single and live newborn, without malformations. RESULTS: Sample composed of 1,120 postpartum women, of whom 756 (67.5%) declared that the pregnancy had not been planned. The median prevalence of unplanned pregnancy was 59.7%. The prevalence of unplanned pregnancy across hospitals differed significantly: Campinas (54.8%), Porto Alegre (58.2%), Florianópolis (59%), Teresina (61.2%), Brasília (64.3%), São Paulo (64.6%), Campo Grande (73.9%) and Manaus (95.3%) (p < 0.001). Factors significantly associated with unplanned pregnancy were maternal age, black color, lower family income, greater number of children, greater number of people living in household, and not having a partner. CONCLUSION: In the studied sample, about two thirds of the pregnancies were declared as unplanned. The prevalence of unplanned pregnancies was related to social and demographic factors and varied significantly across the university hospitals evaluated.OBJETIVO: Estimar a prevalência de gestação não planejada (GNP) em oito hospitais públicos universitários, distribuídos nas cinco regiões que compõem o Brasil. MÉTODOS: Análise secundária de um estudo transversal multicêntrico nacional, realizado em oito hospitais universitários públicos, entre 1º de junho e 31 de agosto de 2020, no Brasil. Amostra por conveniência incluindo mulheres que deram à luz em período de sessenta dias consecutivos e atenderam aos seguintes critérios: maiores de 18 anos; idade gestacional acima de 36 semanas no parto; com recém-nascido único e vivo, sem malformações. RESULTADOS: Amostra composta por 1.120 puérperas, das quais 756 (67,5%) declararam que a gravidez não tinha sido programada. A mediana da prevalência de GNP foi de 59,7%. Observou-se diferença significativa na prevalência de GNP entre os hospitais: Campinas (54,8%), Porto Alegre (58,2%), Florianópolis (59%), Teresina (61,2%), Brasília (64,3%), São Paulo (64,6%), Campo Grande (73,9%) e Manaus (95,3%) (p < 0,001). Foram fatores significativamente associados a GNP a idade materna, cor negra, menor renda familiar, maior número de filhos, maior número de pessoas convivendo em casa e não ter parceiro. CONCLUSÃO: na amostra estudada, cerca de dois terços das gestações foram declaradas como não programadas. A prevalência de gestação não planejada teve relação com fatores sociais e demográficos e variou significativamente entre os hospitais universitários avaliados.Universidade de São Paulo. Faculdade de Saúde Pública2023-06-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/21389310.11606/s1518-8787.2023057004449Revista de Saúde Pública; Vol. 57 No. 1 (2023); 35Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 35Revista de Saúde Pública; v. 57 n. 1 (2023); 351518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/213893/196132https://www.revistas.usp.br/rsp/article/view/213893/196131https://www.revistas.usp.br/rsp/article/view/213893/196130Copyright (c) 2023 Tainá Vieira Nilson, Angélica Amorim Amato, Ceres Nunes Resende, Walquíria Quida Salles Pereira Primo, Roseli Mieko Yamamoto Nomura, Maria Laura Costa, Maria Lúcia Opperman, Marianna Brock, Alberto Trapani Junior, Lia Cruz Vaz da Costa Damasio, Nadia Reis, Vera Borges, Ana Cristina Araújo, Rodrigo Ruano, Alberto Carlos Moreno Zaconetahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNilson, Tainá VieiraAmato, Angélica AmorimResende, Ceres NunesPrimo, Walquíria Quida Salles PereiraNomura, Roseli Mieko YamamotoCosta, Maria LauraOpperman, Maria LúciaBrock, MariannaTrapani Junior, AlbertoDamasio, Lia Cruz Vaz da CostaReis, NadiaBorges, VeraAraújo, Ana CristinaRuano, RodrigoZaconeta, Alberto Carlos Moreno2023-06-30T17:16:59Zoai:revistas.usp.br:article/213893Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2023-06-30T17:16:59Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Unplanned pregnancy in Brazil: national study in eight university hospitals
Gravidez não planejada no Brasil: estudo nacional em oito hospitais universitários
title Unplanned pregnancy in Brazil: national study in eight university hospitals
spellingShingle Unplanned pregnancy in Brazil: national study in eight university hospitals
Nilson, Tainá Vieira
Unplanned Pregnancy
Family Development Planning
Hormonal Contraception
Reproductive Rights
Gravidez Não Planejada
Planejamento Familiar
Anticoncepção
Direitos Sexuais e Reprodutivos
title_short Unplanned pregnancy in Brazil: national study in eight university hospitals
title_full Unplanned pregnancy in Brazil: national study in eight university hospitals
title_fullStr Unplanned pregnancy in Brazil: national study in eight university hospitals
title_full_unstemmed Unplanned pregnancy in Brazil: national study in eight university hospitals
title_sort Unplanned pregnancy in Brazil: national study in eight university hospitals
author Nilson, Tainá Vieira
author_facet Nilson, Tainá Vieira
Amato, Angélica Amorim
Resende, Ceres Nunes
Primo, Walquíria Quida Salles Pereira
Nomura, Roseli Mieko Yamamoto
Costa, Maria Laura
Opperman, Maria Lúcia
Brock, Marianna
Trapani Junior, Alberto
Damasio, Lia Cruz Vaz da Costa
Reis, Nadia
Borges, Vera
Araújo, Ana Cristina
Ruano, Rodrigo
Zaconeta, Alberto Carlos Moreno
author_role author
author2 Amato, Angélica Amorim
Resende, Ceres Nunes
Primo, Walquíria Quida Salles Pereira
Nomura, Roseli Mieko Yamamoto
Costa, Maria Laura
Opperman, Maria Lúcia
Brock, Marianna
Trapani Junior, Alberto
Damasio, Lia Cruz Vaz da Costa
Reis, Nadia
Borges, Vera
Araújo, Ana Cristina
Ruano, Rodrigo
Zaconeta, Alberto Carlos Moreno
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nilson, Tainá Vieira
Amato, Angélica Amorim
Resende, Ceres Nunes
Primo, Walquíria Quida Salles Pereira
Nomura, Roseli Mieko Yamamoto
Costa, Maria Laura
Opperman, Maria Lúcia
Brock, Marianna
Trapani Junior, Alberto
Damasio, Lia Cruz Vaz da Costa
Reis, Nadia
Borges, Vera
Araújo, Ana Cristina
Ruano, Rodrigo
Zaconeta, Alberto Carlos Moreno
dc.subject.por.fl_str_mv Unplanned Pregnancy
Family Development Planning
Hormonal Contraception
Reproductive Rights
Gravidez Não Planejada
Planejamento Familiar
Anticoncepção
Direitos Sexuais e Reprodutivos
topic Unplanned Pregnancy
Family Development Planning
Hormonal Contraception
Reproductive Rights
Gravidez Não Planejada
Planejamento Familiar
Anticoncepção
Direitos Sexuais e Reprodutivos
description OBJECTIVE: To estimate the prevalence of unplanned pregnancy in eight public university hospitals, distributed in the five regions that make up Brazil. METHODS: A secondary analysis of a national multicenter cross-sectional study, carried out in eight public university hospitals between June 1 and August 31, 2020, in Brazil. Convenience sample including women who gave birth within sixty consecutive days and met the following criteria: over 18 years old; gestational age over 36 weeks at delivery; with a single and live newborn, without malformations. RESULTS: Sample composed of 1,120 postpartum women, of whom 756 (67.5%) declared that the pregnancy had not been planned. The median prevalence of unplanned pregnancy was 59.7%. The prevalence of unplanned pregnancy across hospitals differed significantly: Campinas (54.8%), Porto Alegre (58.2%), Florianópolis (59%), Teresina (61.2%), Brasília (64.3%), São Paulo (64.6%), Campo Grande (73.9%) and Manaus (95.3%) (p < 0.001). Factors significantly associated with unplanned pregnancy were maternal age, black color, lower family income, greater number of children, greater number of people living in household, and not having a partner. CONCLUSION: In the studied sample, about two thirds of the pregnancies were declared as unplanned. The prevalence of unplanned pregnancies was related to social and demographic factors and varied significantly across the university hospitals evaluated.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-12
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/213893
10.11606/s1518-8787.2023057004449
url https://www.revistas.usp.br/rsp/article/view/213893
identifier_str_mv 10.11606/s1518-8787.2023057004449
dc.language.iso.fl_str_mv por
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language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/213893/196132
https://www.revistas.usp.br/rsp/article/view/213893/196131
https://www.revistas.usp.br/rsp/article/view/213893/196130
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
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application/pdf
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 57 No. 1 (2023); 35
Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 35
Revista de Saúde Pública; v. 57 n. 1 (2023); 35
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
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instname_str Universidade de São Paulo (USP)
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reponame_str Revista de Saúde Pública
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repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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