Provider-initiated Late preterm births in Brazil: differences between public and private health services
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2016 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1371/journal.pone.0155511 |
| 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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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. |
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2016 |
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2016 |
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2018-10-03T19:32:56Z |
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2018-10-03T19:32:56Z |
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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. |
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https://www.arca.fiocruz.br/handle/icict/29309 |
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1932-6203 |
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10.1371/journal.pone.0155511 |
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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 |
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