Birth in Brazil: national survey into labour and birth
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2012 |
| Outros Autores: | , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/6385 |
Resumo: | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil |
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Leal, Maria do CarmoSilva, Antônio Augusto Moura daDias, Marcos Augusto BastosGama, Silvana Granado Nogueira daRattner, DaphneMoreira, Maria ElizabethTheme Filha, Mariza MirandaDomingues, Rosa Maria Soares MadeiraPereira, Ana Paula EstevesTorres, Jacqueline AlvesBittencourt, Sonia Duarte Azevedod'Orsi, EleonoraCunha, Antonio Jose Ledo Alves daLeite, Alvaro Jorge MadeiroCavalcante, Rejane SilvaLansky, SôniaDiniz, Carmem Simone GriloSzwarcwald, Celia Landmann2013-03-15T19:40:41Z2013-03-15T19:40:41Z2012LEAL, M.C. et al. Birth in Brazil: national survey into labour and birth. Reproductive Health, v.9, n.15, Aug. 2012. [10.1186/1742-4755-9-15]1742-47551742-4755https://www.arca.fiocruz.br/handle/icict/638510.1186/1742-4755-9-15.engBioMed CentralBirth in Brazil: national survey into labour and birthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, BrasilConselho Nacional de Desenvolvimento Científico e Tecnológico. Brasília, DF, BrasilFundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, BrasilUniversidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, BrasilFundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Neonatologia. Rio de Janeiro, RJ, BrasilFudação Oswald Cruz. Escola Nacional de Saúde Pública. Rio Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, BrasilFudação Oswald Cruz. Escola Nacional de Saúde Pública. Rio Janeiro, RJ, BrasilAgência Nacional de Saúde Suplementar. Diretoria de Normas e Habilitação dos Produtos. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, BrasilUniversidade Federal de Santa Catarina. Departamento de Saúde Pública. Florianópolis, SC, BrasilUniversidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, BrasilUniversidade Federal do Ceará. Faculdade de Medicina. Departamento de Saúde Materno Infantil. Fortaleza, CE, BrasilUniversidade do Estado do Pará. Centro de Ciências Biológicas e da Saúde. Belem, PA, BrasilSecretaria Municipal de Saúde Belo Horizonte.Belo Horizonte, MG, BrasilUniversidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde Materno-Infantil. São Paulo, SP, BrasilFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, BrasilBackground: Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction. Methods: Nationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients’ medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson’s groups). Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design. Discussion: This study, for the first time, depicts a national panorama of labour and birth outcomes in Brazil. Regardless of the socioeconomic level, demand for Caesarean section appears to be based on the belief that the quality of obstetric care is closely associated to the technology used in labour and birth. Within this context, it was justified to conduct a nationwide study to understand the reasons that lead pregnant women to submit to Caesarean sections and to verify any association between this type of birth and it’s consequences on postnatal health.Cesarean SectionElective Caesarean sectionRobson’s groupsNear miss neonatal morbidityPrematurityLow birth weightBrazilCesáreaEstudos de CoortesQuestionáriosRecém-Nascido de Baixo PesoMortalidade InfantilBrasilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/6385/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALBirth in Brazil national survey into labour.pdfBirth in Brazil national survey into labour.pdfapplication/pdf422673https://www.arca.fiocruz.br/bitstream/icict/6385/2/Birth%20in%20Brazil%20%20national%20survey%20into%20labour.pdfbc10bcbce7aa98d5a98c2a53e7fb1396MD52TEXTBirth in Brazil national survey into labour.pdf.txtBirth in Brazil national survey into labour.pdf.txtExtracted texttext/plain44408https://www.arca.fiocruz.br/bitstream/icict/6385/5/Birth%20in%20Brazil%20%20national%20survey%20into%20labour.pdf.txt65628ed2aaded17933415b801a5bd2fbMD55THUMBNAILBirth in Brazil national survey into labour.pdf.jpgBirth in Brazil national survey into labour.pdf.jpgGenerated Thumbnailimage/jpeg2313https://www.arca.fiocruz.br/bitstream/icict/6385/4/Birth%20in%20Brazil%20%20national%20survey%20into%20labour.pdf.jpgd166bf19e2ce81f2ea8cf1ac4d77fd17MD54icict/63852018-04-06 08:55:16.119oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T11:55:16Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Birth in Brazil: national survey into labour and birth |
| title |
Birth in Brazil: national survey into labour and birth |
| spellingShingle |
Birth in Brazil: national survey into labour and birth Leal, Maria do Carmo Cesarean Section Elective Caesarean section Robson’s groups Near miss neonatal morbidity Prematurity Low birth weight Brazil Cesárea Estudos de Coortes Questionários Recém-Nascido de Baixo Peso Mortalidade Infantil Brasil |
| title_short |
Birth in Brazil: national survey into labour and birth |
| title_full |
Birth in Brazil: national survey into labour and birth |
| title_fullStr |
Birth in Brazil: national survey into labour and birth |
| title_full_unstemmed |
Birth in Brazil: national survey into labour and birth |
| title_sort |
Birth in Brazil: national survey into labour and birth |
| author |
Leal, Maria do Carmo |
| author_facet |
Leal, Maria do Carmo Silva, Antônio Augusto Moura da Dias, Marcos Augusto Bastos Gama, Silvana Granado Nogueira da Rattner, Daphne Moreira, Maria Elizabeth Theme Filha, Mariza Miranda Domingues, Rosa Maria Soares Madeira Pereira, Ana Paula Esteves Torres, Jacqueline Alves Bittencourt, Sonia Duarte Azevedo d'Orsi, Eleonora Cunha, Antonio Jose Ledo Alves da Leite, Alvaro Jorge Madeiro Cavalcante, Rejane Silva Lansky, Sônia Diniz, Carmem Simone Grilo Szwarcwald, Celia Landmann |
| author_role |
author |
| author2 |
Silva, Antônio Augusto Moura da Dias, Marcos Augusto Bastos Gama, Silvana Granado Nogueira da Rattner, Daphne Moreira, Maria Elizabeth Theme Filha, Mariza Miranda Domingues, Rosa Maria Soares Madeira Pereira, Ana Paula Esteves Torres, Jacqueline Alves Bittencourt, Sonia Duarte Azevedo d'Orsi, Eleonora Cunha, Antonio Jose Ledo Alves da Leite, Alvaro Jorge Madeiro Cavalcante, Rejane Silva Lansky, Sônia Diniz, Carmem Simone Grilo Szwarcwald, Celia Landmann |
| author2_role |
author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Leal, Maria do Carmo Silva, Antônio Augusto Moura da Dias, Marcos Augusto Bastos Gama, Silvana Granado Nogueira da Rattner, Daphne Moreira, Maria Elizabeth Theme Filha, Mariza Miranda Domingues, Rosa Maria Soares Madeira Pereira, Ana Paula Esteves Torres, Jacqueline Alves Bittencourt, Sonia Duarte Azevedo d'Orsi, Eleonora Cunha, Antonio Jose Ledo Alves da Leite, Alvaro Jorge Madeiro Cavalcante, Rejane Silva Lansky, Sônia Diniz, Carmem Simone Grilo Szwarcwald, Celia Landmann |
| dc.subject.en.pt_BR.fl_str_mv |
Cesarean Section Elective Caesarean section Robson’s groups Near miss neonatal morbidity Prematurity |
| topic |
Cesarean Section Elective Caesarean section Robson’s groups Near miss neonatal morbidity Prematurity Low birth weight Brazil Cesárea Estudos de Coortes Questionários Recém-Nascido de Baixo Peso Mortalidade Infantil Brasil |
| dc.subject.en.none.fl_str_mv |
Low birth weight Brazil |
| dc.subject.decs.pt_BR.fl_str_mv |
Cesárea Estudos de Coortes Questionários Recém-Nascido de Baixo Peso Mortalidade Infantil Brasil |
| description |
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil |
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2012 |
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2012 |
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2013-03-15T19:40:41Z |
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2013-03-15T19:40:41Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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LEAL, M.C. et al. Birth in Brazil: national survey into labour and birth. Reproductive Health, v.9, n.15, Aug. 2012. [10.1186/1742-4755-9-15] |
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https://www.arca.fiocruz.br/handle/icict/6385 |
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10.1186/1742-4755-9-15. |
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LEAL, M.C. et al. Birth in Brazil: national survey into labour and birth. Reproductive Health, v.9, n.15, Aug. 2012. [10.1186/1742-4755-9-15] 1742-4755 10.1186/1742-4755-9-15. |
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BioMed Central |
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BioMed Central |
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