The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004

Detalhes bibliográficos
Autor(a) principal: Cesar,Juraci A.
Data de Publicação: 2008
Outros Autores: Matijasevich,Alicia, Santos,Iná S., Barros,Aluísio J. D., Dias-da-Costa,Juvenal S., Barros,Fernando C., Victora,Cesar G.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2008001500008
Resumo: This study aimed to describe indicators of health care assistance during antenatal care, delivery and in the first year of life in Pelotas, Rio Grande do Sul State, Brazil. In 1982, 1993, and 2004, all hospital newborns from the urban area of Pelotas were enrolled in a cohort study. In this period, the number of pregnant women that did not attend antenatal care fell from 4.9% to 1.9%; the mean number of appointments increased from 6.7 to 8.1; and the number of women who began antenatal care in the third trimester of pregnancy decreased from 14.8% to 7%; caesarean sections increased from 27.7% to 45.2% and the proportion of deliveries assisted by physicians increased from 61.2% to 89.2%. Improvements in immunization rates during the first year of life mainly occurred between 1982 and 1993, while the number of preventive medical appointments improved among those born in 2004. This increase in coverage was greater for low-income mothers and children, which may reflect the implementation of universal coverage in Brazil; however, coverage levels in 1982 were already high for wealthy mothers and children, reducing the scope for further gains.
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spelling The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004Maternal and Child HealthHealth ServicesCohort StudiesThis study aimed to describe indicators of health care assistance during antenatal care, delivery and in the first year of life in Pelotas, Rio Grande do Sul State, Brazil. In 1982, 1993, and 2004, all hospital newborns from the urban area of Pelotas were enrolled in a cohort study. In this period, the number of pregnant women that did not attend antenatal care fell from 4.9% to 1.9%; the mean number of appointments increased from 6.7 to 8.1; and the number of women who began antenatal care in the third trimester of pregnancy decreased from 14.8% to 7%; caesarean sections increased from 27.7% to 45.2% and the proportion of deliveries assisted by physicians increased from 61.2% to 89.2%. Improvements in immunization rates during the first year of life mainly occurred between 1982 and 1993, while the number of preventive medical appointments improved among those born in 2004. This increase in coverage was greater for low-income mothers and children, which may reflect the implementation of universal coverage in Brazil; however, coverage levels in 1982 were already high for wealthy mothers and children, reducing the scope for further gains.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2008-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2008001500008Cadernos de Saúde Pública v.24 suppl.3 2008reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2008001500008info:eu-repo/semantics/openAccessCesar,Juraci A.Matijasevich,AliciaSantos,Iná S.Barros,Aluísio J. D.Dias-da-Costa,Juvenal S.Barros,Fernando C.Victora,Cesar G.eng2008-08-27T00:00:00Zoai:scielo:S0102-311X2008001500008Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2008-08-27T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
title The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
spellingShingle The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
Cesar,Juraci A.
Maternal and Child Health
Health Services
Cohort Studies
title_short The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
title_full The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
title_fullStr The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
title_full_unstemmed The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
title_sort The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004
author Cesar,Juraci A.
author_facet Cesar,Juraci A.
Matijasevich,Alicia
Santos,Iná S.
Barros,Aluísio J. D.
Dias-da-Costa,Juvenal S.
Barros,Fernando C.
Victora,Cesar G.
author_role author
author2 Matijasevich,Alicia
Santos,Iná S.
Barros,Aluísio J. D.
Dias-da-Costa,Juvenal S.
Barros,Fernando C.
Victora,Cesar G.
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Cesar,Juraci A.
Matijasevich,Alicia
Santos,Iná S.
Barros,Aluísio J. D.
Dias-da-Costa,Juvenal S.
Barros,Fernando C.
Victora,Cesar G.
dc.subject.por.fl_str_mv Maternal and Child Health
Health Services
Cohort Studies
topic Maternal and Child Health
Health Services
Cohort Studies
description This study aimed to describe indicators of health care assistance during antenatal care, delivery and in the first year of life in Pelotas, Rio Grande do Sul State, Brazil. In 1982, 1993, and 2004, all hospital newborns from the urban area of Pelotas were enrolled in a cohort study. In this period, the number of pregnant women that did not attend antenatal care fell from 4.9% to 1.9%; the mean number of appointments increased from 6.7 to 8.1; and the number of women who began antenatal care in the third trimester of pregnancy decreased from 14.8% to 7%; caesarean sections increased from 27.7% to 45.2% and the proportion of deliveries assisted by physicians increased from 61.2% to 89.2%. Improvements in immunization rates during the first year of life mainly occurred between 1982 and 1993, while the number of preventive medical appointments improved among those born in 2004. This increase in coverage was greater for low-income mothers and children, which may reflect the implementation of universal coverage in Brazil; however, coverage levels in 1982 were already high for wealthy mothers and children, reducing the scope for further gains.
publishDate 2008
dc.date.none.fl_str_mv 2008-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2008001500008
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2008001500008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-311X2008001500008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.24 suppl.3 2008
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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