Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/2563 |
Resumo: | Objectives:to compare public and private sector maternity care in the municipality of Rio Grande, in the Brazilian State of Rio Grande do Sul. Methods: a standardized questionnaire was applied to all pregnant women residing in this municipality who had a child in 2007. All aspects, from the beginning of gestation to immediate postpartum were investigated. Statistical analysis took the form of comparison of proportions for these two groups, using the chi-squared test. Results: of the 2584 children born whose mothers resided in the municipality, information was obtained on 2557, representing 98.9% of the total. Of these mothers, 96% received at least one prenatal consultation. Pregnant women attended by the private sector began prenatal care earlier, had a larger number of medical consults, blood tests, pelvic ultrasound examinations, and gynecological examinations of the breasts and cytopathological examinations of the cervix. Pregnant women in the public sector had more urine tests and serum tests for syphilis and were often give iron sulfate supplements. All these differences were statistically significant (p<0.05). Conclusions: pregnant women in the private sector systematically received better prenatal care in terms of consultations and examinations. Their delivery was more often carried out by a physician and they underwent more unnecessary interventions, such as a caesarian section or episiotomy, while they were less likely to receive iron supplements. |
id |
FURG_b334d14569e059c1542a0080377057a6 |
---|---|
oai_identifier_str |
oai:repositorio.furg.br:1/2563 |
network_acronym_str |
FURG |
network_name_str |
Repositório Institucional da FURG (RI FURG) |
repository_id_str |
|
spelling |
Cesar, Juraci AlmeidaMano, Patricia de SouzaCarlotto, KharenGonzáles Chica, David AlejandroMendoza-Sassi, Raúl Andrés2012-09-21T18:53:59Z2012-09-21T18:53:59Z2011CESAR, Juraci Almeida et al. Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 3, p.257-263, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n3/a06v11n3.pdf>. Acesso em: 05 set. 2012.http://repositorio.furg.br/handle/1/256310.1590/S1519-38292011000300006Objectives:to compare public and private sector maternity care in the municipality of Rio Grande, in the Brazilian State of Rio Grande do Sul. Methods: a standardized questionnaire was applied to all pregnant women residing in this municipality who had a child in 2007. All aspects, from the beginning of gestation to immediate postpartum were investigated. Statistical analysis took the form of comparison of proportions for these two groups, using the chi-squared test. Results: of the 2584 children born whose mothers resided in the municipality, information was obtained on 2557, representing 98.9% of the total. Of these mothers, 96% received at least one prenatal consultation. Pregnant women attended by the private sector began prenatal care earlier, had a larger number of medical consults, blood tests, pelvic ultrasound examinations, and gynecological examinations of the breasts and cytopathological examinations of the cervix. Pregnant women in the public sector had more urine tests and serum tests for syphilis and were often give iron sulfate supplements. All these differences were statistically significant (p<0.05). Conclusions: pregnant women in the private sector systematically received better prenatal care in terms of consultations and examinations. Their delivery was more often carried out by a physician and they underwent more unnecessary interventions, such as a caesarian section or episiotomy, while they were less likely to receive iron supplements.Objetivos: avaliar a assistência à gestação e ao parto entre o setor público e privado no município de Rio Grande, RS. Métodos: aplicou-se questionário padronizado a todas as gestantes residentes neste município que tiveram filho em 2007. Investigaram-se aspectos relativos a cuidados recebidos desde o início da gestação até o pós-parto imediato. A análise estatística consistiu da comparação de proporções nestes dois grupos através do teste de qui- quadrado. Resultados: dentre os 2584 nascimentos cujas mães residiam no município, foram obtidas informações sobre 2557, o que representa 98,9% do total. Destas mães, 96% realizaram pelo menos uma consulta de pré-natal. Gestantes atendidas no setor privado iniciaram o pré-natal mais cedo, realizaram um maior número de consultas médicas, exame de sangue e ultrassonografia pélvica, exame ginecológico, das mamas e citopatológico de colo uterino. Gestantes do setor público realizaram maior número de exames de urina e sorologia para sífilis e foram mais comumente suplementadas com sulfato ferroso. Todas estas diferenças foram estatisticamente significativas (p<0,05). Conclusões: gestantes do setor privado receberam de forma sistemática melhor assistência durante o pré-natal em termos de consultas e exames realizados, tiveram seu parto mais comumente realizado por médico, foram mais afetadas por intervenções desnecessárias como cesariana e episiotomia e menos frequentemente suplementadas com ferro.porPrenatal careChildbirthDelivery of health careCesarean sectionHealth servicesCuidado pré-natalPartoAssistência à saúdeCesáriaServiços de saúdePúblico versus privado: avaliando a assistência à gestação e ao parto no extremo sul do BrasilPublic versus private: assessing maternity care in the far south of Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINAL07_Publico versus privado avaliando.pdf07_Publico versus privado avaliando.pdfapplication/pdf105327https://repositorio.furg.br/bitstream/1/2563/1/07_Publico%20versus%20privado%20avaliando.pdf0c901776df5b424f7f9f7f6114ddaf69MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81678https://repositorio.furg.br/bitstream/1/2563/2/license.txtd3be63d3b3eee02729709361dac69efeMD52open access1/25632014-09-11 11:56:27.257open accessoai:repositorio.furg.br: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ório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2014-09-11T14:56:27Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.pt_BR.fl_str_mv |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
dc.title.alternative.pt_BR.fl_str_mv |
Public versus private: assessing maternity care in the far south of Brazil |
title |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
spellingShingle |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil Cesar, Juraci Almeida Prenatal care Childbirth Delivery of health care Cesarean section Health services Cuidado pré-natal Parto Assistência à saúde Cesária Serviços de saúde |
title_short |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
title_full |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
title_fullStr |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
title_full_unstemmed |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
title_sort |
Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil |
author |
Cesar, Juraci Almeida |
author_facet |
Cesar, Juraci Almeida Mano, Patricia de Souza Carlotto, Kharen Gonzáles Chica, David Alejandro Mendoza-Sassi, Raúl Andrés |
author_role |
author |
author2 |
Mano, Patricia de Souza Carlotto, Kharen Gonzáles Chica, David Alejandro Mendoza-Sassi, Raúl Andrés |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cesar, Juraci Almeida Mano, Patricia de Souza Carlotto, Kharen Gonzáles Chica, David Alejandro Mendoza-Sassi, Raúl Andrés |
dc.subject.por.fl_str_mv |
Prenatal care Childbirth Delivery of health care Cesarean section Health services Cuidado pré-natal Parto Assistência à saúde Cesária Serviços de saúde |
topic |
Prenatal care Childbirth Delivery of health care Cesarean section Health services Cuidado pré-natal Parto Assistência à saúde Cesária Serviços de saúde |
description |
Objectives:to compare public and private sector maternity care in the municipality of Rio Grande, in the Brazilian State of Rio Grande do Sul. Methods: a standardized questionnaire was applied to all pregnant women residing in this municipality who had a child in 2007. All aspects, from the beginning of gestation to immediate postpartum were investigated. Statistical analysis took the form of comparison of proportions for these two groups, using the chi-squared test. Results: of the 2584 children born whose mothers resided in the municipality, information was obtained on 2557, representing 98.9% of the total. Of these mothers, 96% received at least one prenatal consultation. Pregnant women attended by the private sector began prenatal care earlier, had a larger number of medical consults, blood tests, pelvic ultrasound examinations, and gynecological examinations of the breasts and cytopathological examinations of the cervix. Pregnant women in the public sector had more urine tests and serum tests for syphilis and were often give iron sulfate supplements. All these differences were statistically significant (p<0.05). Conclusions: pregnant women in the private sector systematically received better prenatal care in terms of consultations and examinations. Their delivery was more often carried out by a physician and they underwent more unnecessary interventions, such as a caesarian section or episiotomy, while they were less likely to receive iron supplements. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011 |
dc.date.accessioned.fl_str_mv |
2012-09-21T18:53:59Z |
dc.date.available.fl_str_mv |
2012-09-21T18:53:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
CESAR, Juraci Almeida et al. Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 3, p.257-263, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n3/a06v11n3.pdf>. Acesso em: 05 set. 2012. |
dc.identifier.uri.fl_str_mv |
http://repositorio.furg.br/handle/1/2563 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1590/S1519-38292011000300006 |
identifier_str_mv |
CESAR, Juraci Almeida et al. Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil. Revista Brasileira de Saúde Materno Infantil, Recife, v. 11, n. 3, p.257-263, 2011. Disponível em: <http://www.scielo.br/pdf/rbsmi/v11n3/a06v11n3.pdf>. Acesso em: 05 set. 2012. 10.1590/S1519-38292011000300006 |
url |
http://repositorio.furg.br/handle/1/2563 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da FURG (RI FURG) instname:Universidade Federal do Rio Grande (FURG) instacron:FURG |
instname_str |
Universidade Federal do Rio Grande (FURG) |
instacron_str |
FURG |
institution |
FURG |
reponame_str |
Repositório Institucional da FURG (RI FURG) |
collection |
Repositório Institucional da FURG (RI FURG) |
bitstream.url.fl_str_mv |
https://repositorio.furg.br/bitstream/1/2563/1/07_Publico%20versus%20privado%20avaliando.pdf https://repositorio.furg.br/bitstream/1/2563/2/license.txt |
bitstream.checksum.fl_str_mv |
0c901776df5b424f7f9f7f6114ddaf69 d3be63d3b3eee02729709361dac69efe |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG) |
repository.mail.fl_str_mv |
|
_version_ |
1798313645240745984 |