ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023

Detalhes bibliográficos
Autor(a) principal: Freitas, Pollyana Souza Marques Dias
Data de Publicação: 2024
Outros Autores: Vasconcelos , Clara Batista Saturnino de, Melo , Lyris Shanaze de Oliveira, Silva , Karen Larissa Ferreira da, Amorim , João Victor de Brito, Nogueira, Adriana Karim de Araújo, Lima , Bárbara de, Maia , Márcio Felipe Bessa, Reis , Yasmin de Souza Brasil dos, Angel , Douglas José, Silva , Maria Gabryella Pereira da, Lima , Talya Aguiar de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1848
Resumo: INTRODUCTION: Postpartum hemorrhage (PPH) is one of the main causes of maternal morbidity and mortality worldwide. Despite efforts to reduce these rates, PPH remains a significant concern, highlighting the need for effective strategies to prevent and manage this obstetric complication.  This study aims to analyze the epidemiological profile of hospitalizations for PPH in Brazil between 2019 and 2023. OBJECTIVE: To determine the epidemiological profile of hospitalizations for postpartum hemorrhage in Brazil from 2019 to 2023. METHODS: This study is a retrospective epidemiological research and descriptive with a quantitative approach, using data from the Information Technology Department of the Unified Health System (DATASUS). 13,411 hospitalizations for PPH were analyzed, collected between 2019 and 2023. The data were organized into tables and graphs and interpreted together with a review of academic literature, using the variables: region, age group, incidence per year, race and type of care. RESULTS AND DISCUSSION: Of the 13,411 hospitalizations for PPH analyzed, the Southeast region had the majority of hospitalizations, with 40.09% (5,377), followed by Northeast, with 29.4% (3,943) and the South region, with 18.36 % (2,463). On the other hand, the North region had the lowest number of hospitalizations, with 6.7% (898). Regarding Brazilian states, São Paulo had the most hospitalizations, with 19.5% (2,620), followed by Minas Gerais, with 13.75% (1,845) and Paraná, with 7.5% (1,006).  Furthermore, the state of Acre had the lowest number of hospitalizations, with only 19 hospitalizations.  Among the states in the Northeast, the highest number of hospitalizations was in Rio Grande do Norte, 7% (949). The age range analyzed was 15 years and 49 years, with the majority of cases of postpartum hemorrhage occurring in the age group between 20 and 24 years, representing 23.8% of hospitalizations for PPH. On the other hand, the age group with the lowest number of cases was between 45 and 49 years old, representing less than 1% of hospitalizations. The occurrence of postpartum hemorrhage in this age group is lower due to the reduced frequency of births. Regarding race, there is a predominance of hospitalizations in brown women, representing 43.9% of cases, followed by white women, with 29.5%. Black, yellow and indigenous women together represented only 6.7% of total hospitalizations. Finally, the nature of care for cases of postpartum hemorrhage (Table 2), demonstrating that 97.7% (13104) were urgent. CONCLUSION: A concentration of hospitalizations for PPH was found in the Southeast and Northeast regions, especially among young women aged 20 to 29. There was a decreasing trend in hospitalization rates throughout the studied period. There was a predominance of hospitalizations among mixed-race women, followed by white women, with a smaller proportion of black, yellow and indigenous women. The majority of hospitalizations occurred on an urgent basis. These findings offer insights for improvements in maternal and obstetric health.
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spelling ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023 ANÁLISE DA HEMORRAGIA PÓS-PARTO NO BRASIL ENTRE 2019 E 2023EPIDEMIOLOGIAHEMORRAGIA PÓS-PARTOPuerpérioSAÚDE MATERNAEpidemiologyPostpartum HemorrhagePostpartum PeriodMaternal HealthINTRODUCTION: Postpartum hemorrhage (PPH) is one of the main causes of maternal morbidity and mortality worldwide. Despite efforts to reduce these rates, PPH remains a significant concern, highlighting the need for effective strategies to prevent and manage this obstetric complication.  This study aims to analyze the epidemiological profile of hospitalizations for PPH in Brazil between 2019 and 2023. OBJECTIVE: To determine the epidemiological profile of hospitalizations for postpartum hemorrhage in Brazil from 2019 to 2023. METHODS: This study is a retrospective epidemiological research and descriptive with a quantitative approach, using data from the Information Technology Department of the Unified Health System (DATASUS). 13,411 hospitalizations for PPH were analyzed, collected between 2019 and 2023. The data were organized into tables and graphs and interpreted together with a review of academic literature, using the variables: region, age group, incidence per year, race and type of care. RESULTS AND DISCUSSION: Of the 13,411 hospitalizations for PPH analyzed, the Southeast region had the majority of hospitalizations, with 40.09% (5,377), followed by Northeast, with 29.4% (3,943) and the South region, with 18.36 % (2,463). On the other hand, the North region had the lowest number of hospitalizations, with 6.7% (898). Regarding Brazilian states, São Paulo had the most hospitalizations, with 19.5% (2,620), followed by Minas Gerais, with 13.75% (1,845) and Paraná, with 7.5% (1,006).  Furthermore, the state of Acre had the lowest number of hospitalizations, with only 19 hospitalizations.  Among the states in the Northeast, the highest number of hospitalizations was in Rio Grande do Norte, 7% (949). The age range analyzed was 15 years and 49 years, with the majority of cases of postpartum hemorrhage occurring in the age group between 20 and 24 years, representing 23.8% of hospitalizations for PPH. On the other hand, the age group with the lowest number of cases was between 45 and 49 years old, representing less than 1% of hospitalizations. The occurrence of postpartum hemorrhage in this age group is lower due to the reduced frequency of births. Regarding race, there is a predominance of hospitalizations in brown women, representing 43.9% of cases, followed by white women, with 29.5%. Black, yellow and indigenous women together represented only 6.7% of total hospitalizations. Finally, the nature of care for cases of postpartum hemorrhage (Table 2), demonstrating that 97.7% (13104) were urgent. CONCLUSION: A concentration of hospitalizations for PPH was found in the Southeast and Northeast regions, especially among young women aged 20 to 29. There was a decreasing trend in hospitalization rates throughout the studied period. There was a predominance of hospitalizations among mixed-race women, followed by white women, with a smaller proportion of black, yellow and indigenous women. The majority of hospitalizations occurred on an urgent basis. These findings offer insights for improvements in maternal and obstetric health.INTRODUÇÃO: A hemorragia pós-parto (HPP) é uma das principais causas de morbidade e mortalidade materna em todo o mundo. Apesar dos esforços para reduzir esses índices, a HPP continua sendo uma preocupação significativa, destacando a necessidade de estratégias eficazes para prevenção e manejo dessa complicação obstétrica. Este estudo objetiva analisar o perfil epidemiológico das internações por HPP no Brasil entre os anos de 2019 e 2023. OBJETIVO: Determinar o perfil epidemiológico das internações por hemorragia pós-parto no Brasil de 2019 a 2023. MÉTODOS: Esse estudo é uma pesquisa epidemiológica retrospectiva e descritiva com abordagem quantitativa, utilizando dados do Departamento de Informática do Sistema Único de Saúde (DATASUS). Foram analisadas 13.411 internações por HPP, coletadas entre 2019 e 2023. Os dados foram organizados em quadros e gráficos e interpretados em conjunto com revisão da literatura acadêmica, utilizando as variáveis: região, faixa etária, incidência por ano, raça e caráter de atendimento. RESULTADOS E DISCUSSÃO: Dos 13.411 internações por HPP analisados a que a região Sudeste apresentou a maioria das internações, com 40,09% (5.377), seguido pelo Nordeste, com 29,4% (3.943) e região Sul, com 18,36% (2.463). Em contrapartida, a região Norte apresentou o menor número de internações, com 6,7% (898). Com relação aos estados brasileiros, São Paulo apresentou a maioria das internações, com 19,5% (2.620), seguido por Minas Gerais, com 13,75% (1.845) e Paraná, com 7,5% (1.006).  Ademais, o estado do Acre apresentou o menor número de internações, com apenas  19 internações. Dentre os estados do Nordeste, o maior número de internações foi no Rio Grande do Norte 7% (949). A faixa etária analisada foi 15 anos e 49 anos, a maioria dos casos de hemorragia pós-parto ocorrendo na faixa etária entre 20 e 24 anos, representando 23,8% das internações por HPP. Por outro lado, a faixa etária com menor número de casos foi entre 45 e 49 anos, representando menos de 1% das internações. A ocorrência de hemorragia pós-parto nessa faixa etária é menor devido à diminuição da frequência de partos. Em relação à raça, observa-se uma predominância de internações em mulheres pardas, representando 43,9% dos casos, seguidas por brancas, com 29,5%. Por outro lado, mulheres negras, amarelas e indígenas representaram conjuntamente apenas 6,7% do total de internações. Por fim, o caráter de atendimento dos casos de hemorragia pós-parto (Quadro 2), demonstrando que 97,7% (13104) foram em caráter de urgência. CONCLUSÃO: Constatou-se uma concentração de internações por HPP nas regiões Sudeste e Nordeste, especialmente entre mulheres jovens de 20 a 29 anos. Houve uma tendência decrescente nas taxas de internações ao longo do período estudado. Predominaram internações em mulheres pardas, seguidas por mulheres brancas, com uma proporção menor de mulheres negras, amarelas e indígenas. A maioria das internações ocorreu em caráter de urgência. Esses achados oferecem insights para melhorias na saúde materna e obstétrica.Specialized Dentistry Group2024-04-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/184810.36557/2674-8169.2024v6n4p1079-1093Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 4 (2024): BJIHS QUALIS B3 - IMPACT FACTOR SJIF 5.807; 1079-1093Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 4 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807; 1079-1093Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 4 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807; 1079-10932674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1848/2115Copyright (c) 2024 Pollyana Souza Marques Dias Freitas, Clara Batista Saturnino de Vasconcelos , Lyris Shanaze de Oliveira Melo , Karen Larissa Ferreira da Silva , João Victor de Brito Amorim , Adriana Karim de Araújo Nogueira, Bárbara de Lima , Márcio Felipe Bessa Maia , Yasmin de Souza Brasil dos Reis , Douglas José Angel , Maria Gabryella Pereira da Silva , Talya Aguiar de Lima https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFreitas, Pollyana Souza Marques DiasVasconcelos , Clara Batista Saturnino deMelo , Lyris Shanaze de OliveiraSilva , Karen Larissa Ferreira daAmorim , João Victor de BritoNogueira, Adriana Karim de AraújoLima , Bárbara deMaia , Márcio Felipe BessaReis , Yasmin de Souza Brasil dosAngel , Douglas JoséSilva , Maria Gabryella Pereira daLima , Talya Aguiar de2024-04-10T23:32:51Zoai:ojs.bjihs.emnuvens.com.br:article/1848Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-04-10T23:32:51Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
ANÁLISE DA HEMORRAGIA PÓS-PARTO NO BRASIL ENTRE 2019 E 2023
title ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
spellingShingle ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
Freitas, Pollyana Souza Marques Dias
EPIDEMIOLOGIA
HEMORRAGIA PÓS-PARTO
Puerpério
SAÚDE MATERNA
Epidemiology
Postpartum Hemorrhage
Postpartum Period
Maternal Health
title_short ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
title_full ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
title_fullStr ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
title_full_unstemmed ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
title_sort ANALYSIS OF POSTPARTUM HEMORRHAGE IN BRAZIL BETWEEN 2019 AND 2023
author Freitas, Pollyana Souza Marques Dias
author_facet Freitas, Pollyana Souza Marques Dias
Vasconcelos , Clara Batista Saturnino de
Melo , Lyris Shanaze de Oliveira
Silva , Karen Larissa Ferreira da
Amorim , João Victor de Brito
Nogueira, Adriana Karim de Araújo
Lima , Bárbara de
Maia , Márcio Felipe Bessa
Reis , Yasmin de Souza Brasil dos
Angel , Douglas José
Silva , Maria Gabryella Pereira da
Lima , Talya Aguiar de
author_role author
author2 Vasconcelos , Clara Batista Saturnino de
Melo , Lyris Shanaze de Oliveira
Silva , Karen Larissa Ferreira da
Amorim , João Victor de Brito
Nogueira, Adriana Karim de Araújo
Lima , Bárbara de
Maia , Márcio Felipe Bessa
Reis , Yasmin de Souza Brasil dos
Angel , Douglas José
Silva , Maria Gabryella Pereira da
Lima , Talya Aguiar de
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Freitas, Pollyana Souza Marques Dias
Vasconcelos , Clara Batista Saturnino de
Melo , Lyris Shanaze de Oliveira
Silva , Karen Larissa Ferreira da
Amorim , João Victor de Brito
Nogueira, Adriana Karim de Araújo
Lima , Bárbara de
Maia , Márcio Felipe Bessa
Reis , Yasmin de Souza Brasil dos
Angel , Douglas José
Silva , Maria Gabryella Pereira da
Lima , Talya Aguiar de
dc.subject.por.fl_str_mv EPIDEMIOLOGIA
HEMORRAGIA PÓS-PARTO
Puerpério
SAÚDE MATERNA
Epidemiology
Postpartum Hemorrhage
Postpartum Period
Maternal Health
topic EPIDEMIOLOGIA
HEMORRAGIA PÓS-PARTO
Puerpério
SAÚDE MATERNA
Epidemiology
Postpartum Hemorrhage
Postpartum Period
Maternal Health
description INTRODUCTION: Postpartum hemorrhage (PPH) is one of the main causes of maternal morbidity and mortality worldwide. Despite efforts to reduce these rates, PPH remains a significant concern, highlighting the need for effective strategies to prevent and manage this obstetric complication.  This study aims to analyze the epidemiological profile of hospitalizations for PPH in Brazil between 2019 and 2023. OBJECTIVE: To determine the epidemiological profile of hospitalizations for postpartum hemorrhage in Brazil from 2019 to 2023. METHODS: This study is a retrospective epidemiological research and descriptive with a quantitative approach, using data from the Information Technology Department of the Unified Health System (DATASUS). 13,411 hospitalizations for PPH were analyzed, collected between 2019 and 2023. The data were organized into tables and graphs and interpreted together with a review of academic literature, using the variables: region, age group, incidence per year, race and type of care. RESULTS AND DISCUSSION: Of the 13,411 hospitalizations for PPH analyzed, the Southeast region had the majority of hospitalizations, with 40.09% (5,377), followed by Northeast, with 29.4% (3,943) and the South region, with 18.36 % (2,463). On the other hand, the North region had the lowest number of hospitalizations, with 6.7% (898). Regarding Brazilian states, São Paulo had the most hospitalizations, with 19.5% (2,620), followed by Minas Gerais, with 13.75% (1,845) and Paraná, with 7.5% (1,006).  Furthermore, the state of Acre had the lowest number of hospitalizations, with only 19 hospitalizations.  Among the states in the Northeast, the highest number of hospitalizations was in Rio Grande do Norte, 7% (949). The age range analyzed was 15 years and 49 years, with the majority of cases of postpartum hemorrhage occurring in the age group between 20 and 24 years, representing 23.8% of hospitalizations for PPH. On the other hand, the age group with the lowest number of cases was between 45 and 49 years old, representing less than 1% of hospitalizations. The occurrence of postpartum hemorrhage in this age group is lower due to the reduced frequency of births. Regarding race, there is a predominance of hospitalizations in brown women, representing 43.9% of cases, followed by white women, with 29.5%. Black, yellow and indigenous women together represented only 6.7% of total hospitalizations. Finally, the nature of care for cases of postpartum hemorrhage (Table 2), demonstrating that 97.7% (13104) were urgent. CONCLUSION: A concentration of hospitalizations for PPH was found in the Southeast and Northeast regions, especially among young women aged 20 to 29. There was a decreasing trend in hospitalization rates throughout the studied period. There was a predominance of hospitalizations among mixed-race women, followed by white women, with a smaller proportion of black, yellow and indigenous women. The majority of hospitalizations occurred on an urgent basis. These findings offer insights for improvements in maternal and obstetric health.
publishDate 2024
dc.date.none.fl_str_mv 2024-04-10
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dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1848
10.36557/2674-8169.2024v6n4p1079-1093
url https://bjihs.emnuvens.com.br/bjihs/article/view/1848
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dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1848/2115
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 4 (2024): BJIHS QUALIS B3 - IMPACT FACTOR SJIF 5.807; 1079-1093
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 4 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807; 1079-1093
Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 4 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807; 1079-1093
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
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instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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