Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0102-311X00103118 http://hdl.handle.net/11449/195024 |
Resumo: | This study assessed prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil. This was an evaluative study of 689 pregnant women referred from primary care (PHC) to specialized care in 2016. The type of PHC model was used as the main independent variable: family health units (USE), bask health units (UBS), and UBS/mixed. Multiple logistic regression models with forward selection were used for the outcomes early initiation of prenatal care and shared follow-up between specialized care and PHC: Referral by a USF was associated with higher odds of early initiation of prenatal care and shared follow-up between specialized care and PHC. Independently of the type of PHC, there were associations between early initiation of prenatal care and white skin color, and between shared follow-up between specialized care and PHC and having received a home visit. The results demonstrate the importance of services organized according to the USF model, which conducts home visits and is attuned to the implicit vulnerabilities in pregnant women's individual characteristics. |
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Repositório Institucional da UNESP |
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Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, BrazilHealth EvaluationPrenatal CareIntegrality in HealthHealth Services AccessibilityPrimary Health CareThis study assessed prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil. This was an evaluative study of 689 pregnant women referred from primary care (PHC) to specialized care in 2016. The type of PHC model was used as the main independent variable: family health units (USE), bask health units (UBS), and UBS/mixed. Multiple logistic regression models with forward selection were used for the outcomes early initiation of prenatal care and shared follow-up between specialized care and PHC: Referral by a USF was associated with higher odds of early initiation of prenatal care and shared follow-up between specialized care and PHC. Independently of the type of PHC, there were associations between early initiation of prenatal care and white skin color, and between shared follow-up between specialized care and PHC and having received a home visit. The results demonstrate the importance of services organized according to the USF model, which conducts home visits and is attuned to the implicit vulnerabilities in pregnant women's individual characteristics.Univ Estadual Paulista, Fac Med, Botucatu, SP, BrazilSecretaria Estado Saude Sao Paulo, Inst Saude, Sao Paulo, SP, BrazilUniv Sao Paulo, Sao Paulo, SP, BrazilUniv Fed Mato Grosso do Sul, Campo Grande, MS, BrazilUniv Estadual Paulista, Fac Med, Botucatu, SP, BrazilCadernos Saude PublicaUniversidade Estadual Paulista (Unesp)Secretaria Estado Saude Sao PauloUniversidade de São Paulo (USP)Universidade Federal de Mato Grosso do Sul (UFMS)Sanine, Patricia Rodrigues [UNESP]Venancio, Sonia IsoyamaGonzaga da Silva, Fernanda LuzAratani, NathanGarcia Moita, Maria LuciaTanaka, Oswaldo Yoshimi2020-12-10T17:02:07Z2020-12-10T17:02:07Z2019-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article15application/pdfhttp://dx.doi.org/10.1590/0102-311X00103118Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 35, n. 10, 15 p., 2019.0102-311Xhttp://hdl.handle.net/11449/19502410.1590/0102-311X00103118S0102-311X2019001205008WOS:000500976200001S0102-311X2019001205008.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporCadernos De Saude Publicainfo:eu-repo/semantics/openAccess2024-01-09T06:28:07Zoai:repositorio.unesp.br:11449/195024Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T22:32:50.768714Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
title |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
spellingShingle |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil Sanine, Patricia Rodrigues [UNESP] Health Evaluation Prenatal Care Integrality in Health Health Services Accessibility Primary Health Care |
title_short |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
title_full |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
title_fullStr |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
title_full_unstemmed |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
title_sort |
Prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil |
author |
Sanine, Patricia Rodrigues [UNESP] |
author_facet |
Sanine, Patricia Rodrigues [UNESP] Venancio, Sonia Isoyama Gonzaga da Silva, Fernanda Luz Aratani, Nathan Garcia Moita, Maria Lucia Tanaka, Oswaldo Yoshimi |
author_role |
author |
author2 |
Venancio, Sonia Isoyama Gonzaga da Silva, Fernanda Luz Aratani, Nathan Garcia Moita, Maria Lucia Tanaka, Oswaldo Yoshimi |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Secretaria Estado Saude Sao Paulo Universidade de São Paulo (USP) Universidade Federal de Mato Grosso do Sul (UFMS) |
dc.contributor.author.fl_str_mv |
Sanine, Patricia Rodrigues [UNESP] Venancio, Sonia Isoyama Gonzaga da Silva, Fernanda Luz Aratani, Nathan Garcia Moita, Maria Lucia Tanaka, Oswaldo Yoshimi |
dc.subject.por.fl_str_mv |
Health Evaluation Prenatal Care Integrality in Health Health Services Accessibility Primary Health Care |
topic |
Health Evaluation Prenatal Care Integrality in Health Health Services Accessibility Primary Health Care |
description |
This study assessed prenatal care in high-risk pregnancies and associated factors in the city of Sao Paulo, Brazil. This was an evaluative study of 689 pregnant women referred from primary care (PHC) to specialized care in 2016. The type of PHC model was used as the main independent variable: family health units (USE), bask health units (UBS), and UBS/mixed. Multiple logistic regression models with forward selection were used for the outcomes early initiation of prenatal care and shared follow-up between specialized care and PHC: Referral by a USF was associated with higher odds of early initiation of prenatal care and shared follow-up between specialized care and PHC. Independently of the type of PHC, there were associations between early initiation of prenatal care and white skin color, and between shared follow-up between specialized care and PHC and having received a home visit. The results demonstrate the importance of services organized according to the USF model, which conducts home visits and is attuned to the implicit vulnerabilities in pregnant women's individual characteristics. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 2020-12-10T17:02:07Z 2020-12-10T17:02:07Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1590/0102-311X00103118 Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 35, n. 10, 15 p., 2019. 0102-311X http://hdl.handle.net/11449/195024 10.1590/0102-311X00103118 S0102-311X2019001205008 WOS:000500976200001 S0102-311X2019001205008.pdf |
url |
http://dx.doi.org/10.1590/0102-311X00103118 http://hdl.handle.net/11449/195024 |
identifier_str_mv |
Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 35, n. 10, 15 p., 2019. 0102-311X 10.1590/0102-311X00103118 S0102-311X2019001205008 WOS:000500976200001 S0102-311X2019001205008.pdf |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Cadernos De Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
15 application/pdf |
dc.publisher.none.fl_str_mv |
Cadernos Saude Publica |
publisher.none.fl_str_mv |
Cadernos Saude Publica |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808129435464892416 |