Drug use during in-hospital birth delivery stay
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31876 |
Resumo: | OBJECTIVE: Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS: A cross-sectional study was carried out using medical records of two private and public maternity hospitals of Belo Horizonte, Brazil. Data were collected on pregnant women's identification, pregnancy, delivery and drug prescribed from medical records of public hospitals and medical records and billing invoice of private maternity hospitals. Statistical analysis was conducted using odds ratio by the Chi-square test and means by t-Student test. RESULTS: Mean in-hospital stay was 2.2 days and it was lower in the private maternity hospital. Cesarean sections were performed in 52.7% of all births, 31.3% in the public hospital and 64.5% in the private hospital. Peridural anesthesia was used in 72.8% of births and local anesthesia in 22.4% (25.3% and 63.7% of births in the public and 98.2% and 0.4% in the private hospital). All women received drugs (minimum of 3 and maximum of 19 different drugs) during their hospital stay. Eighty-three medications (97 active ingredients) were utilized at a total frequency of 3,429. The higher average drug use was 8.5 drugs per woman, in the private maternity hospital. CONCLUSIONS: There was a significant difference in drug use between the two maternity hospitals, being it higher in pre- and during birth delivery procedures. The results suggest a preeminent drug use compared to those of other few studies available in the literature. The disproportionate number of cesarean sections and anesthesia explain the differences observed. |
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Drug use during in-hospital birth delivery stay Consumo de medicamentos no período de internação para o parto Uso de medicamentosGravidezLactaçãoPuerpérioHospitalizaçãoMaternidadesAnestesiaCesáreaPartoDrug utilizationPregnancyLactationPuerperiumHospitalizationHospitalsmaternityAnesthesiaCesarean sectionBirth delivery OBJECTIVE: Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS: A cross-sectional study was carried out using medical records of two private and public maternity hospitals of Belo Horizonte, Brazil. Data were collected on pregnant women's identification, pregnancy, delivery and drug prescribed from medical records of public hospitals and medical records and billing invoice of private maternity hospitals. Statistical analysis was conducted using odds ratio by the Chi-square test and means by t-Student test. RESULTS: Mean in-hospital stay was 2.2 days and it was lower in the private maternity hospital. Cesarean sections were performed in 52.7% of all births, 31.3% in the public hospital and 64.5% in the private hospital. Peridural anesthesia was used in 72.8% of births and local anesthesia in 22.4% (25.3% and 63.7% of births in the public and 98.2% and 0.4% in the private hospital). All women received drugs (minimum of 3 and maximum of 19 different drugs) during their hospital stay. Eighty-three medications (97 active ingredients) were utilized at a total frequency of 3,429. The higher average drug use was 8.5 drugs per woman, in the private maternity hospital. CONCLUSIONS: There was a significant difference in drug use between the two maternity hospitals, being it higher in pre- and during birth delivery procedures. The results suggest a preeminent drug use compared to those of other few studies available in the literature. The disproportionate number of cesarean sections and anesthesia explain the differences observed. OBJETIVO: O consumo de medicamentos no parto tem sido pouco explorado na literatura. Limitado no tempo e nas possibilidades terapêuticas, representa um evento privilegiado para discussão sobre o seu uso correto. Assim, realizou-se análise do consumo de medicamentos no parto, estabelecendo base para comparações entre maternidades. MÉTODOS: Estudo transversal envolvendo duas maternidades, uma particular e outra pública, de Belo Horizonte, Minas Gerais. Para a análise da utilização de medicamentos no período de internação das parturientes, foram coletados dados sobre identificação, gravidez, parto e medicamentos prescritos nos prontuários da maternidade pública, e na particular, nos prontuários e faturas. Para a análise estatística utilizou-se odds ratio (OR) testadas pelo qui-quadrado, e em médias pelo t de Student. RESULTADOS: O tempo médio de hospitalização foi de 2,2 dias, menor na maternidade particular. Partos cesáreos representaram 52,7%, 31,3% na pública e 64,5% na particular. A anestesia peridural foi utilizada em 72,8% dos casos e a local em 22,4% (25,3 e 63,7% na pública e 98,2 e 0,4% na particular). Todas as mulheres receberam medicamentos, com mínimo de três e máximo de 19 produtos diferentes. No total, 83 medicamentos (97 princípios ativos) foram utilizados com freqüência total de 3.429. Foi observado consumo médio maior na maternidade particular de 8,5 medicamentos por mulher. CONCLUSÕES: Observou-se diferença significativa no consumo de medicamentos nas duas maternidades, maior nos procedimentos do pré-parto/parto. Em ambas as maternidades, o consumo mostrou-se elevado em relação às poucas evidências internacionais. O excesso de partos cesáreos e os procedimentos anestésicos explicam as diferenças quantitativas observadas. Universidade de São Paulo. Faculdade de Saúde Pública2005-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3187610.1590/S0034-89102005000300005Revista de Saúde Pública; Vol. 39 No. 3 (2005); 358-365 Revista de Saúde Pública; Vol. 39 Núm. 3 (2005); 358-365 Revista de Saúde Pública; v. 39 n. 3 (2005); 358-365 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31876/33843Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessPerini, EdsonMagalhães, Sérgia Maria StarlingNoronha, Vanessa2012-07-08T22:38:05Zoai:revistas.usp.br:article/31876Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:38:05Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Drug use during in-hospital birth delivery stay Consumo de medicamentos no período de internação para o parto |
title |
Drug use during in-hospital birth delivery stay |
spellingShingle |
Drug use during in-hospital birth delivery stay Perini, Edson Uso de medicamentos Gravidez Lactação Puerpério Hospitalização Maternidades Anestesia Cesárea Parto Drug utilization Pregnancy Lactation Puerperium Hospitalization Hospitals maternity Anesthesia Cesarean section Birth delivery |
title_short |
Drug use during in-hospital birth delivery stay |
title_full |
Drug use during in-hospital birth delivery stay |
title_fullStr |
Drug use during in-hospital birth delivery stay |
title_full_unstemmed |
Drug use during in-hospital birth delivery stay |
title_sort |
Drug use during in-hospital birth delivery stay |
author |
Perini, Edson |
author_facet |
Perini, Edson Magalhães, Sérgia Maria Starling Noronha, Vanessa |
author_role |
author |
author2 |
Magalhães, Sérgia Maria Starling Noronha, Vanessa |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Perini, Edson Magalhães, Sérgia Maria Starling Noronha, Vanessa |
dc.subject.por.fl_str_mv |
Uso de medicamentos Gravidez Lactação Puerpério Hospitalização Maternidades Anestesia Cesárea Parto Drug utilization Pregnancy Lactation Puerperium Hospitalization Hospitals maternity Anesthesia Cesarean section Birth delivery |
topic |
Uso de medicamentos Gravidez Lactação Puerpério Hospitalização Maternidades Anestesia Cesárea Parto Drug utilization Pregnancy Lactation Puerperium Hospitalization Hospitals maternity Anesthesia Cesarean section Birth delivery |
description |
OBJECTIVE: Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS: A cross-sectional study was carried out using medical records of two private and public maternity hospitals of Belo Horizonte, Brazil. Data were collected on pregnant women's identification, pregnancy, delivery and drug prescribed from medical records of public hospitals and medical records and billing invoice of private maternity hospitals. Statistical analysis was conducted using odds ratio by the Chi-square test and means by t-Student test. RESULTS: Mean in-hospital stay was 2.2 days and it was lower in the private maternity hospital. Cesarean sections were performed in 52.7% of all births, 31.3% in the public hospital and 64.5% in the private hospital. Peridural anesthesia was used in 72.8% of births and local anesthesia in 22.4% (25.3% and 63.7% of births in the public and 98.2% and 0.4% in the private hospital). All women received drugs (minimum of 3 and maximum of 19 different drugs) during their hospital stay. Eighty-three medications (97 active ingredients) were utilized at a total frequency of 3,429. The higher average drug use was 8.5 drugs per woman, in the private maternity hospital. CONCLUSIONS: There was a significant difference in drug use between the two maternity hospitals, being it higher in pre- and during birth delivery procedures. The results suggest a preeminent drug use compared to those of other few studies available in the literature. The disproportionate number of cesarean sections and anesthesia explain the differences observed. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31876 10.1590/S0034-89102005000300005 |
url |
https://www.revistas.usp.br/rsp/article/view/31876 |
identifier_str_mv |
10.1590/S0034-89102005000300005 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31876/33843 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 39 No. 3 (2005); 358-365 Revista de Saúde Pública; Vol. 39 Núm. 3 (2005); 358-365 Revista de Saúde Pública; v. 39 n. 3 (2005); 358-365 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221783137189888 |