Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil

Detalhes bibliográficos
Autor(a) principal: Oliveira, Maria Inês C. de
Data de Publicação: 1997
Outros Autores: Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/24329
Resumo: OBJECTIVE: To disclose the existence of rooming-in (RI) in public and government contracted private hospitals that offer obstetric beds, in the State of Rio de Janeiro, Brazil, and to examine whether there is any association between RI and another quality care indicator which influences breastfeeding, namely the rate of cesarean section operations performed in these hospitals. METHOD: A survey was made of the existence of RI through a questionnaire sent to the Municipal Health Offices, the information collected being confirmed by telephone with each maternity hospital. The C-section rate data was obtained from the Rio de Janeiro State Health Office and divided into 2 groups: "below 40%" and "40% and above". The prevalence ratio was applied to the measurement of the association between the variables. RESULTS: A rooming-in rate of 65.2% was found for the State as a whole, with regional variations: a better situation in the capital (84.8%), an intermediate one in the interior (69.9 %), and a worse one in the metropolitan belt (44.2%). The public maternity hospitals revealed a higher rate (89.7%) than that of the government contracted private hospitals (53.3%). A direct relation between the practice of RI and low C-section rates was found in the hospitals. However, this association did not present the same weight in all regions of the State. The lowest proportion of hospitals adopting RI was verified in the metropolitan belt, whereas the highest relative number of hospitals with high C-section rates was observed in the interior. CONCLUSION: It is concluded that to reverse the observed status, government authorities must fulfil their gerencial role within their own health system, as well as in the government contracted private hospitals.
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spelling Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil Alojamento conjunto e parto cesáreo em maternidades do Estado do Rio de Janeiro, Brasil Alojamento conjuntoprovisão e distribuiçãoCesárea^i1^sestatística e dados numériIndicadores de serviçosRooming-in careCesarean sectionIndicators of health services OBJECTIVE: To disclose the existence of rooming-in (RI) in public and government contracted private hospitals that offer obstetric beds, in the State of Rio de Janeiro, Brazil, and to examine whether there is any association between RI and another quality care indicator which influences breastfeeding, namely the rate of cesarean section operations performed in these hospitals. METHOD: A survey was made of the existence of RI through a questionnaire sent to the Municipal Health Offices, the information collected being confirmed by telephone with each maternity hospital. The C-section rate data was obtained from the Rio de Janeiro State Health Office and divided into 2 groups: "below 40%" and "40% and above". The prevalence ratio was applied to the measurement of the association between the variables. RESULTS: A rooming-in rate of 65.2% was found for the State as a whole, with regional variations: a better situation in the capital (84.8%), an intermediate one in the interior (69.9 %), and a worse one in the metropolitan belt (44.2%). The public maternity hospitals revealed a higher rate (89.7%) than that of the government contracted private hospitals (53.3%). A direct relation between the practice of RI and low C-section rates was found in the hospitals. However, this association did not present the same weight in all regions of the State. The lowest proportion of hospitals adopting RI was verified in the metropolitan belt, whereas the highest relative number of hospitals with high C-section rates was observed in the interior. CONCLUSION: It is concluded that to reverse the observed status, government authorities must fulfil their gerencial role within their own health system, as well as in the government contracted private hospitals. OBJETIVO: Conhecer a existência de alojamento conjunto (AC) nos hospitais que possuem leitos obstétricos da rede pública e conveniada do Estado do Rio de Janeiro e verificar se o AC guarda associação com outro indicador de qualidade de assistência que tem influência sobre o aleitamento materno: as taxas de cesárea (TC) praticadas por esses hospitais. METODOLOGIA: Procedeu-se a um levantamento sobre a existência de AC através de questionário enviado às Secretarias Municipais de Saúde, informação validada por inquérito telefônico. As TC foram obtidas junto à Secretaria Estadual de Saúde-RJ. Foi utilizada a razão de prevalência para a medida da associação entre as variáveis. RESULTADOS: Foi encontrada uma proporção de 65,2% das maternidades com AC, no Estado. Verificou-se relação direta entre a presença de AC e baixas taxas de cesárea no conjunto dos hospitais, porém essa associação não se confirmou com o mesmo peso em todas as regiões. A menor proporção de hospitais com AC foi verificada no cinturão metropolitano (44,2%), enquanto a maior proporção de hospitais com elevadas taxas de cesárea está no interior (73,1%). Universidade de São Paulo. Faculdade de Saúde Pública1997-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2432910.1590/S0034-89101997000700005Revista de Saúde Pública; Vol. 31 No. 6 (1997); 572-580 Revista de Saúde Pública; Vol. 31 Núm. 6 (1997); 572-580 Revista de Saúde Pública; v. 31 n. 6 (1997); 572-580 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/24329/26253Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessOliveira, Maria Inês C. deLeal, Maria do Carmo2012-05-29T16:52:18Zoai:revistas.usp.br:article/24329Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T16:52:18Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
Alojamento conjunto e parto cesáreo em maternidades do Estado do Rio de Janeiro, Brasil
title Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
spellingShingle Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
Oliveira, Maria Inês C. de
Alojamento conjunto
provisão e distribuição
Cesárea^i1^sestatística e dados numéri
Indicadores de serviços
Rooming-in care
Cesarean section
Indicators of health services
title_short Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
title_full Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
title_fullStr Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
title_full_unstemmed Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
title_sort Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
author Oliveira, Maria Inês C. de
author_facet Oliveira, Maria Inês C. de
Leal, Maria do Carmo
author_role author
author2 Leal, Maria do Carmo
author2_role author
dc.contributor.author.fl_str_mv Oliveira, Maria Inês C. de
Leal, Maria do Carmo
dc.subject.por.fl_str_mv Alojamento conjunto
provisão e distribuição
Cesárea^i1^sestatística e dados numéri
Indicadores de serviços
Rooming-in care
Cesarean section
Indicators of health services
topic Alojamento conjunto
provisão e distribuição
Cesárea^i1^sestatística e dados numéri
Indicadores de serviços
Rooming-in care
Cesarean section
Indicators of health services
description OBJECTIVE: To disclose the existence of rooming-in (RI) in public and government contracted private hospitals that offer obstetric beds, in the State of Rio de Janeiro, Brazil, and to examine whether there is any association between RI and another quality care indicator which influences breastfeeding, namely the rate of cesarean section operations performed in these hospitals. METHOD: A survey was made of the existence of RI through a questionnaire sent to the Municipal Health Offices, the information collected being confirmed by telephone with each maternity hospital. The C-section rate data was obtained from the Rio de Janeiro State Health Office and divided into 2 groups: "below 40%" and "40% and above". The prevalence ratio was applied to the measurement of the association between the variables. RESULTS: A rooming-in rate of 65.2% was found for the State as a whole, with regional variations: a better situation in the capital (84.8%), an intermediate one in the interior (69.9 %), and a worse one in the metropolitan belt (44.2%). The public maternity hospitals revealed a higher rate (89.7%) than that of the government contracted private hospitals (53.3%). A direct relation between the practice of RI and low C-section rates was found in the hospitals. However, this association did not present the same weight in all regions of the State. The lowest proportion of hospitals adopting RI was verified in the metropolitan belt, whereas the highest relative number of hospitals with high C-section rates was observed in the interior. CONCLUSION: It is concluded that to reverse the observed status, government authorities must fulfil their gerencial role within their own health system, as well as in the government contracted private hospitals.
publishDate 1997
dc.date.none.fl_str_mv 1997-12-01
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/24329
10.1590/S0034-89101997000700005
url https://www.revistas.usp.br/rsp/article/view/24329
identifier_str_mv 10.1590/S0034-89101997000700005
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24329/26253
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. 31 No. 6 (1997); 572-580
Revista de Saúde Pública; Vol. 31 Núm. 6 (1997); 572-580
Revista de Saúde Pública; v. 31 n. 6 (1997); 572-580
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
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