Rooming-in and cesarean section in maternity hospitals in a region of Southeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 1997 |
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/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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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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1800221778383994880 |