Maternal and perinatal health position in the State of S. Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 1989 |
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/23553 |
Resumo: | The assistance offered during pregnancy and labour as also to the newborn child, and its relationship to maternal and perinatal mortality in the State of S. Paulo in 1984, is analysed on the basis of official available data. With respect to prenatal care the number of visits per woman was considered to be "sufficient" though of doubtful quality. The proportion of cesarean sections was very high (46.2%). Maternal mortality was found to be 4.86 deaths per 10,000 live births, but despite its being high, this figure is certainly too low and the correct figure is probably twice as high. The principal cause of maternal deaths is toxemia in pregnancy, followed by hemorrhage and abortion. Most of these deaths could have been avoided with care during pregnancy and labour. The rate of perinatal mortality was found to be 29.2 deaths per thousand births in 1984. This figure is also very high. The analysis of the causes of death for this period showed that the disorders which arose during the perinatal period were responsible for 90 per cent of the total number of deaths. The main causes of death in this group were the intra-uterine hypoxias and anoxias, asphyxia, respiratory distress syndrome and massive aspiration syndrome. These data bring to light the poor quality of the care offered to this group. The authors trust that the new policy of the Decentralized and Unified System of Health will take the quality of care as much as the integration of services into consideration with a view to overcoming the precarious maternal and perinatal health situation in S. Paulo. |
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Maternal and perinatal health position in the State of S. Paulo, Brazil Situação de saúde materna e perinatal no Estado de São Paulo, Brasil Assistência pré-natalPartoMortalidade maternaMortalidade perinatalSaúde materno-infantilPrenatal careDeliveryMaternal mortalityPerinatal mortalityMaternal and child health The assistance offered during pregnancy and labour as also to the newborn child, and its relationship to maternal and perinatal mortality in the State of S. Paulo in 1984, is analysed on the basis of official available data. With respect to prenatal care the number of visits per woman was considered to be "sufficient" though of doubtful quality. The proportion of cesarean sections was very high (46.2%). Maternal mortality was found to be 4.86 deaths per 10,000 live births, but despite its being high, this figure is certainly too low and the correct figure is probably twice as high. The principal cause of maternal deaths is toxemia in pregnancy, followed by hemorrhage and abortion. Most of these deaths could have been avoided with care during pregnancy and labour. The rate of perinatal mortality was found to be 29.2 deaths per thousand births in 1984. This figure is also very high. The analysis of the causes of death for this period showed that the disorders which arose during the perinatal period were responsible for 90 per cent of the total number of deaths. The main causes of death in this group were the intra-uterine hypoxias and anoxias, asphyxia, respiratory distress syndrome and massive aspiration syndrome. These data bring to light the poor quality of the care offered to this group. The authors trust that the new policy of the Decentralized and Unified System of Health will take the quality of care as much as the integration of services into consideration with a view to overcoming the precarious maternal and perinatal health situation in S. Paulo. Pelos dados oficiais disponíveis, para o Estado de São Paulo (Brasil) analisou-se a assistência oferecida na gestação, no parto e ao recém-nascido e suas relações com a mortalidade materna e perinatal. Com referência ao pré-natal, houve indícios de quantidade de consultas por gestação, numericamente suficiente, porém de qualidade discutível. Quanto ao parto observou-se uma alta percentagem de cesarianas (46,2%). A mortalidade materna foi de 4,86 por dez mil n.v., valor este subestimado. A primeira causa de óbitos maternos foram as toxemias, seguidas das hemorragias e do aborto, causas estas evitáveis em sua maioria, com uma boa qualidade de assistência pré-natal e ao parto. Quanto aos óbitos do período perinatal, o coeficiente foi de 29,2 por mil nascimentos em 1984, valor este também elevado. A análise das causas de óbitos mostrou que as afecções de origem perinatal ocorreram em cerca de 90% dos óbitos, tendo como principais causas as hipóxias intra-uterinas, asfixias, síndromes de angústia respiratória e aspiração maciça. Esses dados revelam a má qualidade de assistência recebida por este grupo. Sugere-se que a nova política de Sistema Unificado e Descentralizado de Saúde deveria levar em conta tanto a qualidade de assistência como a integração dos serviços para poder-se fazer frente à situação precária de saúde materna e perinatal do Estado. Universidade de São Paulo. Faculdade de Saúde Pública1989-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2355310.1590/S0034-89101989000100009Revista de Saúde Pública; Vol. 23 No. 1 (1989); 67-75 Revista de Saúde Pública; Vol. 23 Núm. 1 (1989); 67-75 Revista de Saúde Pública; v. 23 n. 1 (1989); 67-75 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/23553/25590Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessTanaka, Ana Cristina d'AndrettaSiqueira, Arnaldo Augusto Franco deBafile, Paulo Nogueira2012-05-28T17:01:14Zoai:revistas.usp.br:article/23553Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-28T17:01:14Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Maternal and perinatal health position in the State of S. Paulo, Brazil Situação de saúde materna e perinatal no Estado de São Paulo, Brasil |
title |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
spellingShingle |
Maternal and perinatal health position in the State of S. Paulo, Brazil Tanaka, Ana Cristina d'Andretta Assistência pré-natal Parto Mortalidade materna Mortalidade perinatal Saúde materno-infantil Prenatal care Delivery Maternal mortality Perinatal mortality Maternal and child health |
title_short |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
title_full |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
title_fullStr |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
title_full_unstemmed |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
title_sort |
Maternal and perinatal health position in the State of S. Paulo, Brazil |
author |
Tanaka, Ana Cristina d'Andretta |
author_facet |
Tanaka, Ana Cristina d'Andretta Siqueira, Arnaldo Augusto Franco de Bafile, Paulo Nogueira |
author_role |
author |
author2 |
Siqueira, Arnaldo Augusto Franco de Bafile, Paulo Nogueira |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Tanaka, Ana Cristina d'Andretta Siqueira, Arnaldo Augusto Franco de Bafile, Paulo Nogueira |
dc.subject.por.fl_str_mv |
Assistência pré-natal Parto Mortalidade materna Mortalidade perinatal Saúde materno-infantil Prenatal care Delivery Maternal mortality Perinatal mortality Maternal and child health |
topic |
Assistência pré-natal Parto Mortalidade materna Mortalidade perinatal Saúde materno-infantil Prenatal care Delivery Maternal mortality Perinatal mortality Maternal and child health |
description |
The assistance offered during pregnancy and labour as also to the newborn child, and its relationship to maternal and perinatal mortality in the State of S. Paulo in 1984, is analysed on the basis of official available data. With respect to prenatal care the number of visits per woman was considered to be "sufficient" though of doubtful quality. The proportion of cesarean sections was very high (46.2%). Maternal mortality was found to be 4.86 deaths per 10,000 live births, but despite its being high, this figure is certainly too low and the correct figure is probably twice as high. The principal cause of maternal deaths is toxemia in pregnancy, followed by hemorrhage and abortion. Most of these deaths could have been avoided with care during pregnancy and labour. The rate of perinatal mortality was found to be 29.2 deaths per thousand births in 1984. This figure is also very high. The analysis of the causes of death for this period showed that the disorders which arose during the perinatal period were responsible for 90 per cent of the total number of deaths. The main causes of death in this group were the intra-uterine hypoxias and anoxias, asphyxia, respiratory distress syndrome and massive aspiration syndrome. These data bring to light the poor quality of the care offered to this group. The authors trust that the new policy of the Decentralized and Unified System of Health will take the quality of care as much as the integration of services into consideration with a view to overcoming the precarious maternal and perinatal health situation in S. Paulo. |
publishDate |
1989 |
dc.date.none.fl_str_mv |
1989-02-01 |
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/23553 10.1590/S0034-89101989000100009 |
url |
https://www.revistas.usp.br/rsp/article/view/23553 |
identifier_str_mv |
10.1590/S0034-89101989000100009 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23553/25590 |
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. 23 No. 1 (1989); 67-75 Revista de Saúde Pública; Vol. 23 Núm. 1 (1989); 67-75 Revista de Saúde Pública; v. 23 n. 1 (1989); 67-75 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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1800221774112096256 |