Drug use in delivery hospitalization: Pelotas births cohort, 2015
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/158217 |
Resumo: | OBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sample. We collected information regarding drug prescription and drug use by mothers during the whole period of hospitalization. Sociodemographic data were obtained in interview after delivery, and other data were obtained from medical charts. The drugs were classified according to the Anatomical Therapeutic Chemical system. RESULTS: All study participants (1,392 women) used at least one drug, with the mean amount being larger the higher the age of the mother, both prepartum/during delivery and postpartum. It was also higher in cases of spinal anesthesia or general anesthesia, cesarean deliveries, school hospitals, and longer hospitalizations. Analysis of the sample as a whole showed no significant difference in the number of drugs used according to hospitalization type, but when stratified by length of hospital stay the mean was higher in SUS hospitalizations than in private and health insurance hospitalizations. Drugs for the nervous system were the most used (30.5%), followed by drugs for the alimentary tract and metabolism (13.8%). The use of anti-infective agents and drugs that act on the cardiovascular and respiratory systems was higher in mothers who underwent cesarean delivery. This study showed high drug consumption in the delivery hospitalization period, and showed cesarean delivery and epidural anesthesia as the main factors related to high drug consumption in this period. CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used. |
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Drug use in delivery hospitalization: Pelotas births cohort, 2015Uso de medicamentos na internação para o parto: coorte de nascimentos de Pelotas, 2015ParturitionMidwiferyPerinatal CareDrug UtilizationRisk FactorsSocioeconomic FactorsPartoTocologiaAssistência PerinatalUso de MedicamentosFatores de RiscoFatores SocioeconômicosOBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sample. We collected information regarding drug prescription and drug use by mothers during the whole period of hospitalization. Sociodemographic data were obtained in interview after delivery, and other data were obtained from medical charts. The drugs were classified according to the Anatomical Therapeutic Chemical system. RESULTS: All study participants (1,392 women) used at least one drug, with the mean amount being larger the higher the age of the mother, both prepartum/during delivery and postpartum. It was also higher in cases of spinal anesthesia or general anesthesia, cesarean deliveries, school hospitals, and longer hospitalizations. Analysis of the sample as a whole showed no significant difference in the number of drugs used according to hospitalization type, but when stratified by length of hospital stay the mean was higher in SUS hospitalizations than in private and health insurance hospitalizations. Drugs for the nervous system were the most used (30.5%), followed by drugs for the alimentary tract and metabolism (13.8%). The use of anti-infective agents and drugs that act on the cardiovascular and respiratory systems was higher in mothers who underwent cesarean delivery. This study showed high drug consumption in the delivery hospitalization period, and showed cesarean delivery and epidural anesthesia as the main factors related to high drug consumption in this period. CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used.OBJETIVO: Identificar o padrão de uso dos medicamentos durante a internação para o parto. MÉTODO: Estudo transversal realizado de junho a outubro de 2015, inserido na coorte de nascimentos de Pelotas de 2015. Todas as mulheres residentes na zona urbana da cidade que foram internadas para o parto fizeram parte da amostra. Foram coletadas informações referentes à prescrição e uso de medicamentos pela mãe durante todo o período de internação. Dados sociodemográficos foram obtidos na entrevista realizada após o parto, e os demais nos prontuários. Os medicamentos foram classificados de acordo com o sistema Anatomical Therapeutic Chemical. RESULTADOS: Todas as participantes do estudo (1.392 mulheres) utilizaram pelo menos um medicamento, sendo a quantidade média maior quanto maior a idade da mãe, tanto no momento pré/durante o parto como no pós-parto. Também foi maior em casos de raquianestesia ou anestesia geral, partos cesarianos, hospitais escola e internações mais prolongadas. Na análise da amostra como um todo, não houve diferença significativa no número de medicamentos utilizados de acordo com o tipo de hospitalização, mas quando estratificada por período de internação, a média foi maior nas internações pelo SUS que nas internações particulares e por convênios. Medicamentos para o sistema nervoso foram os mais utilizados (30,5%), seguidos dos que atuam no trato alimentar e metabolismo (13,8%). O uso de anti-infecciosos e fármacos que atuam nos sistemas cardiovascular e respiratório foi maior em mães que fizeram cesariana. Este estudo evidenciou elevado consumo de medicamentos no período de internação para o parto, e o parto cesariano e a anestesia peridural como os principais fatores relacionados ao consumo elevado de medicamentos neste período. CONCLUSÕES: Evidenciou-se elevado consumo de medicamentos no período de internação para o parto, sendo os principais fatores a cesariana e a anestesia peridural. Os medicamentos que atuam no sistema nervoso foram os mais utilizados.Universidade de São Paulo. Faculdade de Saúde Pública2019-05-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15821710.11606/S1518-8787.2019053000913Revista de Saúde Pública; Vol. 53 (2019); 51Revista de Saúde Pública; Vol. 53 (2019); 51Revista de Saúde Pública; v. 53 (2019); 511518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/158217/153409https://www.revistas.usp.br/rsp/article/view/158217/153410https://www.revistas.usp.br/rsp/article/view/158217/153411Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSilveira, Marysabel Pinto TelisMiranda, Vanessa Iribarrem AvenaSilveira, Mariângela Freitas daDal Pizzol, Tatiane da SilvaMengue, Sotero SerrateBertoldi, Andréa Dâmaso2019-06-18T15:56:39Zoai:revistas.usp.br:article/158217Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-06-18T15:56:39Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 Uso de medicamentos na internação para o parto: coorte de nascimentos de Pelotas, 2015 |
title |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
spellingShingle |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 Silveira, Marysabel Pinto Telis Parturition Midwifery Perinatal Care Drug Utilization Risk Factors Socioeconomic Factors Parto Tocologia Assistência Perinatal Uso de Medicamentos Fatores de Risco Fatores Socioeconômicos |
title_short |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
title_full |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
title_fullStr |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
title_full_unstemmed |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
title_sort |
Drug use in delivery hospitalization: Pelotas births cohort, 2015 |
author |
Silveira, Marysabel Pinto Telis |
author_facet |
Silveira, Marysabel Pinto Telis Miranda, Vanessa Iribarrem Avena Silveira, Mariângela Freitas da Dal Pizzol, Tatiane da Silva Mengue, Sotero Serrate Bertoldi, Andréa Dâmaso |
author_role |
author |
author2 |
Miranda, Vanessa Iribarrem Avena Silveira, Mariângela Freitas da Dal Pizzol, Tatiane da Silva Mengue, Sotero Serrate Bertoldi, Andréa Dâmaso |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silveira, Marysabel Pinto Telis Miranda, Vanessa Iribarrem Avena Silveira, Mariângela Freitas da Dal Pizzol, Tatiane da Silva Mengue, Sotero Serrate Bertoldi, Andréa Dâmaso |
dc.subject.por.fl_str_mv |
Parturition Midwifery Perinatal Care Drug Utilization Risk Factors Socioeconomic Factors Parto Tocologia Assistência Perinatal Uso de Medicamentos Fatores de Risco Fatores Socioeconômicos |
topic |
Parturition Midwifery Perinatal Care Drug Utilization Risk Factors Socioeconomic Factors Parto Tocologia Assistência Perinatal Uso de Medicamentos Fatores de Risco Fatores Socioeconômicos |
description |
OBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sample. We collected information regarding drug prescription and drug use by mothers during the whole period of hospitalization. Sociodemographic data were obtained in interview after delivery, and other data were obtained from medical charts. The drugs were classified according to the Anatomical Therapeutic Chemical system. RESULTS: All study participants (1,392 women) used at least one drug, with the mean amount being larger the higher the age of the mother, both prepartum/during delivery and postpartum. It was also higher in cases of spinal anesthesia or general anesthesia, cesarean deliveries, school hospitals, and longer hospitalizations. Analysis of the sample as a whole showed no significant difference in the number of drugs used according to hospitalization type, but when stratified by length of hospital stay the mean was higher in SUS hospitalizations than in private and health insurance hospitalizations. Drugs for the nervous system were the most used (30.5%), followed by drugs for the alimentary tract and metabolism (13.8%). The use of anti-infective agents and drugs that act on the cardiovascular and respiratory systems was higher in mothers who underwent cesarean delivery. This study showed high drug consumption in the delivery hospitalization period, and showed cesarean delivery and epidural anesthesia as the main factors related to high drug consumption in this period. CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-23 |
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/158217 10.11606/S1518-8787.2019053000913 |
url |
https://www.revistas.usp.br/rsp/article/view/158217 |
identifier_str_mv |
10.11606/S1518-8787.2019053000913 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/158217/153409 https://www.revistas.usp.br/rsp/article/view/158217/153410 https://www.revistas.usp.br/rsp/article/view/158217/153411 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
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. 53 (2019); 51 Revista de Saúde Pública; Vol. 53 (2019); 51 Revista de Saúde Pública; v. 53 (2019); 51 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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1800221800549842944 |