Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100424 |
Resumo: | ABSTRACT Objective: To analyze the trajectory taken by pregnant women for delivery care in Belo Horizonte and its relation with the reproductive outcomes. Method: A cross-sectional study using a database from a study conducted in Belo Horizonte. The studied variables were referent to the trajectory of women seeking delivery care, to their social, demographic and health care characteristics, and to the reproductive outcomes. Odds Ratios were estimated with their 95% confidence intervals to evaluate the factors associated with unfavorable trajectory and outcomes. Results: A total of 1,087 cases were studied, of which 39.3% had an unfavorable trajectory. The chance of having an unfavorable trajectory was higher for women who were not Belo Horizonte residents, with lower education, non-white race/color, and who had undergone prenatal care in public healthcare service. The prevalence of reproductive outcomes was similar regardless of the trajectory status, except for vaginal delivery. Conclusion: An unfavorable trajectory remains high, and shows weaknesses in the health care services network to guarantee timely and qualified access to pregnant women. However, the care received in the health services outweighs the risks of an unfavorable trajectory. |
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Revista da Escola de Enfermagem da USP (Online) |
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Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomesPregnant WomenParturitionHealth Services AccessibilityHealth EvaluationObstetric NursingABSTRACT Objective: To analyze the trajectory taken by pregnant women for delivery care in Belo Horizonte and its relation with the reproductive outcomes. Method: A cross-sectional study using a database from a study conducted in Belo Horizonte. The studied variables were referent to the trajectory of women seeking delivery care, to their social, demographic and health care characteristics, and to the reproductive outcomes. Odds Ratios were estimated with their 95% confidence intervals to evaluate the factors associated with unfavorable trajectory and outcomes. Results: A total of 1,087 cases were studied, of which 39.3% had an unfavorable trajectory. The chance of having an unfavorable trajectory was higher for women who were not Belo Horizonte residents, with lower education, non-white race/color, and who had undergone prenatal care in public healthcare service. The prevalence of reproductive outcomes was similar regardless of the trajectory status, except for vaginal delivery. Conclusion: An unfavorable trajectory remains high, and shows weaknesses in the health care services network to guarantee timely and qualified access to pregnant women. However, the care received in the health services outweighs the risks of an unfavorable trajectory.Universidade de São Paulo, Escola de Enfermagem2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100424Revista da Escola de Enfermagem da USP v.53 2019reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s1980-220x2018000903441info:eu-repo/semantics/openAccessAmorim,TorcataFelisbino-Mendes,Mariana SantosSchreck,Rafaela Siqueira CostaRibeiro,Sabrina PaivaRezende,Edna MariaMartins,Eunice Franciscaeng2019-05-28T00:00:00Zoai:scielo:S0080-62342019000100424Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2019-05-28T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
title |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
spellingShingle |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes Amorim,Torcata Pregnant Women Parturition Health Services Accessibility Health Evaluation Obstetric Nursing |
title_short |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
title_full |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
title_fullStr |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
title_full_unstemmed |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
title_sort |
Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes |
author |
Amorim,Torcata |
author_facet |
Amorim,Torcata Felisbino-Mendes,Mariana Santos Schreck,Rafaela Siqueira Costa Ribeiro,Sabrina Paiva Rezende,Edna Maria Martins,Eunice Francisca |
author_role |
author |
author2 |
Felisbino-Mendes,Mariana Santos Schreck,Rafaela Siqueira Costa Ribeiro,Sabrina Paiva Rezende,Edna Maria Martins,Eunice Francisca |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Amorim,Torcata Felisbino-Mendes,Mariana Santos Schreck,Rafaela Siqueira Costa Ribeiro,Sabrina Paiva Rezende,Edna Maria Martins,Eunice Francisca |
dc.subject.por.fl_str_mv |
Pregnant Women Parturition Health Services Accessibility Health Evaluation Obstetric Nursing |
topic |
Pregnant Women Parturition Health Services Accessibility Health Evaluation Obstetric Nursing |
description |
ABSTRACT Objective: To analyze the trajectory taken by pregnant women for delivery care in Belo Horizonte and its relation with the reproductive outcomes. Method: A cross-sectional study using a database from a study conducted in Belo Horizonte. The studied variables were referent to the trajectory of women seeking delivery care, to their social, demographic and health care characteristics, and to the reproductive outcomes. Odds Ratios were estimated with their 95% confidence intervals to evaluate the factors associated with unfavorable trajectory and outcomes. Results: A total of 1,087 cases were studied, of which 39.3% had an unfavorable trajectory. The chance of having an unfavorable trajectory was higher for women who were not Belo Horizonte residents, with lower education, non-white race/color, and who had undergone prenatal care in public healthcare service. The prevalence of reproductive outcomes was similar regardless of the trajectory status, except for vaginal delivery. Conclusion: An unfavorable trajectory remains high, and shows weaknesses in the health care services network to guarantee timely and qualified access to pregnant women. However, the care received in the health services outweighs the risks of an unfavorable trajectory. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100424 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100424 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1980-220x2018000903441 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.53 2019 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
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1748936539764686848 |