Abstract
Abstract Objectives: to analyze the factors associated to maternal and child's health from the Live Births Information System (Sinasc) in Rio Grande do Sul, 2012. Methods: a cross-sectional ecological study with analysis on Sinasc variables from 19 Regional Health Coordinations in Rio Grande do Sul. The variables occurrence frequencies were calculated and analyzed by Spearman correlation. Results: we observed that a higher maternal level of education, the presence of a partner and the adequate number of prenatal consultations reduced the frequency of vaginal delivery, as for the proportion of cesarean section, it was 62%. The frequency of low schooling was associated to prematurity (rho = 0.521, p=0.022) and low birth weight (rho = 0.542, p=0.016). The low prenatal coverage correlated positively with the Apgar score ≤ 7 in the 5th minute (rho = 0.467; p=0.044) and negatively with adequate birth weight (rho = -0.500; p=0.029). Conclusions: this study allows to identify factors associated to maternal and child's health contributing information to the development of actions that qualifies pregnant women's healthcare.
Highlights
Maternal and child health is a priority for the Brazilian health system that seeks to promote safe and free of complications at motherhood which arises during pregnancy
Childbirth has ceased to be a natural experience for all social classes in Brazil and this is due to the occurrence of vaginal delivery that is often painful with excessive medical interventions and the high rate of cesarean sections in the country
The total number of live births registered in the Sinasc in Rio Grande do Sul, in 2012, was 138;941, of which the percentage of information ignored ranged between 0.01% to the maternal age variable and 2.5% for the length of pregnancy variable
Summary
Maternal and child health is a priority for the Brazilian health system that seeks to promote safe and free of complications at motherhood which arises during pregnancy. Childbirth has ceased to be a natural experience for all social classes in Brazil and this is due to the occurrence of vaginal delivery that is often painful with excessive medical interventions and the high rate of cesarean sections in the country. Many interventions performed during a normal delivery are at discordance with the Ministry of Health recommends and the numerous of cesarean sections that are pre-scheduled and performed unnecessarily.[2] The situation is not restricted to the Brazilian scenario, the cesarean rates have increased around the world, reaching almost all the countries.[3]. The absence of physiological mechanisms to adapt at childbirth, which occurs through the performance of cesareans sections, entails risks to the newborns’ adaptation and their worst outcome may be evidenced by high rates of prematurity associated to respiratory disorders, such as tachypnea or hyaline membrane disease and low birth weight.[4]
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