Análise da adequação e da efetividade do uso de tocolíticos no trabalho de parto prematuro

Cadernos de Saúde Pública

Letícia Krauss Silva²  Aldo Franklin Reis¹  Tomaz Pinheiro Da Costa¹  Andrea Paula De Azevedo²  Neiw Iamada²  Carla Pontes De Albuquerque² 

[1] ,Fundação Oswaldo CruzRio de Janeiro RJ ,Brasil

关键词: Tocolytic Agents;    Premature Labor;    Quality Control;    Reference Standards;    Tocolíticos;    Trabalho de Parto Prematuro;    Controle de Qualidade;    Padrões de Referência;   

DOI  :  10.1590/S0102-311X1999000300015

来源: SciELO

【 摘 要 】

The objective of this study was to assess quality of care for premature labor at public maternity facilities in Rio de Janeiro, Brazil, using referents, indicators, and standards of care derived from scientific evidence. The standard utilized in the process analysis for use of betamimetic tocolytics was 100%, considering the related referents. For outcome analysis, the standard applied was the occurrence of premature delivery in 11% of patients within 24 h and in 24% of patients (referent) within 48 h of hospital admission. Use of tocolytics was observed in 18.7% of patients admitted in premature labor. At gestational age from 28 weeks to 33 weeks and 6 days, especially critical for neonatal survival, tocolytics were used in 32.6% of patients. Premature birth occurred in 59% of patients within 24 h and in 64% within 48 h. These outcomes were consistent with the low rate of utilization of tocolytics. Effectiveness of care for preterm labor measured by rate of premature birth was low. Results of the corresponding process and outcomes analysis were consistent.

【 授权许可】

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