Perinatal health and mother-child health care in the municipality of São Luís, Maranhão State, Brazil

Cadernos de Saúde Pública

Antônio Augusto M. Da Silva²  Liberata Campos Coimbra¹  Raimundo Antônio Da Silva²  Maria Teresa S. S. De B. E Alves²  Fernando Lamy Filho¹  Zeni Carvalho Lamy¹  Elba Gomide Mochel¹  Vânia Maria De F. Aragão¹  Valdinar Sousa Ribeiro¹  Sueli Rosina Tonial²  Marco Antônio Barbieri¹ 

[1] ,Universidade Federal do Maranhão Departamento de Saúde Pública São Luís MA ,Brasil

关键词: Low Birth Weight;    Premature;    Fetal Growth Retardation;    Prenatal Care;    Cesarean Section;    Baixo Peso ao Nascer;    Prematuro;    Retardo do Crescimento Fetal;    Cuidado Pré-Natal;    Cesárea;   

DOI  :  10.1590/S0102-311X2001000600012

来源: SciELO

【 摘 要 】

The purpose of this article was to evaluate socioeconomic and demographic indicators, reproductive health, use of prenatal, childbirth, and neonatal services, and anthropometric data for mothers and infants. The authors performed a cross-sectional analysis of a systematic sample of 2,831 hospital births in São Luís, Maranhão State, from March 1997 to February 1998 at ten public and private maternity hospitals. The sample was stratified proportionally according to the number of births in each maternity hospital. Mothers answered a standard questionnaire. Of the total, 97.9% were live births and 98% were singletons. Prenatal coverage was 89.5%, and prevalence of cesarean sections was 33.8%. A physician provided prenatal care in 75.7% of cases and performed 73.8% of the deliveries. The Unified Health System covered the costs of 76.4% of the prenatal visits and 89.7% of the deliveries. A pediatrician was present in the delivery room in 50.2% of cases. The low birth weight rate was 9.6% and the preterm birth rate 13.9%. Reasons for concern included a high percentage of adolescent mothers, single mothers (or without partners), the high cesarean rate, and the high percentage of births attended by unqualified personnel.

【 授权许可】

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