Assistência ao parto no Município do Rio de Janeiro: perfil das maternidades e o acesso da clientela

Cadernos de Saúde Pública

Tatiana Pacheco Campos²  Marilia Sá Carvalho¹ 

[1] ,Secretaria Municipal de Saúde do Rio de Janeiro Superintendência de Saúde Coletiva Coordenação de Programas de Atendimento Integral à SaúdeRio de Janeiro RJ ,Brasil

关键词: Midwifery;    Delivery;    Health Services Accessibility;    Tocologia;    Parto;    Acesso aos Serviços de Saúde;   

DOI  :  10.1590/S0102-311X2000000200011

来源: SciELO

【 摘 要 】

The purpose of this paper is to identify and describe Rio de Janeiro maternity hospital profiles and the route between the mother's place of residence and the hospital. Data sources were: the State Live Birth Information System (1995) and the National Survey on Medical Care (1992). Two groups of maternity hospitals were identified using multivariate cluster analysis. Group A had an extremely high cesarean rate (81%), with mothers and neonates presenting good health conditions. Cesarean rates were lower in Group B, although still high (32%), and other variables reflected worse neonatal conditions. Cesarean rate was the indicator which best discriminated between the groups, followed by proportion of adolescent mothers and mothers with a high school education. The uneven spatial distribution of maternity hospitals, which were concentrated in the richest area of the city, was a factor in the long routes used by women to reach medical care for childbirth.

【 授权许可】

CC BY   
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