| Autor: |
Velho MB; Universidade Federal de Santa Catarina, Florianópolis, Brasil., Brüggemann OM; Universidade Federal de Santa Catarina, Florianópolis, Brasil., McCourt C; City, University of London, London, U.K., Gama SGND; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Knobel R; Universidade Federal de Santa Catarina, Florianópolis, Brasil., Gonçalves AC; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., d'Orsi E; Universidade Federal de Santa Catarina, Florianópolis, Brasil. |
| Jazyk: |
portugalština |
| Zdroj: |
Cadernos de saude publica [Cad Saude Publica] 2019 Mar 25; Vol. 35 (3), pp. e00093118. Date of Electronic Publication: 2019 Mar 25. |
| DOI: |
10.1590/0102-311X00093118 |
| Abstrakt: |
The study sought to identify obstetric care models for low-risk pregnancies in the Southern Region of Brazil and to estimate factors associated with these models and maternal and neonatal outcomes. This is a cross-sectional, hospital-based study using data from the Birth in Brazil survey regarding puerperae and newborns. We identified 2,668 low-risk pregnant women. We carried out an exploratory analysis using the proportion of practices per hospital, among them inducing labor, presence of a companion, cesarean section and skin-to-skin contact, in order to obtain the care models we called Best Practice, Interventionist I and Interventionist II. We then carried out an inferential analysis of the associated characteristics. Results show that access to public or private funding, cultural factors and actions taken by health professional are associated with the care models. Public care had different contexts, one based on public policies and evidence-based practices; and another, that suggests the intentionality of vaginal delivery without considering humanization principles. Private care, on the other hand, is standardized and centered on the medical professional, with higher intervention levels. We conclude there is a predominance of interventionist obstetric care models in the Southern Region of Brazil, a type of care that goes against the best evidence, and that women who receive care in public hospitals have greater chances of benefiting from good practices. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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