Perinatal Health in Amazon Triple Border Region: Cross-Sectional Analysis Comparing Outcomes in the Brazilian, Peruvian and Colombian Population.

Autor: Teixeira CS; Leonidas e Maria Deane Institute, Oswaldo Cruz Foundation - FIOCRUZ, Manaus, Amazonas, Brasil. cst.enfg@gmail.com., Fernandes TG; Faculty of Physical Education and Physiotherapy, Federal University of Amazonas - UFAM, Manaus, Brazil., Dias MAB; Fernandes Figueira Institute, Oswaldo Cruz Foundation - FIOCRUZ, Rio de Janeiro, Brazil., Morais das Neves MDS; Leonidas e Maria Deane Institute, Oswaldo Cruz Foundation - FIOCRUZ, Manaus, Amazonas, Brasil., Schweickardt JC; Leonidas e Maria Deane Institute, Oswaldo Cruz Foundation - FIOCRUZ, Manaus, Amazonas, Brasil., Harris MJ; The School of Public Health, Imperial College London, London, UK., de Sousa Lima RT; Leonidas e Maria Deane Institute, Oswaldo Cruz Foundation - FIOCRUZ, Manaus, Amazonas, Brasil.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2023 Oct; Vol. 27 (10), pp. 1876-1884. Date of Electronic Publication: 2023 Jun 06.
DOI: 10.1007/s10995-023-03673-w
Abstrakt: Objective: To investigate the perinatal outcomes in Brazilian, Peruvian, and Colombian women in a Brazilian reference maternity hospital based at Amazon triple border region.
Method: A cross-sectional case study of data from 3242 live birth certificates issued at the Tabatinga public maternity hospital, in the countryside of Amazonas, in the period between January 2015 and December 2017. Maternal and perinatal independent variables were analysed based on central tendency and variability, and frequency distribution for categorical variables. The Pearson's Chi-Square test and univariate analyses were performed to estimate probability ratios (Odds Ratio-OR).
Results: Significant differences were found in the education level in the three population groups, as well as in the number of previous pregnancies, antenatal consultations, month of initial prenatal care, and type of delivery. Brazilian pregnant women had more prenatal consultations, caesarean sections, and premature births. Peruvian and Colombian women started antenatal care later, and those with high-risk pregnancies tended to deliver in their home country.
Conclusion for Practice: Our findings show some singularities in the care of women and infants in the Amazonian triple border region. The Brazilian Unified Health Care System performs an important role in the guarantee of free access to health services, and ensures comprehensive care for women and infants, promoting human rights in border regions regardless of nationality.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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