The largest obstetric and neonatal care program and one of the largest public maternity hospital in brazil

Autor:	J C Massonetto, N Pedroso Filho, M T de Campos Rehm, C de Moraes Terra, E V Souza
Rok vydání:	2011
Předmět:	medicine.medical_specialty Referral business.industry Reproductive medicine Obstetrics and Gynecology General Medicine Prenatal care Abortion Infant mortality Nursing Family medicine Pediatrics Perinatology and Child Health Pediatric surgery Epidemiology medicine Outpatient clinic business
Zdroj:	Archives of Disease in Childhood - Fetal and Neonatal Edition. 96:Fa135-Fa135
ISSN:	1468-2052 1359-2998
DOI:	10.1136/archdischild.2011.300157.42
Popis:	Objective To analyse the results of a municipal program for obstetric and neonatal care. Study design Observational descriptive epidemiological study. Sao Paulo is among the five biggest urban agglomerations in the world, with 11 037 593 inhabitants. In 2006, the city authorities launched the Protection Network for Sao Paulo Mothers, a public program with wide-ranging coverage of prenatal care for pregnant women, going from the first consultation to clinical events and delivery, and coverage of childcare follow-up during the first year of life. The public infrastructure providing this care is formed by 409 primary healthcare units for prenatal follow-up and childcare, 25 specialised outpatient clinics and 36 hospitals. Among the latter is Amparo Maternal, a private philanthropic maternity hospital providing care exclusively within SUS and responsible for around 700 deliveries/month. Results The program currently provides care for 80 000 pregnant women and oversees 10 000 deliveries/month on average, coordinated by a regulatory center (RC) that manages and controls information and ensures admission for pregnant women, parturients and neonates with complications to its referral units. Among requests made to the RC, 81.2% relate to low-risk deliveries, 18.3% to high-risk deliveries, 0.4% to pregnant women with clinical diseases and 0.1% to abortion. There are 36 requests/month on average for referrals of newborns with serious conditions or congenital diseases, particularly within pediatric surgery, neurosurgery and cardiac surgery. Conclusion One of the positive impacts of this program has been its contribution towards reducing the infant mortality in this municipality by more than 10%.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::918f6cd159257f6ed49f54457f08401c https://doi.org/10.1136/archdischild.2011.300157.42 Zobrazit plný text záznamu