Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/6118
Title: ANÁLISE EPIDEMIOLÓGICA DOS PARTOS NO NORDESTE BRASILEIRO: UM ESTUDO ECOLÓGICO
Other Titles: EPIDEMIOLOGICAL ANALYSIS OF BIRTHS IN NORTHEASTERN BRAZIL: AN ECOLOGICAL STUDY
Authors: RIBEIRO, Marcyanne Vannessa Maia
Keywords: Saúde da mulher;
Parto;
Enfermagem obstétrica;
Epidemiologia
Women's health;
Childbirth;
Obstetric Nursing;
Epidemiology
Issue Date: 13-Jan-2023
Publisher: UFMA
Abstract: Os objetivos deste estudo foram análise epidemiológica dos partos no nordeste brasileiro entre os anos de 2011 a 2020; verificar os dados sociodemográfico e obstétrico das parturientes de acordo com o tipo de parto; identificar parâmetros relativos ao peso ao nascer, anomalias congênitas e Apgar no primeiro e quinto minuto referentes ao recém-nascido. Trata-se de um estudo descritivo, ecológico e quantitativo. A coleta de dados foi realizada A coleta de dados foi realizada a partir do banco de dados disponível no Departamento de Informação e Informática do SUS (DataSUS). Os dados foram expressos em frequências absolutas e relativas. Os resultados evidenciaram a ocorrência de 8.210.800 partos notificados, sendo 49,63% (n=4.074.817) identificados como parto vaginal, 50,14% (n=4.117.319) como parto cesariano e 0,23% (n=18.664) desconsiderados nessa pesquisa por terem a identificação do tipo de parto ignorada na DNV. Percebeu-se que o ano de 2011 apresentou o menor índice durante o período estudado com 46,48% cesarianas a cada 100 nascidos vivos, enquanto 2020 correspondeu aos maiores índices com taxas de cesariana equivalentes a 53.33%. Notou-se uma predominância de parturientes com faixa etária entre 20 - 34 anos em ambos os tipos de parto, com percentuais equivalentes a 65,53% (n=2.670.517) dos partos vaginais e 70,7% (n=2.910.981) das cesáreas. Verificou-se que um percentual acentuado de mulheres com escolaridade superior a sete anos de estudo as parturientes que realizaram parto vaginal, equivalendo a 59,94% (n=2.442.540) dos casos. Entretanto, quando avaliadas os partos cesarianos, verificou-se a mesma prevalência, com 75,39% (n=3.104.133) das parturientes possuindo escolaridade superior a sete anos de estudo. Observou-se que, tanto nos partos vaginais quanto nas cesáreas, existiram mais mulheres classificadas como solteiras, correspondendo, respectivamente, a 46,80% % (n=1.906.893) e 38,08% (n=1.568.012) dos casos. A grande maioria das mulheres independente da via de parturição realizaram sete ou mais consultas de pré-natal, sendo 64,98% (n=2.675.482) dos casos partos cesáreos e 50,43% (n=2.054.889) partos vaginais. Já as que fizeram apenas quatro a seis consultas, com percentual de 34,22% (n=1.394.383) realizaram o parto vaginal. Identificou-se uma prevalência de duração do período gestacional entre 37 a 41 semanas, em ambas as vias de parturição, sendo 78,56% (n=3.201.140) dos partos vaginais e 81,39% (n=3.350.926) cesáreas. Notou-se uma prevalência de hospitais como local de ocorrência 98,88% (4.071.400) partos vaginais, 97,06% (3.955.017) cirurgia cesariana. Quanto ao perfil dos recém-nascidos, em ambas as vias de parturição, o Apgar de primeiro e quinto minuto mais prevalente foram os índices entre 8 e 10, e o peso ao nascer predominante foi de 3000g a 3999g. Assim, conclui-se que devemos continuar investigando a atenção prestada as mulheres durante pré-natal, pré-parto e parto, planejando, enquanto Enfermeiros, ações que promovam a melhoria da assistência obstétrica.
Description: The objectives of this study were epidemiological analysis of deliveries in northeastern Brazil between 2011 and 2020; to verify the sociodemographic and obstetric data of parturients according to the type of delivery; identify parameters related to birth weight, congenital anomalies and Apgar in the first and fifth minutes related to the newborn. This is a descriptive, ecological and quantitative study. Data collection was performed Data collection was performed from the database available in the Information and Informatics Department of The SUS (DataSUS). The data were expressed in absolute and relative frequencies. The results showed the occurrence of 8,210,800 reported deliveries, 49.63% (n=4,074,817) were identified as vaginal delivery, 50.14% (n=4,117,319) as cesarean delivery and 0.23% (n=18,664) disregarded in this study because they had the identification of the type of delivery ignored in LBD. It was noticed that the year 2011 presented the lowest rate during the period studied with 46.48% cesarean sections per 100 live births, while 2020 corresponded to the highest rates with cesarean section rates equivalent to 53.33%. A predominance of parturients aged between 20 - 34 years was observed in both types of delivery, with percentages equivalent to 65.53% (n=2,670,517) of vaginal deliveries and 70.7% (n=2,910,981) of cesarean sections. It was found that a high percentage of women with schooling greater than seven years of schooling were parturientwomen who underwent vaginal delivery, equivalent to 59.94% (n=2,442,540) of the cases. However, when cesarean deliveries were evaluated, the same prevalence was verified, with 75.39% (n=3,104,133) of parturientwomen having more than seven years of schooling. It was observed that, both in vaginal and cesarean deliveries, there were more women classified as single, corresponding, respectively, to 46.80% (n=1,906,893) and 38.08% (n=1,568,012) of the cases. The vast majority of women independent of the parturition route performed seven or more prenatal consultations, 64.98% (n=2,675,482) of cesarean deliveries and 50.43% (n=2,054,889) vaginal deliveries. On the other hand, those who had only four to six consultations, with a percentage of 34.22% (n=1,394,383) underwent vaginal delivery. A prevalence of duration of the gestational period was identified between 37 and 41 weeks in both routes of parturition, being 78.56% (n=3,201,140) of vaginal deliveries and 81.39% (n=3,350,926) cesarean sections. A prevalence of hospitals as a place of occurrence was 98.88% (4,071,400) vaginal deliveries, 97.06% (3,955,017) cesarean section surgery. A prevalence of hospitals as a place of occurrence was 98.88% (4,071,400) vaginal deliveries, 97.06% (3,955,017) cesarean section surgery. Regarding the profile of newborns, in both routes of parturition, the apgar of the first and fifth minutes were the indexes between 8 and 10, and the predominant birth weight was 3000g to 3999g. Thus, it is concluded that we should continue to investigate the care provided to women during prenatal, prenatal and childbirth, planning, as Nurses, actions that promote the improvement of obstetric care.
URI: http://hdl.handle.net/123456789/6118
Appears in Collections:TCCs do Curso de Graduação em Enfermagem do Campus de Pinheiro

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