Geoprocessamento para identificar padrões do perfil de nascimentos na região do Vale do Paraíba

Abstract

this methodology has allowed us to identify spatial clusters for the variables cesarean section and mother's schooling, besides deepening our knowledge on birth profile in the municipalities, presenting good potential on how to direct actions for specific areas.

Factors associated to maternal and child's health in Rio Grande do Sul, Brazil

“…The results found are alarming when compared to the ones observed as in a national level, 43.89% 10 and 53.7%, 17 as in other Brazilian studies [11][12][13]16 which ranged from 31.1% 12 to 56.3%. 13 However, the proportion of cesarean sections found in this study, corroborates with the proportions identified in 2012 and 2013 in the South Region and were circulated recently by the Ministry of Health, 62% and 62.7%, respectively. 18 Yet, other studies with data from Sinasc in the South Region, also found high percentages of cesarean sections, 60.1% in the South Region in 2011 17 and 60.3% in Santa Catarina State, in 2012.…”

“…22 In relation to the result variables, it was found that in the 19 CRS, most pregnancies had a length of 37 to 42 weeks, however, the proportions of prematurity presented were larger than the estimated 9.2% of prematurity in Brazil, described in a report by the World Health Organization in 2010. 23 Yet, the results for prematurity were high when compared to other studies of the data from Sinasc in Paraná State, which presented 8.1%, 24 in Paraíba Valley in São Paulo with 6.4% 13 and in the South Region, in Santa Catarina State with 10.6% of prematurity in 2012. 19 The highest concentration of prematurity was observed in the CRS in Santa Maria, an medium level region in of the socioeconomic development, 14 this finding seems to be in favor with the description in the study of the data from Sinasc in Santa Catarina, which found a higher prevalence of prematurity among women with a less privileged socioeconomic level.…”

“…24 The significant associations found in this study corroborate with other consulted studies. 7,10,11,13,[28][29][30] It was observed that the low maternal schooling is associated to negative outcomes for the maternal and child health, such as inadequate prenatal care with a low number of consultations and a high risk for low birth weight and prematurity. 28 The low coverage of prenatal care has been identified as a risk factor for the health of mothers and children 12 and has been associated to low birth weight and prematurity, 29 in this study, there was also a significant association to a low Apgar score at the 5 th minute.…”

“…10 The association between mothers with a partner, 12 years or more of schooling and having seven or more prenatal consultations with the increase of the frequency of cesarean sections shows a pattern that is known in Brazil. 7,11,13 A national study with primiparous adolescents found that the greatest number of prenatal consultations exposed the teenagers in having a cesarean section, suggesting that the result is related to the fact that women who have more consultations with medical professionals, have more opportunity to be convinced of the best childbirth delivery, according to the professional's point of view. 30 Analyzing the factors associated to maternal and child health is necessary, since they reflect the mothers and their children's quality of health, as well as the healthcare quality provided for women's health in their reproductive period and the child's health.…”

Spatial distribution of pregnancy in adolescence and associations with socioeconomic and social responsibility indicators: State of Minas Gerais, Southeast of Brazil

“…In addition, Martins et al 13 conducted an ecological study with spatial focus on healthcare micro-regions in the State of Mato Grosso and they found that fecundity among adolescent women is higher in micro-regions with low indicators of education and socioeconomic development. In this same context, an ecological study 14 aiming to identify the pattern of birth profile in Vale do Paraíba (State of São Paulo, Brazil) showed that the proportion of adolescent mothers is higher in municipalities with less education and less infrastructure.…”