Hospitalizations leading causes for maternal disorders

Abstract

RESUMENObjetivo: Describir las tasas de hospitalizaciones obstétricas de las mujeres que viven en Paraná durante el año 2010. Método: Estudio descriptivo en el cual se analizaron las hospitalizaciones de mujeres de 10 a 49 años del Sistema de Información Hospitalaria del Sistema Único de Salud por medio de: porcentajes, diagnóstico principal, edad y Regional de Salud disponible en el sitio web DATASUS. Resultados: La Tasa de complicaciones obstétricas fue del 38%, la que aumenta con la edad de la mujer. Las complicaciones del trabajo de parto y del parto (10,5%) y el aborto (9,1%) fueron los diagnósticos con mayor tasa de complicaciones obstétricas. Las tasas variaron de 8,4% en Telêmaco Borba a 62,6% en Ponta Grossa. Conclusión: El equipo de salud debe vigilar las tasas de hospitalizaciones por complicaciones obstétricas, con especial énfasis en aquellas por trabajo de parto, parto y de las gestantes de mayor edad, ya que éstas demuestran la calidad de la atención de salud de la mujer. DESCRIPTORES ABSTRACTObjective: Presenting the rates of obstetric admissions of women living in Paraná in 2010. Method: A descriptive study in which the admission information of the hospital system of the Unified Health System was analyzed. Data from women aged between 10 to 49 years available on the DATASUS website were analyzed, using percentage and according to primary diagnosis, age and Regional Health area. Results: The Rate of Obstetric Complications (RtOC) was 38%, increasing with the age of women. Complications of labor and delivery (10.5%), and pregnancy with abortive outcome (9.1%) were the diagnoses with highest RtOC. The RtOC ranged between 8.4% in Telêmaco Borba, until 62.6% in Ponta Grossa. Conclusion: The healthcare team should monitor the rates of admissions for obstetric complications as these indicate the quality of health care of women, mainly focused on labor, delivery and women of older age.

Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

“…This study showed that 32.2 of every 100 pregnant women living in the municipality of Maringá, in 2013 and 2014 had at least one hospitalization during pregnancy, and that the occurrence of hospitalization was higher among pregnant women with childbirth financial coverage by the public healthcare sector (SUS). A similar result was found for the state of Paraná on hospitalization for maternal disorders, where 38.7 pregnant women were hospitalized (3) for every 100 births. No studies were found in the literature that use ROC to measure the risk of hospitalization, and in this sense this study brings unprecedented results to the municipality of Maringá and reinforces the importance of using this parameter established by the Ministry of Health (MS), with the purpose to serve as a reference to guide managers in diagnosis and planning priority actions for maternal and child healthcare (15) .…”

“…Because it represents a high risk of maternal morbidity and mortality (10,27) , hypertensive disorders deserve attention from health professionals during the prenatal follow-up consultation. Monitoring blood pressure levels at each consultation and whenever necessary is essential for early identification of hypertensive disorders, which may have more serious consequences (3,10) .…”

“…It is estimated that more than four million pregnant women between the ages of 15 and 49 were hospitalized in the United States in 2011 (2) . In Brazil, a study carried out in the state of Paraná showed that 37.8 hospitalizations occurred during the gestation period for every 100 births due to obstetric complications in 2010 (3) , which can be caused by biological, socioeconomic or care factors.…”

Intercorrências Clínicas E Obstétricas Vivenciadas Por Mulheres No Pré-Natal

“…As taxas de intercorrências obstétricas crescem conforme aumenta a idade (65,4% para mulheres de 40 a 44 anos e 125,9% para as de 45 a 49 anos) (16) . Tal análise não foi realizada no presente estudo, mas ressalta-se que 32 (13,1%) mulheres se encontravam com idade igual ou superior a 35 anos, a qual configura fator de risco gestacional que permite a realização do pré-natal pela equipe de atenção básica (17) .…”

Motivo Da Procura Do Centro Obstétrico Do Hospital São José Por Gestantes Do Município De Criciúma

“…As intercorrências estão associadas, mesmo que de forma indireta, a qualidade da atenção dispensada à mulher durante a gestação, seja ela relacionada à educação, promoção, prevenção, diagnóstico precoce ou tratamento. Ou seja, quanto melhor o acesso e a qualidade do atendimento, menores as taxas de internação por complicações obstétricas 2 . A UBS é o ponto de atenção estratégico para melhor acolher as necessidades da gestante e deve ser a porta de entrada preferencial da mesma no sistema de saúde, inclusive proporcionando um acompanhamento longitudinal e continuado, principalmente durante a gravidez.…”