Spatial Distribution and Self-Correlation of Mother and Child Health Indicators in the State of Parana, Brazil

Melo, Emiliana Cristina; Mathias, Thaís Aidar de Freitas

doi:10.1590/s0104-11692010000600019

Cited by 16 publications

(16 citation statements)

References 18 publications

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“…The multiparity, factor associated with inadequate prenatal care in the univariate analysis (OR=1.81) and multivariate analysis (AOR=2.18), is described as a risk factor both for inadequate prenatal care, and for premature birth (20,26) . It is believed that the experiences of other pregnancies can reduce the demand for prenatal consultations (8) , requiring intensified attention, especially the family health team members, who can act in the active search for pregnant women in this group and implement guidance and referrals.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with the quality of prenatal care: an approach to premature birth

Melo

Oliveira

Mathias

2015

Rev. esc. enferm. USP

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Objective:To assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care. Method: Cross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02). Results: The indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), nonwhite skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03). Conclusion: Prenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality. Factors associated with the quality of prenatal care: an approach to premature birth Fatores associados à qualidade do pré-natal: uma abordagem ao nascimento prematuro Factores asociados con la calidad del prenatal: un abordaje al nacimiento prematuro DESCRIPTORS

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Section: Discussionmentioning

confidence: 99%

“…Smaller proportions (6.2%) were found in European countries (5) . In Brazil, the proportion of premature births was 5% in 2005, which rose to 11.9% in 2012, and in Parana the increased went from 6.2% to 7.5%, with significant regional differences within the state (8) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the quality of prenatal care: an approach to premature birth

Melo

Oliveira

Mathias

2015

Rev. esc. enferm. USP

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“…This quality directly affects the prevention of maternal and infant morbidity and mortality. (1) In Brazil, it was observed a reduction in the infant mortality rate as follows: in 1990, the rate was 47/1000 live births. In 2013, preliminary data show that it was 19.8 / 1000 live births.…”

Section: Introductionmentioning

confidence: 99%

Independent risk factors associated with infant deaths

Silva

Mathias

2014

Acta paul. enferm.

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Objective: Identifying the independent risk factors associated with infant deaths registered in Brazilian public information systems. Methods: A cross-sectional study using secondary data recorded in public information systems for eleven years. The association of mortality rates was observed according to death periods using univariate and multivariate regression tests. Results: The infant mortality rate decreased by 20.7 % in the study period. The list of independent factors associated with infant deaths shows the necessity for measures to increase public actions aimed at the early onset of prenatal care, continuing until the postpartum, puerperal period and in the growth and development of the newborn. Conclusion: The independent risk factors for infant death were low birth weight, gestation duration of less than 37 weeks, multiple pregnancy, maternal educational level lower than eight years, Apgar score and less than seven antenatal pregnancy. ResumoObjetivo: Identificar os fatores de risco independentes associados aos óbitos infantis registrados nos sistemas informatizados públicos brasileiros. Métodos: Estudo transversal com dados secundários registrados no período de onze anos nos sistemas informatizados públicos. A associação das taxas de mortalidade foi verificada segundo períodos de óbito utilizando-se testes de regressão univariada e multivariada. Resultados: A mortalidade infantil apresentou redução de 20,7% no período estudado. A lista de fatores independentes associados aos óbitos infantis indica a necessidade de medidas para intensificar as ações públicas visando o início precoce da assistência pré-natal, no pós-parto, acompanhamento no puerpério, e o crescimento e desenvolvimento do recém-nascido. Conclusão: Os fatores de risco independentes para o óbito infantil foram: baixo peso ao nascer, duração da gestação inferior a 37 semanas, gravidez múltipla, escolaridade materna inferior a oito anos, boletim de Apgar e menos de sete consultas pré-natais.

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“…There are also social and spatial differences in perinatal mortality, as already evidenced for infantile mortality in the city (4) . Thus, this study was This study also contributes to deepen the discussion on spatial inequalities and social vulnerabilities in perinatal mortality, since the majority of the studies of this sort focuses only on infantile mortality and the health indicators for the woman and the child (4,(16)(17) .…”

Section: Introductionmentioning

confidence: 99%

Perinatal mortality and socio-spatial inequalities

Martins

Rezende

Almeida

et al. 2013

Rev. Latino-Am. Enfermagem

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The space analysis and the Health Vulnerability Index were used to identify existing inequalities in the sanitary districts regarding coverage and risk, determined by the Odds Ratio and a value p<0.05. The multivariate analysis was used to describe a model for perinatal mortality. Results:there was a proved variation in the numbers of perinatal mortality per one thousand total births in the sanitary districts (12.5 to 19.4), coverage areas (5.3 to 49.4) and areas of risk (13.2 to 20.7). The mortality rate diminished as the maternal schooling increased. The death rates deriving from asphyxia/hypoxia and non-specified fetal death grew with the increase of risk in the area. Conclusion: it was verified that the perinatal deaths are distributed in a differentiated form in relation to the space and the social vulnerabilities. The confrontation of this complex problem requires the establishment of intersecting partnerships.

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Spatial Distribution and Self-Correlation of Mother and Child Health Indicators in the State of Parana, Brazil

Cited by 16 publications

References 18 publications

Factors associated with the quality of prenatal care: an approach to premature birth

Factors associated with the quality of prenatal care: an approach to premature birth

Independent risk factors associated with infant deaths

Perinatal mortality and socio-spatial inequalities

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