Factors associated with cesarean delivery in women followed-up in primary care
DOI:
https://doi.org/10.21527/2176-7114.2024.48.14410Keywords:
Pregnancy, Cesarean Section, Malnutrition, Overweight, ObesityAbstract
The aim of this study was to check the anthropometric characteristics and factors associated with cesarean delivery in women followed-up in the primary care network of São Luís - MA. This is a cohort study, carried out with pregnant women who underwent prenatal care in Primary Health Care Units (PHCUs) in São Luís - MA and were followed-up up to 42 days after delivery. Statistical analysis was performed using Stata®, version 16.0, where Poisson Regression was used. For acceptance of the investigated associations in the final model, a value of p<0.05 was adopted. Of the 80 monitored women, 49.37% had a cesarean delivery, 5.33% started the pregnancy with malnutrition and 41.33% with excess weight at the end of pregnancy, 14.47% were malnourished and 46.5% were overweight. The factors associated with cesarean delivery were: adolescent pregnancy (RRI: 2.26; CI: 1.20-4.25), low level of education, which was classified as illiterate/incomplete elementary school I (RRI: 3.57; CI: 2.61-4.88), having had ≥ 1 pregnancies (RRI: 0.53; CI: 0.16-1.72), having anxiety symptoms (RRI: 2.24; CI: 1.20-4.19) and arterial hypertension during pregnancy (RRI: 5.75; CI: 1.18-2.81), having started the pregnancy with malnutrition (RRI: 6.79; CI: 1.43-3.22) and being obese at the end of pregnancy (RRI: 2.64; CI: 1.11-6.26). It is necessary to improve nutritional assistance during prenatal consultations, with the aim of preventing malnutrition and overweight, thus minimizing complications arising from nutritional status.
References
Silva JC, Sakata CK, Bussarello C, Martin MEM, Engels MG. Taxa de parto normal versus cesárea em gestantes com uma cesárea anterior e fatores associados. Femina. 2021;49(8):488-93.
Carreli GZ, Martins GKF, Gois JG, Follador FAC, Lucio LC, Wendt GW, et al. Prevalence of excess weight and obesity in pregnant women. Research, Society and Development. 2020;9(8):1-14. DOI: http://dx.doi.org/10.33448/rsd-v9i8.5835
Costa JE, Rêgo AS, Brito AP, Costa LC, Silva FMAM, Barbosa JMA. Excesso de Peso Materno e suas Complicações Gestacionais e Perinatais. Rev Interd. 2021,14(1):1-12.
Freitas HBM, Lima RF, Targino MVP, Targino ALVP, Nascimento AT, Vasconcelos LPF, et al. The influence of the nutritional state during the gestacional period and its correlation in the weight of the newborn. Electronic Journal Collection Health. 2019;19(1):1-9. DOI: https://doi.org/10.25248/reas.e206.2019
Lana TC, Oliveira LVA, Martins EF, Santos NCP, Matozinhos FP, Felisbino-Mendes MS. Prevalence, associated factors and reproductive outcomes related to excessive gestational weight gain. Rev enferm UERJ. 2020;28:1-8. DOI: http://dx.doi.org/10.12957/reuerj.2020.53127
Organização Mundial de Saúde (OMS). Declaração da OMS sobre taxas de cesáreas. HRP. Genebra: Departamento de Saúde Reprodutiva e Pesquisa Organização Mundial da Saúde; 2015.
Madeiro A, Rufino AC, Santos AO. Cesarean sections in Piauí State: trend and associated factors in the period 2000-2011, Brazil. Epidemiol. Serv. Saúde. 2017;26(1):81-90. DOI: https://doi.org/10.5123/S1679-49742017000100009
Feitosa RMM, Pereira DR, Souza TJCP, Freitas RJP, Cabral SAR, Souza LFF. Fatores que influenciam a escolha do tipo de parto na percepção das puérperas. Rev. Pesqui. (Univ. Fed. Estado Rio J., On-line). 2017;9(3):717-726. DOI: https://doi.org/10.9789/2175-5361.2017.v9i3.717-726
Guimarães RM, Silva FLPD, Dutra VGP, Andrade PG, Pereira ACR, Jomar RF, et al. Factors associated to the type of childbirth in public and private hospitals in Brazil. Rev. Bras. Saúde Matern. Infant. 2017;17(3):581-590. DOI: https://doi.org/10.1590/1806-93042017000300009
Rasador S, Abegg C. Fatores associados à via de parto em um município da região nordeste do Estado do Rio Grande do Sul, Brasil. Rev. Bras. Saúde Mater. Infant. 2019;19(4):807-815. DOI: https://doi.org/10.1590/1806-93042019000400004
Camargo LMA, Silva RPM, Meneguetti DUO. Research methodology topics: Cohort studies or prospective and retrospective cohort studies. J Hum Growth Dev. 2019;29(3):433-436. DOI: http://dx.doi.org/10.7322/jhgd.v29.9543
Associação Brasileira de Empresas de Pesquisa (ABEP). Critério Padrão de Classificação Econômica Brasil, 2022. Disponível em: https://www.abep.org/criterio-brasil. Acesso em: 30 set. 2022.
Institute of Medicine, National Academy of Sciences. Weight gain during pregnancy: reexamining the guidelines. Appendix B: supplementary information on nutritional intake. Washington DC: National Academy Press; 2009. DOI: 10.17226/12584
Lovibond S, Lovibond P. Manual for the Depression, Anxiety, Stress Scales Australia; 1995.
Wang C, Pan R, Wan X, Tan Y, Xu L, McIntyre RS. et al. A longitudinal study on the mental health of general population during the Covid-19 epidemic in China. Brain Behav Immun. 2020;87:40-48. DOI: 10.1016/j.bbi.2020.04.028
Segall-Corrêa AM, Pérez-Escamilla R, Sampaio MFA, Marín-León L, Panigassi G, Maranha LK, et al. Acompanhamento e avaliação da segurança alimentar de famílias brasileiras: validação de metodologia e de instrumento de coleta de informação Urbano/Rural. Campinas: Unicamp; 2004.
Atalah, E, Castillo C, Castro R, Aldea A. Propuesta de un nuevo estándar de evaluación nutricional en embarazadas. Rev Med Chile.1997;125:1.429-1.436.
Sampaio RMM, Aguiar BKO, Jerônimo AL, Pinto FJM. Características gestacionais e estado nutricional de mulheres no último trimestre de gravidez e no pós-parto imediato. Saúde e desenvolvimento humano. 2020;8(1):41-47. DOI: 10.18316/sdh.v8i1.5909
Manera F, Hofelmann, DA. Excesso de peso em gestantes acompanhadas em unidades de saúde de Colombo, Paraná, Brasil. Demetra. 2019;14(1):1-16. DOI: 10.12957/demetra.2019.36842
Kuhn GD, Fassina P, Adami FS, Guerra TB, Schedler FS, Carreno I. Influence of age, nutritional status and dietary intake in maternal health. Research, Society and Development. 2020;9(10):1-28. DOI: 10.33448/rsd-v9i10.8603
Bezerra, MS, Jacob MCM, Ferreira MAF, Vale D, Mirabal IRB, Lyra CO. Insegurança alimentar e nutricional no Brasil e sua correlação com indicadores de vulnerabilidade. Ciênc. Saúde Colet. 2020;25(10):3833-3846. DOI: https://doi.org/10.1590/1413-812320202510.35882018
Bueno RN, Costa OM. A Importância Do Acompanhamento
Pré-Natal E Da Orientação Nutricional Para As Gestantes. Acervo de Recurso Educacionais em Saúde. 2020;7(1):1-14.
Lopes MCL, Oliveira RR, Silva MAP, Padovani C, Oliveira NLB, Higarashi IH. Tendência temporal e fatores associados à gravidez na adolescência. Rev Esc Enferm USP. 2020;54(1):1-8. DOI: https://doi.org/10.1590/S1980-220X2019020403639
Pinheiro YT, Pereira NH, Freitas GDM. Factors associated with pregnancy among adolescents of a municipality of northeast of Brazil. Cad. Saúde Colet. 2019;27(4):363-367. DOI: https://doi.org/10.1590/1414-462X201900040364
Silva EV, Costa MAA, Almeida KC, Araújo LMB, Amâncio NFG. Relação do tipo de parto com o perfil epidemiológico da assistência pré-natal e perinatal em um município de Minas Gerais. Rev. Bras. Saúde Mater. Infant. 2020;20(1):249-256. DOI: https://doi.org/10.1590/1806-93042020000100013
Rocha NFF, Ferreira J. A escolha da via de parto e a autonomia das mulheres no Brasil: uma revisão integrativa. Saúde debate. 2020;44(125):556-568. DOI: https://doi.org/10.1590/0103-1104202012521
Entringer AP, Pinto MFT, Gomes MASM. Costs analysis of hospital care for vaginal delivery and elective caesarean section for usual risk pregnant women in the Brazilian Unified National Health System. Saúde Colet. 2019;24(4):1527-1536. DOI: https://doi.org/10.1590/1413-81232018244.06962017
Nomura RMY, Ubinha ACF, Tavares IP, Costa ML, Opperman MLR, Brock MF, et al. Aumento do risco de ansiedade materna durante o surto de Covid-19 no Brasil entre gestantes sem comorbidades. Rev Bras Ginecol Obstet. 2021;43(12):932-939. DOI: https://doi.org/10.1055/s-0041-1740234
Reis MA, Cursino GV, Urbano MT da C, Simões ACZ, Figueiredo LJV, Araújo ACPF, Nomura RMY. Ansiedade materna durante a pandemia do Covid-19 em maternidade escola de Natal/RN/ Maternal anxiety during the Covid-19 pandemic in a maternity teaching hospital. Braz. J. Hea. Rev. 2022;5(2):7.332-7.344. DOI: https://doi.org/10.34119/bjhrv5n2-293
Sousa MG, Lopes RGC, Rocha MLTLF, Lippi UG, Costa ES, Santos CMP. Epidemiology of artherial hypertension in pregnants. Einstein (São Paulo). 2020;18:1-7. DOI: 10.31744/einstein_journal/2020AO4682
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