Falavina Larissa Pereira, Oliveira Rosana Rosseto de, Melo Emiliana Cristina, Varela Patrícia Louise Rodrigues, Mathias Thais Aidar de Freitas
Universidade Estadual de Maringá, Maringá, PR, Brasil.
Universidade do Norte do Paraná, Bandeirantes, PR, Brasil.
Rev Esc Enferm USP. 2018;52:e03317. doi: 10.1590/s1980-220x2017032403317. Epub 2018 May 24.
Objective To analyze the occurrence, profile and main causes of hospitalization during pregnancy according to the type of childbirth financial coverage. Method A cross-sectional population-based study carried out with puerperal women through a stratified sample, calculated according to the hospital and the type of childbirth financial coverage source: public sector (SUS) or private (not SUS). The sociodemographic profile, the rate of obstetric complications and the causes of hospitalization were analyzed, coded according to International Classification of Diseases. Results A total of 928 postpartum women were interviewed, of whom 32.2% reported at least one hospitalization during pregnancy. Those with childbirth covered by SUS were less favored because they were the majority among hospitalized women (57.2%), with a higher percentage of adolescents (18.1%), lower education level (91.8%), low family income (39.3%) and fewer prenatal consultations (25.3%). The most frequent causes of hospitalization were "other maternal diseases that complicate pregnancy" (24.6%) (with emphasis on anemia and influenza), urinary tract infection (13.1%), preterm labor (8.7%) and hypertension (7.2%). Conclusion Anemia, influenza, urinary tract infection, preterm labor and hypertension should especially be prevented and treated to avoid hospital admissions during pregnancy, especially among pregnant women covered by SUS.
目的 根据分娩医保类型分析孕期住院的发生率、情况及主要原因。方法 采用分层抽样法对产后妇女进行基于人群的横断面研究，抽样依据医院及分娩医保来源类型：公共部门（统一医疗系统，SUS）或私营部门（非统一医疗系统）。分析社会人口学特征、产科并发症发生率及住院原因，并根据国际疾病分类进行编码。结果 共访谈了928名产后妇女，其中32.2%报告孕期至少有一次住院。统一医疗系统覆盖分娩的妇女处于劣势，因为她们在住院妇女中占多数（57.2%），青少年比例较高（18.1%），教育水平较低（91.8%），家庭收入低（39.3%）且产前检查较少（25.3%）。最常见的住院原因是“其他使妊娠复杂化的母体疾病”（24.6%）（重点是贫血和流感）、尿路感染（13.1%）、早产（8.7%）和高血压（7.2%）。结论 应特别预防和治疗贫血、流感、尿路感染、早产和高血压，以避免孕期住院，尤其是在统一医疗系统覆盖的孕妇中。
