Universidade Regional do Cariri, Centro de Ciências Biológicas e da Saúde, Departamento de Enfermagem, Crato, CE, Brazil.
Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Enfermagem, Aracaju, SE, Brazil.
Rev Esc Enferm USP. 2024 Feb 9;57:e20230145. doi: 10.1590/1980-220X-REEUSP-2023-0145en. eCollection 2024.
To verify the association between prenatal care quality indicators and neonatal outcomes in maternity hospitals.
Hospital-based cross-sectional study in four high-risk referral maternity hospitals in the five health macro-regions enabled by the Stork Network in Ceará-Brazil. Between April 2017 and July 2018, 440 puerperal women were interviewed using simple probabilistic sampling and a formula with finite populations and stratification of each maternity hospital. The analysis involved Pearson's Chi-Square, Adjusted Residuals Analysis and Fisher's Exact.
There was an association between fewer consultations with prematurity and low birth weight. Delivery in the maternity hospital where the woman lived was associated with low birth weight and the need for ventilatory support.
Prenatal care quality indicators influenced neonatal outcomes, which underlines the importance of ensuring access and quality of care as ways of reducing infant morbidity and mortality.
验证妇产科医院产前护理质量指标与新生儿结局之间的关联。
在巴西塞阿拉州的鹳鸟网络支持下,在五个卫生大区的四家高风险转诊妇产科医院进行了基于医院的横断面研究。2017 年 4 月至 2018 年 7 月,采用简单概率抽样和有限总体公式以及每个妇产科医院的分层,对 440 名产妇进行了访谈。分析涉及 Pearson's Chi-Square、调整残差分析和 Fisher's Exact。
与早产和低出生体重相关的咨询次数较少。在产妇居住地的妇产科医院分娩与低出生体重和需要通气支持相关。
产前护理质量指标影响新生儿结局,这凸显了确保获得和护理质量的重要性,以此作为降低婴儿发病率和死亡率的途径。