Childbirth care in a regional healthcare network of the Mãe Paranaense Network

• Main Authors: Fabiane Puerari da Silva Camatti, Helder Ferreira, Rosangela Aparecida Pimenta Ferrari, Rosane Meire Munhak da Silva, Adriana Zilly
• Format: Article
• Language: English
• Published: Universidade Federal do Ceará 2020-07-01
• Series: Rev Rene
• Subjects: pregnancy; health care (public health); delivery; obstetric; quality assurance; health care.
• Online Access: http://periodicos.ufc.br/rene/article/view/44067/161949

Objective: to analyze childbirth care in a regional healthcare unit within the Mãe Paranaense Network. Methods: a cross-sectional descriptive study conducted with 395 mothers applying a structured questionnaire, data analysis using the Chi-Squared test or G-test, complemented by an adjusted residual analysis (p<0.05). Results: higher education, higher income, abortion and interpartal period <2 years increased cesarean rates. Intrapartum complications and antibiotic therapy were related to cesarean sections. Most did not visit the maternity, had their delivery choice respected, had a companion and mother-baby contact; however, 28.9% did not have their delivery choice respected. Conclusion: there was a reduction in cesarean sections among multiparous, an increase in women who suffered a miscarriage, with an interpartal interval <2 years. Antibiotic therapy and disrespect for the delivery choice were greater for women undergoing cesarean sections. Use of oxytocin, presence of a companion and mother-baby contact were more evident in vaginal delivery.