Prenatal care associated with neonatal outcomes in maternity hospitals: a hospital-based cross-sectional study.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-02-09 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0145en
Eglídia Carla Figueirêdo Vidal, Lara Leite de Oliveira, Camila Almeida Neves de Oliveira, Marianne Maia Dutra Balsells, Maria Aline Rodrigues Barros, Emery Ciana Figueirêdo Vidal, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino
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Abstract

Objective: To verify the association between prenatal care quality indicators and neonatal outcomes in maternity hospitals.

Method: 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.

Results: 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.

Conclusion: 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.

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产前护理与产科医院新生儿预后的关系:一项基于医院的横断面研究。
目的:验证产科医院产前护理质量指标与新生儿预后之间的关系:验证产科医院产前护理质量指标与新生儿预后之间的关联:基于医院的横断面研究,在巴西塞阿拉Stork网络支持的五个卫生大区的四家高风险转诊妇产医院进行。2017年4月至2018年7月期间,采用简单概率抽样和有限人口公式,对每家妇产医院进行了分层,共访问了440名产褥期妇女。分析方法包括皮尔逊秩方、调整残差分析和费雪精确:结果:就诊次数较少与早产和低出生体重之间存在关联。在产妇居住地的妇产医院分娩与出生体重过轻和需要呼吸支持有关:产前护理质量指标影响新生儿的预后,这强调了确保获得护理和护理质量作为降低婴儿发病率和死亡率的方法的重要性。
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