Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0038

Liandra Silva Lopes, Laura Maria Vidal Nogueira, Erlon Gabriel Rego de Andrade, Ivaneide Leal Ataíde Rodrigues, Juan Andrade Guedes, Rosinelle Janayna Coêlho Caldas, Paula Gisely Costa Silva

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Abstract

Objective: to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.

Methods: ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).

Results: the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.

Conclusions: long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.

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地理空间化视角下巴西亚马逊河流域生育动态研究

目的：分析某地区参考妇产医院助产产妇分娩及产后流量的时空格局。方法：对巴西帕尔市Baixo Tocantins地区一家公立妇产医院2018年9月至2021年12月期间的4081例分娩进行生态学研究。利用5个来源的数据，构建地理数据库，采用核密度插值法进行空间分析。结果：Barcarena （n= 2558 /62.68%）、Abaetetuba （n=750/18.38%）、Moju （n=363/8.89%）和igarap - miri （n=219/5.37%）的正常分娩和剖宫产发生率最高。在该地区的十个城市中，有产科床位，共计210张。在这种情况下，产后妇女要走288公里才能到达妇产医院。结论：某些居住城市与妇产医院之间的距离太远，以及产科床位供应不足，被确定为不利产科结果的危险因素。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.

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