Factors associated with cesarean delivery in women followed-up in primary care
The aim of this study was to check the anthropometric characteristics and factors associated with cesarean delivery in women followed-up in the primary care network of São Luís - MA. This is a cohort study, carried out with pregnant women who underwent prenatal care in Primary Health Care Units (PHC...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | Brasil |
| Institución: | Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI) |
| Repositorio: | Revista Contexto & Saúde (Online) |
| Idioma: | inglés portugués |
| OAI Identifier: | oai:ojs.revistas.unijui.edu.br:article/14410 |
| Acceso en línea: | https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410 |
| Access Level: | acceso abierto |
| Palabra clave: | Pregnancy Cesarean Section Malnutrition Overweight Obesity Gravidez Cesárea Desnutrição Sobrepeso Obesidade |
| Sumario: | The aim of this study was to check the anthropometric characteristics and factors associated with cesarean delivery in women followed-up in the primary care network of São Luís - MA. This is a cohort study, carried out with pregnant women who underwent prenatal care in Primary Health Care Units (PHCUs) in São Luís - MA and were followed-up up to 42 days after delivery. Statistical analysis was performed using Stata®, version 16.0, where Poisson Regression was used. For acceptance of the investigated associations in the final model, a value of p<0.05 was adopted. Of the 80 monitored women, 49.37% had a cesarean delivery, 5.33% started the pregnancy with malnutrition and 41.33% with excess weight at the end of pregnancy, 14.47% were malnourished and 46.5% were overweight. The factors associated with cesarean delivery were: adolescent pregnancy (RRI: 2.26; CI: 1.20-4.25), low level of education, which was classified as illiterate/incomplete elementary school I (RRI: 3.57; CI: 2.61-4.88), having had ≥ 1 pregnancies (RRI: 0.53; CI: 0.16-1.72), having anxiety symptoms (RRI: 2.24; CI: 1.20-4.19) and arterial hypertension during pregnancy (RRI: 5.75; CI: 1.18-2.81), having started the pregnancy with malnutrition (RRI: 6.79; CI: 1.43-3.22) and being obese at the end of pregnancy (RRI: 2.64; CI: 1.11-6.26). It is necessary to improve nutritional assistance during prenatal consultations, with the aim of preventing malnutrition and overweight, thus minimizing complications arising from nutritional status. |
|---|