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...

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Autores: da Silva, Thayane Leila Gonçalves, Rêgo, Adriana Sousa, Brito, Andressa Pestana, Araújo, Allanne Pereira, dos Santos, Alexsandro Ferreira, Costa, Luciana Cavalcante, Silva, Flor de Maria Araújo Mendonça, Barbosa, Janaina Maiana Abreu
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
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network_acronym_str BR
network_name_str Brasil
repository_id_str
dc.title.none.fl_str_mv Factors associated with cesarean delivery in women followed-up in primary care
Fatores associados ao parto cesáreo em mulheres acompanhadas na atenção primária
title Factors associated with cesarean delivery in women followed-up in primary care
spellingShingle Factors associated with cesarean delivery in women followed-up in primary care
da Silva, Thayane Leila Gonçalves
Pregnancy
Cesarean Section
Malnutrition
Overweight
Obesity
Gravidez
Cesárea
Desnutrição
Sobrepeso
Obesidade
title_short Factors associated with cesarean delivery in women followed-up in primary care
title_full Factors associated with cesarean delivery in women followed-up in primary care
title_fullStr Factors associated with cesarean delivery in women followed-up in primary care
title_full_unstemmed Factors associated with cesarean delivery in women followed-up in primary care
title_sort Factors associated with cesarean delivery in women followed-up in primary care
dc.creator.none.fl_str_mv da Silva, Thayane Leila Gonçalves
Rêgo, Adriana Sousa
Brito, Andressa Pestana
Araújo, Allanne Pereira
dos Santos, Alexsandro Ferreira
Costa, Luciana Cavalcante
Silva, Flor de Maria Araújo Mendonça
Barbosa, Janaina Maiana Abreu
author da Silva, Thayane Leila Gonçalves
author_facet da Silva, Thayane Leila Gonçalves
Rêgo, Adriana Sousa
Brito, Andressa Pestana
Araújo, Allanne Pereira
dos Santos, Alexsandro Ferreira
Costa, Luciana Cavalcante
Silva, Flor de Maria Araújo Mendonça
Barbosa, Janaina Maiana Abreu
author_role author
author2 Rêgo, Adriana Sousa
Brito, Andressa Pestana
Araújo, Allanne Pereira
dos Santos, Alexsandro Ferreira
Costa, Luciana Cavalcante
Silva, Flor de Maria Araújo Mendonça
Barbosa, Janaina Maiana Abreu
author2_role author
author
author
author
author
author
author
dc.subject.por.fl_str_mv Pregnancy
Cesarean Section
Malnutrition
Overweight
Obesity
Gravidez
Cesárea
Desnutrição
Sobrepeso
Obesidade
topic Pregnancy
Cesarean Section
Malnutrition
Overweight
Obesity
Gravidez
Cesárea
Desnutrição
Sobrepeso
Obesidade
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410
10.21527/2176-7114.2024.48.14410
url https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410
identifier_str_mv 10.21527/2176-7114.2024.48.14410
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410/7943
https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410/7944
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Contexto & Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Contexto & Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv EDITORA UNIJUI
publisher.none.fl_str_mv EDITORA UNIJUI
dc.source.none.fl_str_mv Revista Contexto & Saúde; v. 24 n. 48 (2024): 2024; e14410
2176-7114
reponame:Revista Contexto & Saúde (Online)
instname:Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)
instacron:UNIJUI
instname_str Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)
instacron_str UNIJUI
institution UNIJUI
reponame_str Revista Contexto & Saúde (Online)
collection Revista Contexto & Saúde (Online)
repository.name.fl_str_mv Revista Contexto & Saúde (Online) - Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)
repository.mail.fl_str_mv revistaseletronicas@unijui.edu.br
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spelling Factors associated with cesarean delivery in women followed-up in primary care Fatores associados ao parto cesáreo em mulheres acompanhadas na atenção primáriaPregnancyCesarean SectionMalnutritionOverweightObesityGravidezCesáreaDesnutriçãoSobrepesoObesidadeThe 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.O objetivo do estudo foi verificar as características antropométricas e os fatores associados ao parto cesáreo em mulheres acompanhadas na atenção primária em São Luís – MA. Trata-se de estudo de coorte, realizado com gestantes que realizaram o pré-natal em Unidades Básicas de Saúde (UBSs) em São Luís – MA e acompanhadas até 42 dias após o parto. A análise estatística foi realizada no Stata® versão 16.0 no qual foi realizada a Regressão de Poisson, e para aceitação das associações investigadas no modelo final foi adotado o valor de p < 0,05. Das 80 mulheres acompanhadas, 49,37% tiveram parto cesáreo, 5,33% iniciaram a gravidez desnutridas e 41,33% com excesso de peso no final da gestação, 14,47% estavam desnutridas e 46,5% estavam com excesso de peso. Os fatores associados ao parto cesáreo foram gravidez na adolescência (IRR: 2,26; IC: 1,20 - 4,25), nível de escolaridade baixo, este classificado em analfabetismo/Fundamental I incompleto (IRR: 3,57; IC: 2,61 – 4,88), já ter tido ≥ 1 gestações (IRR: 0,53; IC: 0,16-1,72), ter sintomas de ansiedade (IRR: 2,24; IC: 1,20 – 4,19) e hipertensão arterial (IRR: 5,75; IC: 1,18 – 2,81) durante a gravidez, ter iniciado a gravidez com desnutrição (IRR:6,79; IC:1,43-3,22) e ter obesidade no final da gestação (IRR: 2,64; IC: 1,11 – 6,26). É necessário o aprimoramento da assistência nutricional durante as consultas do pré-natal, com o objetivo de prevenir a desnutrição e excesso de peso, minimizando assim as complicações oriundas do estado nutricional.EDITORA UNIJUI2024-02-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/1441010.21527/2176-7114.2024.48.14410Revista Contexto & Saúde; v. 24 n. 48 (2024): 2024; e144102176-7114reponame:Revista Contexto & Saúde (Online)instname:Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)instacron:UNIJUIengporhttps://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410/7943https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/14410/7944Copyright (c) 2024 Revista Contexto & Saúdeinfo:eu-repo/semantics/openAccessda Silva, Thayane Leila GonçalvesRêgo, Adriana Sousa Brito, Andressa PestanaAraújo, Allanne Pereirados Santos, Alexsandro Ferreira Costa, Luciana CavalcanteSilva, Flor de Maria Araújo MendonçaBarbosa, Janaina Maiana Abreu2024-09-30T11:28:26Zoai:ojs.revistas.unijui.edu.br:article/14410Revistahttps://www.revistas.unijui.edu.br/index.php/contextoesaude/indexPUBhttps://www.revistas.unijui.edu.br/index.php/contextoesaude/oairevistaseletronicas@unijui.edu.br2176-71141676-188Xopendoar:2024-09-30T11:28:26Revista Contexto & Saúde (Online) - Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)false
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