Indicadores materno-infantis no território do Estado de São Paulo: o entendimento do parto cesáreo para a perspectiva da Promoção da Saúde

• Ano de defesa: 2022
• Autor(a) principal: Reis, Virgínia Vieitez
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade de Franca; Brasil; Pós-Graduação; Programa de Mestrado em Promoção de Saúde; UNIFRAN
• Palavras-chave em Português: Promoção de saúde - Parto normal; Cesárea; Apgar; Prematuridade; Classificação de Robson; Anomalia congênita; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3757

Objective: To analyze cesarean delivery and infant variable in the territory of the State of São Paulo in 2018. Methodological Procedure: Ecological study, with secondary data collection from an analysis of data from DATASUS through the Information System on pregnant women and live births. Statistical analysis were performed using the IBM SPSS 20 softwares. The Shapiro Wilk test was applied, in case of affirmative, parametric statistical methods were applied, such as the paired ttest. In case of negative, non-parametric statistical tests were used, such as Wilcoxon. The variables used in this study represent the frequency of occurrence of a factor. For the Apgar variable, the categories are class '00 to 03', class '04 to 06' and class '07 to 10'. The Robson variable is also categorical, containing 10 subclasses (1 to 10). In all descriptive analyses, the significance level adopted was 5%. Results: In 2018, the percentage of live births from cesarean delivery was 59.2% in the state of São Paulo. There is a positive and strong correlation between the number of newborns per municipalities with an APGAR index ranging from 00 to 03 in the 1st minute of life and mothers who received the Robson classification equal to 10 (R = 0.831; p < 0.0001). Spearman's correlation analysis showed that there is a higher, positive correlation between mothers classified on the Robson scale 10 and newborns diagnosed with no congenital anomaly (R = 0.965; p< 0.0001). Conclusion: There is a great challenge to reduce the index cesarean section throughout the state, directing actions aimed at greater effectiveness, containment of unnecessary cesarean sections and better access to prenatal care, delivery and the newborn. Keywords: Cesarean section. Apgar. Maternal behavior. Normal birth. Prematurity. Robson 10-group Classification System (TGCS). Congenital anomaly.