کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5122186 1487131 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Special attention to women experiencing high-risk pregnancy: Delivery, care assistance and neonatal outcomes in two Brazilian maternity wards
ترجمه فارسی عنوان
توجه ویژه به زنان مبتلا به حاملگی پر خطر: تحویل، مراقبت و نتایج نوزاد در دو بخش زایمان برزیل
کلمات کلیدی
بارداری، حاملگی پر خطر، کمک های بهداشتی، سلامتی، ترفیع، پرستاری،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی


- Most births in Brazilian public hospitals are not attended by midwives.
- A high degree of obstetric interventions continues to be performed in all regions.
- The implementation of a hospital maternity house model is still emerging in Brazil.
- We analyzed two healthcare assistance models for high-risk pregnant women.
- Pregnant women's care was less interventionist at a maternity house than a hospital.

BackgroundTo compare two care models of high-risk pregnant women--a House for Pregnant Women, staffed by nurse-midwives, versus a traditional care model in a hospital maternity ward.DesignThis was across-sectional study conducted in two reference maternity hospitals for high-risk pregnancies, in Belo Horizonte, Minas Gerais, Brazil. The sample consisted of 312 high-risk pregnant women consecutively admitted from January 1st to December 31st, 2010, either to the House for Pregnant Women (n=247), or the hospital maternity ward (n=65). Gestational ages varied from 22 weeks to 36 weeks and six days. We measured individual, demographic, obstetric, labour and delivery variables, and newborn characteristics. For data analysis, we used descriptive, bivariate and multivariate statistics using Poisson regression, with a 5% significance level.FindingsAt the conventional hospital maternity ward, more women had six or more antenatal exams, greater frequencies of diagnosis related to blood pressure, and a greater number of women underwent either a C-section or a vaginal delivery with an episiotomy and analgesia. At the House for Pregnant Women, the majority of the hospitalizations were related to preterm labour and premature rupture of membranes. There were no statistical differences in the newborn characteristics.Key conclusionsThe House for Pregnant Women care model, utilizing midwives was less interventionist, yet with results as favorable as in a conventional maternity hospital setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Midwifery - Volume 53, October 2017, Pages 42-48
نویسندگان
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