Evaluation of the birthplace of newborns with gestational age less than 34 weeks according to the complexity of the Neonatal Unit in maternity hospitals linked to the “Rede Cegonha”: Brazil, 2016-2017

This study aims to evaluate the birthplace of preterm infants with less than 34 gestational weeks at birth by type of neonatal care service in maternity hospitals of the “ Rede Cegonha ” and estimate the maternal factors associated with the inadequate place of birth for gestational age. This national cross-sectional study was performed in 2016/2017 to evaluate health establishments with the Rede Cegonha ’ s action plan. Information was analyzed from 303 puerperae and the respective health establishments of their births. Newborns were classified by gestational age at birth (<30 and 30-33 weeks) and health establishments as hospitals with neonatal intensive care service, hospitals with intermediate neonatal care service, and hospitals without neonatal care service. Ministerial Ordinance N ° 930/2012 was used to classify the birthplace as appropriate for the newborn ’ s gestational age. Preterm birth prevalence was 37.3 at less than 30 weeks ’ gestation and 66.8 at 30-33 weeks. Birth in inappropriate services for the newborn ’ s gestational age occurred in 6.3%, with significant regional and social differences. Inequalities in access to neonatal care for preterm infants persist in the “ Rede Cegonha ” despite advances.
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research