Characterization of newborns and mothers profiles from live birth certificates Campinas, SP Brazil, 2001 / Caracterização dos recem-nascidos e de suas mães, a partir das declarações de nascidos vivos de Campinas (SP), no ano de 2001

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Health Information Systems are fundamental to the knowledge of health status of the population and to manage health policies. The Information System on Live Births (SINASC) was developed by the Brazilian Health Ministry and designed to improve quality of information on newborns and on pregnant women, in order to support health proposals to infant-maternal group. This system has been implemented since 1990 and Live Birth Certificate (LBC) is the document to collect data. Throughout a cross-sectional study 14,444 LBC from the city of Campinas, SP, in 2001, were analysed in order to determine SINASC s viability. Mothers and newborns profiles were described and risk factors for low birth weight (LBW), caesarean-sections and pregnancy in adolescence were showed. The profiles were described according to mothers? social-demographic characteristics and those related to their pregnancies and to the newborns. The assessment of the association among variables was performed through logistic regression. The study showed excellent coverage of the SINASC (99.1%) and almost 100% of the variables were filled. Most of the births occured in health services of the city and the higher proportion was of babies from women who lived in Health District (HD) Northwest and Southwest (in low conditions of life), where the worst results occured. The percentage of adolescent mothers were 17.8%; the highest proportion of births was among women between 20 and 34 years old; 60.6% of all mothers didn t have jobs, 35.9% were single; 37.8% studied until seven years and 47.1% studied for about eight and eleven years. The number of children were variable, but the higher concentration was on women with no children or just one. Almost all women at least had one prenatal care appointment; 74.4% had more than six medical visits. Pregnancy in adolescence was associated with women living in low conditions of life, without husbands or incomes and who had inadequate prenatal care. Most of the gestations were single and the babies were mature, most of them were male, white, born with a low proportion of hipoxia and 1% of them showed malformations. The percentage of premature babies were 7.1%. The incidence of caesarean-sections was very high (54.9%) and the risk factors for them were: twin gestations, premature birth and women with husbands, having better education level, with jobs, living in good places, having more prenatal care visits, with no children and with one or two. The average birth weight was 3,142g; 25.7% of the babies were born weighing between 2,500g and 2,999g and 9.1% of them weighing less than 2,500g. The risk factors for LBW were: premature birth, low educational level, less than seven prenatal care visits and female baby. This study showed the viability of SINASC to help plan health activities for the infant maternal group. Furthermore, the results in different HD, showed that the mothers? and newborns? characteristics are different in the city

ASSUNTO(S)

saude materno-infantil pregnant women risk factors nascidos vivos pregnancy gravidez na adolescencia fatores de risco information systems caesarean adolescent sistema de informação cesarea maternal and child health live births mulheres gravidas

ACESSO AO ARTIGO

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