[Perinatal deaths and childbirth healthcare evaluation in maternity hospitals of the Brazilian Unified Health System in Belo Horizonte, Minas Gerais, Brazil, 1999].
This paper analyzes the association between perinatal mortality and factors related to hospital care during labor, considering that healthcare assessment is needed in order to reduce perinatal mortality. A population-based case-control study was conducted with 118 perinatal deaths (cases) and 492 births (controls) that took place in maternity hospitals of the Brazilian Unified Health System (SUS) in Belo Horizonte, Minas Gerais, Brazil. Male sex, prematurity, diseases during pregnancy, low birth weight, newborn diseases, lack of prenatal care, lack of partograph use during labor, and less than one fetus assessment per hour during labor were significantly associated with perinatal deaths. In the multiple regression analysis, lack of partograph use during labor and type of hospital were associated with perinatal deaths. These results indicate inadequate quality of care in maternity hospitals and show that health services structure and health care process are related to perinatal mortality due to preventable causes.
Secretaria Municipal de Saúde, Prefeitura de Belo Horizonte, Belo Horizonte, Brazil. slansky@uol.com.br
Sônia
S
Lansky
Elisabeth
E
França
Cibele Comini
CC
César
Luiz Costa
LC
Monteiro Neto
Maria do Carmo
Mdo C
Leal
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001938:Brazil; D016022:Case-Control Studies; D002423:Cause of Death; D004522:Educational Status; D005260:Female; D006771:Hospitals, Maternity / Q000592:standards; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D018743:Perinatal Care / Q000592:standards*; D011247:Pregnancy; D012307:Risk Factors; D012959:Socioeconomic Factors