ArticleReproductive health2016
Adequacy of public maternal care services in Brazil.
Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Early-life mortality rates in Brazil and progress toward meeting related sustainable development goals: a nationwide population study.Lancet regional health. Americas · 2025Article
- Geographic accessibility to hospital childbirths in Brazil (2010-2011 and 2018-2019): a cross-sectional study.Lancet regional health. Americas · 2025Article
- Use of prenatal care and hospital structure according to obstetric risk in Rio de Janeiro, Brazil.Revista de saude publica · 2025Article
- Users' Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges.International journal of environmental research and public health · 2024Article
- Maternal mortality: protocol of a study integrated to the Birth in Brazil II survey.Cadernos de saude publica · 2024Article
- Women of reproductive age's use of maternal healthcare services and associated factors in Liben district, East Borena zone, Oromia Regional State, Ethiopia.Frontiers in global women's health · 2024Article
- Medication Use Among Pregnant Women With SARS-CoV-2 Infection and Risk of Hospitalization-A Study in Two Brazilian Hospitals.Journal of pregnancy · 2024Article
- Prenatal care associated with neonatal outcomes in maternity hospitals: a hospital-based cross-sectional study.Revista da Escola de Enfermagem da U S P · 2024Article
- The impact of the COVID-19 pandemic on trends in stillbirths, under-5 and maternal mortality in Brazil: Excess deaths and regional inequalities.Journal of global health · 2023Article
- Tracking excess of maternal deaths associated with COVID-19 in Brazil: a nationwide analysis.BMC pregnancy and childbirth · 2023Article
- Access to childbirth care services in the interior of Pernambuco, Northeast region of Brazil.Revista de saude publica · 2023Article
- Article
- Factors associated with 5-min APGAR score, death and survival in neonatal intensive care: a case-control study.BMC pediatrics · 2022Article
- Prevalence of the five newborn screening tests.PloS one · 2021Article
- The tragedy of COVID-19 in Brazil: 124 maternal deaths and counting.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020Article
- COVID-19 and Maternal Death in Brazil: An Invisible Tragedy.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020Article
- Comprehending the lack of access to maternal and neonatal emergency care: Designing solutions based on a space-time approach.PloS one · 2020Article
- Access to care during labor and delivery and safety to maternal health.Revista latino-americana de enfermagem · 2020Article
- Prenatal care in the Brazilian public health services.Revista de saude publica · 2020Article
- Maternal Mortality in Brazil: Proposals and Strategies for its Reduction.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018Article
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5 authors.
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Abstract
backgroundIn Brazil, hospital childbirth care is available to all, but differences in access and quality of care result in inequalities of maternal health. The objective of this study is to assess the infrastructure and staffing of publicly financed labor and birth care in Brazil and its adequacy according to clinical and obstetric conditions potentially associated with obstetric emergencies.
methodsNationwide cross-sectional hospital-based study "Birth in Brazil: national survey into labor and birth" conducted in 2011-2012. Data from 209 hospitals classified as public (public funding and management) or mixed (public or private funding and private management) that generate estimates for 1148 Brazilian hospitals. Interview with hospital managers provided data for the structure adequacy assessment covering four domains: human resources, medications, equipment for women emergency care and support services. We conducted analysis of the structure adequacy rate according to type of hospital (public or mixed), availability of ICU and the woman obstetric risk using the X
resultsGlobal rate of adequacy of 34.8 %: 42.2 % in public hospitals and 29.0 % in mixed hospitals (p < 0.001). Public and mixed hospitals with ICU had higher scores of adequacy than hospitals without ICU (73.3 % × 24.4 % public hospitals; 40.3 % × 10.6 % mixed hospitals). At a national level, 32.8 % of women with obstetric risk were cared for in hospitals without ICU and 29.5 % of women without risk were cared for in hospitals with ICU. Inequalities were observed with the North, Northeast and non-capital regions having the lower rates of hospitals with ICU.
conclusionsThe majority of maternity wards across the country have a low rate of adequacy that can affect the quality of labor and birth care. This holds true for women at high obstetric risk, who suffer the possibility of having their care compromised by failures of hospital infrastructure, and for women at low obstetric risk, who may not receive the appropriate care to support the natural evolution of their labor when in a technological hospital environment.
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