ArticleRevista de saude publica2020
Prenatal care in the Brazilian public health services.
Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.
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Who cites it
61 citing papers in PubMed, 211 citations in OpenAlex.
- Poverty during pregnancy as a health inequality: pregnant women's experiences in accessing primary health services.BMC pregnancy and childbirth · 2026Article
- Gestational syphilis and prenatal care: a study in light of individual, social, and programmatic vulnerabilities.Revista da Escola de Enfermagem da U S P · 2026Article
- [What is the cost of neonatal respiratory distress for the Brazilian Unified National Health System? A national analysis of direct costs, regional distribution, and temporal variation].Cadernos de saude publica · 2026Article
- Spatiotemporal heterogeneity of gestational syphilis in the 1st Health Region of Pará in the Brazilian Amazon.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026Article
- Temporal trends and factors associated with live preterm births in Espírito Santo, 2012-2021.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Trajectory of Venezuelan migrant women during prenatal care and childbirth in a city in northern Brazil: a quantitative and qualitative study.Cadernos de saude publica · 2026Article
- Spatial scanning for the identification of risk areas for fetal death: an ecological study in Pernambuco.Revista da Escola de Enfermagem da U S P · 2026Article
- Maternal characteristics and neonatal outcomes in twin pregnancies in Brazil: A nationwide population-based study, 2015-2024.PloS one · 2026Article
- Neonatal near miss in a State of Northeastern Brazil: Near miss characterization and determinants.PLOS global public health · 2026Article
- Nationwide study of respiratory-related hospitalisations and deaths in preterm children in Brazil: a registry-based study.Respiratory research · 2025Article
- Factors Associated With the Continuation of Breastfeeding Beyond 12 Months of Age in Brazilian Families.Journal of paediatrics and child health · 2025Article
- Pregnancy, childbirth, and birth in the state of Rio de Janeiro.Revista de saude publica · 2025Article
- The Role of Prenatal Care in Fetal and Infant Development in Brazil: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Article
- Maternal and gestational factors associated with congenital anomalies among live births: a nationwide population-based study in Brazil from 2012 to 2020.BMC pregnancy and childbirth · 2025Article
- The effect of the Covid-19 pandemic on the maternal mortality rate and the achievement of the Sustainable Development Goal in Brazil.BMC public health · 2025Article
- Study protocol of group antenatal care implementation at a public women's hospital in Brazil.PloS one · 2025Article
- Monitoring determinants of the prevalence of child malnutrition in Brazil according to indicators of the 2030 Agenda in the year 2022.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- Trend in neonatal mortality and preventable neonatal deaths: a time series analysis, Bahia, 2010-2020.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Adequacy of prenatal care in the state of Rio de Janeiro according to the type of childbirth funding.Revista de saude publica · 2025Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo verify regional inequalities regarding access and quality of prenatal and birth care in Brazilian public health services and associated perinatal outcomes.
methodsBirth in Brazil was a national hospital-based survey conducted between 2011 and 2012, which included 19,117 women with public-funded births. Regional differences in socio-demographic and obstetric characteristics, as well as differences in access and quality of prenatal and birth care were tested by the χ2 test. The following outcomes were assessed: spontaneous preterm birth, provider-initiated preterm birth, low birth weight, intrauterine growth restriction, Apgar in the 5th min < 8, neonatal and maternal near miss. Multiple and non-conditional logistic regressions were used for the analysis of the associated perinatal outcomes, with the results expressed in adjusted odds ratio and 95% confidence interval.
resultsRegional inequalities regarding access and quality of prenatal and birth care among users of public services are still evident in Brazil. Pilgrimage for birth associated with all perinatal outcomes studied, except for intrauterine growth restriction. The odds ratios ranged between 1.48 (95%CI 1.23-1.78) for neonatal near miss and 1.62 (95%CI 1.27-2.06) for provider-initiated preterm birth. Among women with clinical or obstetric complications, pilgrimage for birth associated with provider-initiated preterm birth and with Apgar in the 5th min < 8, odds ratio of 1.98 (95%CI 1.49-2.65) and 2.19 (95%CI 1.31-3.68), respectively. Inadequacy of prenatal care associated with spontaneous preterm birth in both groups of women, with or without clinical or obstetric complications.
conclusionImprovements in the quality of prenatal care, appropriate coordination and comprehensive care at the time of birth have a potential to reduce prematurity rates and, consequently, infant morbidity and mortality rates in the country.
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