Special attention to women experiencing high-risk pregnancy: delivery, care assistance and neonatal outcomes in two brazilian maternity wards

dc.creatorJuliana Vieira Nazareth
dc.creatorKleyde Ventura de Souza
dc.creatorMark Anthony Beinner
dc.creatorJuliana Silva Barra
dc.creatorOdaléa Maria Brüggemann
dc.creatorAdriano Marçal Pimenta
dc.date.accessioned2023-07-31T21:39:35Z
dc.date.accessioned2025-09-08T22:53:53Z
dc.date.available2023-07-31T21:39:35Z
dc.date.issued2017-07-15
dc.format.mimetypepdf
dc.identifier.doi10.1016/j.midw.2017.07.009
dc.identifier.issn02666138
dc.identifier.urihttps://hdl.handle.net/1843/57275
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofMidwifery
dc.rightsAcesso Restrito
dc.subjectGravidez
dc.subjectGravidez de Alto Risco
dc.subjectServiços de Saúde do Trabalhador
dc.subjectEnfermagem
dc.subject.otherPregnancy
dc.subject.otherHigh-risk pregnancy
dc.subject.otherPromotion
dc.subject.otherHEALTH
dc.subject.othernursing
dc.subject.otherhealth care assistance
dc.titleSpecial attention to women experiencing high-risk pregnancy: delivery, care assistance and neonatal outcomes in two brazilian maternity wards
dc.typeArtigo de periódico
local.citation.epage48
local.citation.issue2017
local.citation.spage42
local.citation.volume53
local.description.resumoBackground: To compare two care models of high-risk pregnant women–a House for Pregnant Women, staffed by nurse-midwives, versus a traditional care model in a hospital maternity ward.Design: This was across-sectional study conducted in two reference maternity hospitals for high-risk pregnancies, in Belo Horizonte, Minas Gerais, Brazil. The sample consisted of 312 high-risk pregnant women consecutively admitted from January 1st to December 31st, 2010, either to the House for Pregnant Women (n=247), or the hospital maternity ward (n=65). Gestational ages varied from 22 weeks to 36 weeks and six days. We measured individual, demographic, obstetric, labour and delivery variables, and newborn characteristics. For data analysis, we used descriptive, bivariate and multivariate statistics using Poisson regression, with a 5% significance level.Findings: At the conventional hospital maternity ward, more women had six or more antenatal exams, greater frequencies of diagnosis related to blood pressure, and a greater number of women underwent either a C-section or a vaginal delivery with an episiotomy and analgesia. At the House for Pregnant Women, the majority of the hospitalizations were related to preterm labour and premature rupture of membranes. There were no statistical differences in the newborn characteristics.Key conclusions: The House for Pregnant Women care model, utilizing midwives was less interventionist, yet with results as favorable as in a conventional maternity hospital setting.
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttp://www.sciencedirect.com/science/article/pii/S0266613817305296?via%3Dihub

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