Características sociodemográficas e clínicas de uma coorte de mulheres em um hospital de Santa Catarina

Abstract

The aim of this study is to describe the socio-demographics characteristics and clinical features according to the different types of childbirth (vaginal and caesarean section) and health care system (SUS or private) in a cohort of women from a public hospital located in the west of Santa Catarina state. This research intends to contribute to a better understanding of the scenario of childbirth in the region, and therefore to improve the quality of the assistance afforded to its population. This is a retrospective, descriptive and transversal study, elaborated from the data of a cohort of women who gave birth by vaginal or caesarean delivery and who were admitted in a referral hospital in the west of Santa Catarina State. The data from medical records, stored in the hospital own internal system, was collected between November 2019 and March 2020. The variables analysed were: race/skin colour/ethnicity, age, marital status, health system (SUS or private), number of pregnancies, delivery route, use of episiotomy, laceration (categorized in second and third degree), maternal comorbidities, complications of delivery and prophylactic antibiotic therapy. The results showed that the majority of women were between 26 and 30 years of age, were white, married or in a stable relationship, pregnant for the second or third time, never had an abortion, developed complications during the current pregnancy, did not have intrapartum intercurrences, utilized public health system to grant access to medical care, did not undergo episiotomy and did not have any type o perineal tears during childbirth. These results show an abusive use of caesarean section, mainly in private care system; nevertheless, the rate of episiotomy is in accordance with the Wold Health Organization recommendation.