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首页> 外文期刊>Cadernos de Saúde Pública >Hospitalizations due to complications of pregnancy and maternal and perinatal outcomes in a cohort of pregnant women in the Brazilian Unified National Health System in S?o Paulo, BrazilInternamientos por complicaciones obstétricas en la gestación y desenl
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Hospitalizations due to complications of pregnancy and maternal and perinatal outcomes in a cohort of pregnant women in the Brazilian Unified National Health System in S?o Paulo, BrazilInternamientos por complicaciones obstétricas en la gestación y desenl

机译：巴西圣保罗的巴西统一国家卫生系统中，由于妊娠并发症以及孕妇和围产期结局而住院，这是因妊娠合并而造成的。

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Maternal morbidity, fetal mortality, and neonatal mortality are important indicators of maternal and child health. The study aimed to describe maternal and perinatal outcomes (low birth weight, prematurity, fetal and neonatal deaths, postpartum hospitalizations, and readmission of newborns) in a cohort of pregnant women whose deliveries were covered by the Brazilian Unified National Health System (SUS) in the city of S?o Paulo, Brazil, in the second semester of 2012. We obtained a retrospective cohort of 55,404 pregnant women with deterministic and probabilistic linkage of data from the Hospital Information System of the SUS (SIH/SUS), Information System on Live Births (SINASC), Mortality Information System (SIM), and National Registry of Health Establishments (CNES) databases. Hospitalizations due to obstetric complications occurred in 4.3% of the women. The most frequent diagnoses were infection, hypertensive disease of pregnancy, and diabetes. Hospitalizations prior to childbirth were more common in pregnant women 35 years or older and those with a history of multiple pregnancies and low schooling. Postpartum hospitalizations were three times greater and maternal mortality was nine times greater in pregnant women with a history of previous hospitalization due to obstetric complications. Adverse perinatal outcomes (fetal and neonatal mortality and low birth weight) were twice as frequent in infants of women with previous hospitalization when compared to those without. A similar pattern was seen in hospitalization of newborns soon after birth and in hospital readmission. Adverse maternal and perinatal outcomes were more frequent in pregnant women with a history of previous hospitalization.
机译：产妇的发病率，胎儿死亡率和新生儿死亡率是母婴健康的重要指标。该研究旨在描述巴西统一国家卫生系统（SUS）涵盖的分娩孕妇队列中的产妇和围产儿结局（低体重，早产，胎儿和新生儿死亡，产后住院以及新生儿再入院）。于2012年下半年在巴西圣保罗市进行。我们回顾性研究了55404名孕妇，这些孕妇来自SUS医院信息系统（SIH / SUS）的信息具有确定性和概率性关联活产（SINASC），死亡率信息系统（SIM）和国家卫生机构注册（CNES）数据库。 4.3％的妇女因产科并发症而住院。最常见的诊断是感染，妊娠高血压疾病和糖尿病。分娩前的住院治疗在35岁及35岁以上的孕妇以及多胎妊娠和低学历的孕妇中更为常见。有因产科并发症而住院的孕妇，产后住院率是孕妇的三倍，产妇死亡率是孕妇的九倍。与之前没有住院治疗的妇女相比，先前住院治疗的妇女的围产期不良后果（胎儿和新生儿死亡率以及低出生体重）的发生率是其两倍。在出生后不久的新生儿住院治疗和住院再入院中也发现了类似的情况。有既往住院史的孕妇中，孕妇和围产期不良反应的发生率更高。

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