Prenatal care and its association with the type of childbirth in the supplementary health network ; Asistencia prenatal y su asociación con el tipo de parto en la red suplementaria de salud ; Assistência pré-natal e sua associação com o tipo de parto na rede suplementar de saúde

Objective: to analyze the factors associated with prenatal care with the type of childbirth in the supplementary health network. Method: epidemiological, cross-sectional study conducted by secondary analysis of part of the research data ‘Healthy Birth: a prospective study to evaluate the implementation and effects of a multifaceted intervention to improve the quality of childbirth and birth care in hospitals in Brazil’. The sample included 2,435 women, admitted to five maternity hospitals in the cities of São Paulo and Santos through interviews in the postpartum period, consultations in medical records and prenatal card. The data were analyzed descriptively. Chi-square and Fisher’s exact test was used for association between variables and, for comparison of means between groups, the Student t test. Result: prenatal care for most pregnant women (44.6%) was performed in a private office followed by an outpatientclinic of the health plan (38.3%). The predominance of care for pregnant women was done by the doctor (92.5%). The outcome of childbirth, mostly cesarean (76.6%), followed by 23.4% of vaginal childbirths. Conclusion: puerperal women who performed prenatal care in the private office with private financing of childbirth had a greater chance of cesarean section. The joint participation of the obstetrician nurse with the doctor showed a slight tendency to impact the vaginal childbirth route. ; Objetivo: analizar los factores asociados a la atención prenatal con el tipo de parto en la red suplementaria de salud. Método: estudio epidemiológico, transversal realizado por análisis secundario de parte de los datos de la investigación "Nacer Saludable: estudio prospectivo de evaluación de la implantación y efectos de intervención multifacética para la mejora de la calidad de la atención al parto y nacimiento en hospitales en Brasil". Se incluyeron 2 435 mujeres, admitidas en cinco maternidades de las ciudades de São Paulo y Santos-Brasil mediante entrevistas en el período posparto, consultas en los registros médicos ...