Análise das vias de parto após a implantação da Rede Cegonha.

Abstract

The choice of the mode of delivery and its indications are grounds for discussion in women's health in Brazil and worldwide. In 2011, the Stork Network was implemented in Brazil, a strategy that aims, among other issues, to ensure women the right to reproductive planning and humanized care for pregnancy, childbirth and the puerperium, as well as providing a care network. the unborn and the right to healthy development. The objective was to analyze the ways of delivery after the implementation of the stork network in the city of Cajazeiras-PB. This is an ecological study of time series, descriptive and documentary based with a quantitative approach that used simple descriptive statistics for data analysis and conclusion of results, which are presented in tables for better visualization and analysis. The research was developed from the birth records of 2011 to 2017 of the Live Birth Information System, available from the Department of Informatics of the Unified Health System, collected in October and November 2019, and considered as criteria for inclusion of data duly recorded in the Live Birth Information System during the data collection period. Regarding the exclusion criteria, the records in which the analyzed variable was recorded as ignored and those referring to pregnancies lasting less than 22 weeks and which did not occur in a hospital environment were excluded from the study. The study in question did not require submission to the Research Ethics Committee as it considered only secondary data of public access, obeying Resolution No. 510/2016 of the National Health Council. It was found that there were 11,433 births registered in the municipality and the 63% were cesarean section, which is in line with World Health Organization advice, which recommends a 15% rate. In addition, regarding the sociodemographic profile, it was noted that the higher maternal age, the largest number of years studied by the mother, the legally separated marital status and the white and black race / behavior were the most likely factor for cesarean section surgery. . In the analysis of obstetric variables, cesarean section was proportionally more incident as the duration of pregnancy, the number of prenatal consultations and double gestation increased. Thus, it was observed that the municipality of Cajazeiras recorded an exorbitant number of cesarean sections during the study period, even after the implementation of the Stork Network, which demonstrates its still inefficient action in the region and / or the lack of supervision and incentive by competent bodies. Given this, the study contributes to reinforce the fragile implementation of the Stork Network in the municipality studied and to provide a better analysis of the possible factors related to such results. It is hoped that, from this, measures will be adopted to reinforce the more effective implementation of the Federal Strategy in that municipality and the importance of the humanization of the birth process and professional qualification aiming at greater health education and popular clarification on the real benefits of the birth routes.