Hospitalization during pregnancy according to childbirth financial coverage: a population-based study

Rev Esc Enferm USP. 2018:52:e03317. doi: 10.1590/s1980-220x2017032403317. Epub 2018 May 24.
[Article in English, Portuguese]

Abstract

Objective To analyze the occurrence, profile and main causes of hospitalization during pregnancy according to the type of childbirth financial coverage. Method A cross-sectional population-based study carried out with puerperal women through a stratified sample, calculated according to the hospital and the type of childbirth financial coverage source: public sector (SUS) or private (not SUS). The sociodemographic profile, the rate of obstetric complications and the causes of hospitalization were analyzed, coded according to International Classification of Diseases. Results A total of 928 postpartum women were interviewed, of whom 32.2% reported at least one hospitalization during pregnancy. Those with childbirth covered by SUS were less favored because they were the majority among hospitalized women (57.2%), with a higher percentage of adolescents (18.1%), lower education level (91.8%), low family income (39.3%) and fewer prenatal consultations (25.3%). The most frequent causes of hospitalization were "other maternal diseases that complicate pregnancy" (24.6%) (with emphasis on anemia and influenza), urinary tract infection (13.1%), preterm labor (8.7%) and hypertension (7.2%). Conclusion Anemia, influenza, urinary tract infection, preterm labor and hypertension should especially be prevented and treated to avoid hospital admissions during pregnancy, especially among pregnant women covered by SUS.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Cross-Sectional Studies
  • Delivery, Obstetric / economics
  • Educational Status
  • Female
  • Hospitalization / economics
  • Hospitalization / statistics & numerical data*
  • Humans
  • Income / statistics & numerical data
  • Insurance, Health / economics*
  • Insurance, Health / statistics & numerical data
  • National Health Programs / economics*
  • National Health Programs / statistics & numerical data
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications / economics
  • Pregnancy Complications / epidemiology*
  • Pregnancy Complications / therapy
  • Prenatal Care / statistics & numerical data
  • Young Adult