CONDITIONS FOR PREGNANCY AND DELIVERY IN THE CITY OF BELO HORIZONTE - MG.
Introduction: The National Policy for Integral Child Health Care (PNAISC) aims to promote and protect the health of children from pregnancy to nine years. The city of Belo Horizonte/MG uses this Policy to develop guidelines and standards for the implementation of full care for children. As a result, this work aims to analyze the changes of pregnancy conditions and birth in the city of Belo Horizonte/MG before and after the application of The National Policy for Integral Child Health Care, among 2011 to 2018. Method: This is a descriptive study of pregnancy conditions and birth in Belo Horizonte/MG, from 2011 to 2018. The study population refers to births that occurred in that period and filled in the Live Birth Information System (SINASC), available by the Informatics Department of Informatics of the Unified Health System (DATASUS). The chosen data were: duration of pregnancy, birth weight, type of delivery, number of consultations performed in the prenatal period, Apgar score in the 1st minute and 5th minute, education, and age of the mothers. Results: There was a significant increase in the prevalence of vaginal delivery and a decrease in cesarean delivery. Vaginal delivery was frequent in mothers with schooling up to 11 years old and under 29 years old. Concerning the pregnancy period, there was a low increase in births up to 36 weeks, and there was also an increase in prenatal consultations numbers, in the category of seven or more consult appointment. About the 5th minute Apgar there was a progressive increase over the years, while the 1st minute Apgar showed few variations. Conclusion: The city of Belo Horizonte features positive results on the rise of vaginal delivery. However, other conditions of pregnancy and delivery do not seem to forth this improvement. Therefore there is a need for investments in public policies to increase the number of prenatal consults and to reduce the births of preterm and low birth weight infants - thus promoting better care for the maternal and child health of this population.
Keywords: Health policy; maternal-child health; vaginal delivery; Belo Horizonte/MG.
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