CHARACTERIZATION OF WOMEN WHO GAVE BIRTH IN A HIGH COMPLEXITY MATERNITY HOSPITAL IN THE INTERIOR OF SP (Atena Editora)

Abstract

Introduction: To know better women in their pregnancy-puerperal cycle and the perinatal results involved, allows establishing different policies that are able to reduce complications, sequelae and mortality in the reproductive cycle of women. Goal: To investigate the population of women in the puerperal pregnancy cycle during childbirth in a reference maternity hospital for high-risk pregnancy. Method: study carried out from August 2020 to May 2021 through electronic medical records of pregnant women who gave birth in a high-risk maternity hospital in the interior of the state of São Paulo. Women with gestational age above 20 weeks were included, being divided for analysis into two groups according to term or preterm delivery. Results: In premature births, 70.97% of the women were of white ethnicity, 61.29% had only high school education, 80.65% were aged between 19 and 35 years, 35.48% had had previous cesarean sections. Frequencies close to those presented by women with full-term deliveries. Regarding maternal and fetal outcomes, 54.84% of preterm births were cesarean sections, compared to 65.84% of full-term deliveries. Hospitalizations in the neonatal ICU for premature infants were 41,41,94%, while in deliveries over 37 weeks, they were 5.59%. In addition, preeclampsia was related to 35.48% of deliveries below 37 weeks. Conclusion: it is clear that prematurity was more related to more advanced maternal ages and cases of preeclampsia. Cesarean section proved to be useful for preventing maternal and fetal complications, as well as emphasizing the importance of effective neonatal care.