Perfil dos partos vaginais e cirúrgicos na Paraíba e seu impacto na saúde pública

Abstract

Objective: to verify the profile of vaginal and surgical deliveries by health macro-region of Paraíba between 2017 and 2021 and their repercussions on public health. Methodology: A cross-sectional, descriptive study with a quantitative approach, which used data from the SUS Hospital Information System (SIH/SUS) provided by the database of the Informatics Department of the Unified Health System (DATASUS). The study consists of the analysis of high-risk and usual risk vaginal and surgical deliveries, which took place between 2017 and 2021 in the health macro-region of Paraíba. Results: Between 2017 and 2021, 207,371 hospitalizations were registered for deliveries by the SUS in Paraíba, 80.3% of which were at usual risk and 19.7% were high-risk deliveries. High-risk surgical delivery had an average of 4.4 days and vaginal delivery an average of 3.5 days. The usual risk vaginal and surgical deliveries had an average of 2.1 and 2.4 days, respectively. From 2017 to 2021, R$149,295,629.41 were allocated to vaginal and surgical deliveries in Paraíba. There was a significant increase in deaths from high-risk and usual-risk surgical deliveries, corresponding to 63.75% of the total number of deaths. The usual risk and high risk vaginal deliveries had a reduced number of deaths, equivalent to 36.25% of the total. Conclusion: It could be observed that there is a predominance of surgical deliveries in high-risk pregnancies, as well as the high financial cost for performing surgical deliveries, evidencing their impact on the public health of the state. High-risk and usual-risk surgical deliveries accounted for more than half of the total number of deaths and a higher average length of stay in hospital facilities was found in high-risk deliveries. Even with the recommendations and efforts of health agencies, the rates of surgical deliveries in Brazil still remain high and have major impacts on public health.