Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization

ABSTRACT Objective: to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital. Methods: ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocanti...

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Main Authors: Liandra Silva Lopes, Laura Maria Vidal Nogueira, Erlon Gabriel Rego de Andrade, Ivaneide Leal Ataíde Rodrigues, Juan Andrade Guedes, Rosinelle Janayna Coêlho Caldas, Paula Gisely Costa Silva
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2025-01-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000500158&lng=en&tlng=en
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author Liandra Silva Lopes
Laura Maria Vidal Nogueira
Erlon Gabriel Rego de Andrade
Ivaneide Leal Ataíde Rodrigues
Juan Andrade Guedes
Rosinelle Janayna Coêlho Caldas
Paula Gisely Costa Silva
author_facet Liandra Silva Lopes
Laura Maria Vidal Nogueira
Erlon Gabriel Rego de Andrade
Ivaneide Leal Ataíde Rodrigues
Juan Andrade Guedes
Rosinelle Janayna Coêlho Caldas
Paula Gisely Costa Silva
author_sort Liandra Silva Lopes
collection DOAJ
description ABSTRACT Objective: to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital. Methods: ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05). Results: the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital. Conclusions: long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
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spelling doaj-art-453731d5b7084d6e8c31c1a76b2b0b4d2025-01-14T07:34:39ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462025-01-0177suppl 210.1590/0034-7167-2024-0038Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatializationLiandra Silva Lopeshttps://orcid.org/0000-0001-5108-3967Laura Maria Vidal Nogueirahttps://orcid.org/0000-0003-0065-4509Erlon Gabriel Rego de Andradehttps://orcid.org/0000-0002-7109-6121Ivaneide Leal Ataíde Rodrigueshttps://orcid.org/0000-0001-9968-9546Juan Andrade Guedeshttps://orcid.org/0000-0003-0563-2034Rosinelle Janayna Coêlho Caldashttps://orcid.org/0000-0001-6988-0905Paula Gisely Costa Silvahttps://orcid.org/0000-0002-8777-8477ABSTRACT Objective: to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital. Methods: ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05). Results: the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital. Conclusions: long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000500158&lng=en&tlng=enSpatial AnalysisEpidemiologyObstetricsParturitionPublic Health
spellingShingle Liandra Silva Lopes
Laura Maria Vidal Nogueira
Erlon Gabriel Rego de Andrade
Ivaneide Leal Ataíde Rodrigues
Juan Andrade Guedes
Rosinelle Janayna Coêlho Caldas
Paula Gisely Costa Silva
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem
Spatial Analysis
Epidemiology
Obstetrics
Parturition
Public Health
title Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
title_full Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
title_fullStr Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
title_full_unstemmed Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
title_short Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
title_sort childbirth dynamics in the riverside region of the brazilian amazon from the perspective of geospatialization
topic Spatial Analysis
Epidemiology
Obstetrics
Parturition
Public Health
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000500158&lng=en&tlng=en
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