EPIDEMIOLOGICAL OVERVIEW OF HIGH-RISK PREGNANCIES IN THE SOUTHEAST IN THE LAST 5 YEARS

Abstract

Pregnancy is a process that encompasses several transformations not only for the life of the pregnant woman, but also for her partner and the entire family involved. The physiological and anatomical adjustments in the pregnant woman's body generate a need for her body to adapt to prepare for the moment of delivery. The proper choice of delivery method, whether vaginal or cesarean, is of paramount importance for a good pregnancy outcome. The present study aims, through an epidemiological analysis of data, to compare the two modes of delivery, showing the increasing rates of cesarean sections in high-risk pregnancies. It is an observational, cross-sectional and retrospective study through a survey of data from the Department of Information and Informatics of the SUS (DATASUS). The data collected referred to the number of cesarean sections and vaginal deliveries performed in the last 5 years in the Southeast, comparing their mean hospitalization rates and mortality rate. A total of 321,300 cesarean sections and 212,105 vaginal deliveries were found. The mean value of hospitalization was higher for cesarean sections compared to vaginal delivery, being respectively R$1,185.84 and R$784.84. Finally, there was a higher mortality rate in cesarean sections of 0.09 and that of vaginal delivery of 0.04. Despite higher mortality and expenses by the SUS, cesarean section is still performed more often in the Southeast, and the appropriate indication for performing this procedure should be evaluated.