Clinical and epidemiological characteristics of delivery in a maternity hospital in the city of Sobral/CE

Abstract

Objectives: The aim was to trace the clinical and epidemiological characteristics of assisted pregnant women at a hospital and maternity ward in the interior of Ceará. Methods: This was a retrospective, quantitative and descriptive study, having as a data source the medical records of pregnant women attended in the year 2015. A total of 1.111 records were analyzed, and the type of delivery, characteristics of vaginal deliveries, Apgar score at 5 minutes, maternal age, number of prenatal visits, gestational age, schooling, and justification for cesarean delivery were analyzed. Results: The results show that the cesarean delivery was predominant at 50.67%. Regarding the characteristics of vaginal deliveries, episiotomy was found to be 35.42%. Both vaginal and cesarean deliveries had an Apgar score of 5’ mostly between 8 and 10; there was a predominance of maternal age between 21-30 years; in relation to the number of prenatal visits made, there were more than 7 visits; for duration of pregnancy, the majority was between 37 and 41 weeks, being considered at term; mothers with secondary schooling had more cesarean deliveries, and 27.27% of these deliveries were justified by high-risk/preeclampsia. Conclusion: There is a need on the part of the public power to invest more in sex education, since it was found pregnant at a younger ages. Also in relation to the high number of cesarean deliveries, greater attention on the issue is necessary, since it is above the established numerical standards.