Drug use in delivery hospitalization: Pelotas births cohort, 2015

ABSTRACT OBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sam...

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Main Authors: Marysabel Pinto Telis Silveira, Vanessa Iribarrem Avena Miranda, Mariângela Freitas da Silveira, Tatiane da Silva Dal Pizzol, Sotero Serrate Mengue, Andréa Dâmaso Bertoldi
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100246&lng=en&tlng=en
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author Marysabel Pinto Telis Silveira
Vanessa Iribarrem Avena Miranda
Mariângela Freitas da Silveira
Tatiane da Silva Dal Pizzol
Sotero Serrate Mengue
Andréa Dâmaso Bertoldi
author_facet Marysabel Pinto Telis Silveira
Vanessa Iribarrem Avena Miranda
Mariângela Freitas da Silveira
Tatiane da Silva Dal Pizzol
Sotero Serrate Mengue
Andréa Dâmaso Bertoldi
author_sort Marysabel Pinto Telis Silveira
collection DOAJ
description ABSTRACT OBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sample. We collected information regarding drug prescription and drug use by mothers during the whole period of hospitalization. Sociodemographic data were obtained in interview after delivery, and other data were obtained from medical charts. The drugs were classified according to the Anatomical Therapeutic Chemical system. RESULTS: All study participants (1,392 women) used at least one drug, with the mean amount being larger the higher the age of the mother, both prepartum/during delivery and postpartum. It was also higher in cases of spinal anesthesia or general anesthesia, cesarean deliveries, school hospitals, and longer hospitalizations. Analysis of the sample as a whole showed no significant difference in the number of drugs used according to hospitalization type, but when stratified by length of hospital stay the mean was higher in SUS hospitalizations than in private and health insurance hospitalizations. Drugs for the nervous system were the most used (30.5%), followed by drugs for the alimentary tract and metabolism (13.8%). The use of anti-infective agents and drugs that act on the cardiovascular and respiratory systems was higher in mothers who underwent cesarean delivery. This study showed high drug consumption in the delivery hospitalization period, and showed cesarean delivery and epidural anesthesia as the main factors related to high drug consumption in this period. CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used.
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spelling doaj.art-26c1856a45c640e8979df369d89c4b382022-12-21T20:33:10ZengUniversidade de São PauloRevista de Saúde Pública1518-878753010.11606/s1518-8787.2019053000913S0034-89102019000100246Drug use in delivery hospitalization: Pelotas births cohort, 2015Marysabel Pinto Telis SilveiraVanessa Iribarrem Avena MirandaMariângela Freitas da SilveiraTatiane da Silva Dal PizzolSotero Serrate MengueAndréa Dâmaso BertoldiABSTRACT OBJECTIVE: Trace the pattern of drug use during delivery hospitalization. METHOD: Cross-sectional study carried out from June to October 2015, included in the 2015 Pelotas births cohort. All women living in the urban area of the city who were hospitalized for delivery were part of the sample. We collected information regarding drug prescription and drug use by mothers during the whole period of hospitalization. Sociodemographic data were obtained in interview after delivery, and other data were obtained from medical charts. The drugs were classified according to the Anatomical Therapeutic Chemical system. RESULTS: All study participants (1,392 women) used at least one drug, with the mean amount being larger the higher the age of the mother, both prepartum/during delivery and postpartum. It was also higher in cases of spinal anesthesia or general anesthesia, cesarean deliveries, school hospitals, and longer hospitalizations. Analysis of the sample as a whole showed no significant difference in the number of drugs used according to hospitalization type, but when stratified by length of hospital stay the mean was higher in SUS hospitalizations than in private and health insurance hospitalizations. Drugs for the nervous system were the most used (30.5%), followed by drugs for the alimentary tract and metabolism (13.8%). The use of anti-infective agents and drugs that act on the cardiovascular and respiratory systems was higher in mothers who underwent cesarean delivery. This study showed high drug consumption in the delivery hospitalization period, and showed cesarean delivery and epidural anesthesia as the main factors related to high drug consumption in this period. CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100246&lng=en&tlng=enPartoTocologiaAssistência PerinatalUso de MedicamentosFatores de RiscoFatores Socioeconômicos
spellingShingle Marysabel Pinto Telis Silveira
Vanessa Iribarrem Avena Miranda
Mariângela Freitas da Silveira
Tatiane da Silva Dal Pizzol
Sotero Serrate Mengue
Andréa Dâmaso Bertoldi
Drug use in delivery hospitalization: Pelotas births cohort, 2015
Revista de Saúde Pública
Parto
Tocologia
Assistência Perinatal
Uso de Medicamentos
Fatores de Risco
Fatores Socioeconômicos
title Drug use in delivery hospitalization: Pelotas births cohort, 2015
title_full Drug use in delivery hospitalization: Pelotas births cohort, 2015
title_fullStr Drug use in delivery hospitalization: Pelotas births cohort, 2015
title_full_unstemmed Drug use in delivery hospitalization: Pelotas births cohort, 2015
title_short Drug use in delivery hospitalization: Pelotas births cohort, 2015
title_sort drug use in delivery hospitalization pelotas births cohort 2015
topic Parto
Tocologia
Assistência Perinatal
Uso de Medicamentos
Fatores de Risco
Fatores Socioeconômicos
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100246&lng=en&tlng=en
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AT mariangelafreitasdasilveira druguseindeliveryhospitalizationpelotasbirthscohort2015
AT tatianedasilvadalpizzol druguseindeliveryhospitalizationpelotasbirthscohort2015
AT soteroserratemengue druguseindeliveryhospitalizationpelotasbirthscohort2015
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