HOSPITALIZATIONS AND HOSPITAL COSTS FOR SPONTANEOUS ABORTION IN BAHIA, BRAZIL

• Published in: Revista de pesquisa, cuidado é fundamental Vol. 12; pp. 767 - 773
• Main Authors: de Souza, Edison Vitório, Nunes, Gabriel Aguiar, de Jesus, Mariana Alves Soledade, Cruz, Diego Pires, Boery, Rita Narriman Silva de Oliveira, Boery, Eduardo Nagib
• Format: Journal Article
• Language: English
• Published: Rio de Janeiro Universidade Federal do Estado do Rio de Janeiro, Programa de Pós-Graduação em Enfermagem 01-01-2020
• Subjects: Age; Epidemiology; Fetuses; Hospital costs; Hospitalization; Information technology; Maternal mortality; Miscarriage; Patient admissions; Pregnancy; Public health; Variables; Womens health; Brazil
• ISSN: 2175-5361
• DOI: 10.9789/2175-5361.rpcfo.v12.7156

INTRODUCTION According to the World Health Organization (WHO), abortion is defined as the either voluntary expulsion or not of a fetus until the twentieth week of gestation with the conceptual product weighing less than 500 g.1 As it is one of the frequent complications during gestation, abortion is established worldwide as a major public health problem,2 with about 97% of cases occurring in developing countries, where abortion is illegal.3 In Brazil, abortion is one of the four main causes of maternal death, showing a high mortality rate according to international standards.4 Spontaneous Abortion (SA) is characterized when the expulsion of the fetus occurs without deliberate action5 and affects about 10 to 15% of pregnancies6,7 mainly during the first 13 weeks of gestation.8 The etiology of SA is heterogeneous and multifactorial. [...]the objective of this study is to describe the cases of hospitalizations and hospital costs due to spontaneous abortion over the period from 2011 to 2016 in the Bahia State, Brazil. According to the Instituto Brasileiro de Geografia e Estatística (IBGE) [Brazilian Institute of Geography and Statistics],11 The Bahia State has a demographic density of 24.82 inhabitants/km2 and an estimated population of 15,344,447 inhabitants distributed over a territorial area of 564,732.45 km2. [...]barriers are still found for the reliable measurement of the problem of SA, since, due to the mixture that occurred with other forms of abortion, there is indistinction between many cases.13 Among the motivating factors for this context, low adherence to prenatal care is considered, since it is attributed to this, when performed improperly, influence on the complication rates and even fetal and/or maternal death.14 So, assistance to the mother-child binomial is an important action, which aims to mitigate the worsening health of both, as well as to prevent problems in the development of the fetus, prematurity or loss of the fetus,15 thus assuming a