Abstract
Objective
To investigate the perinatal outcomes in Brazilian, Peruvian, and Colombian women in a Brazilian reference maternity hospital based at Amazon triple border region.
Method
A cross-sectional case study of data from 3242 live birth certificates issued at the Tabatinga public maternity hospital, in the countryside of Amazonas, in the period between January 2015 and December 2017. Maternal and perinatal independent variables were analysed based on central tendency and variability, and frequency distribution for categorical variables. The Pearson’s Chi-Square test and univariate analyses were performed to estimate probability ratios (Odds Ratio-OR).
Results
Significant differences were found in the education level in the three population groups, as well as in the number of previous pregnancies, antenatal consultations, month of initial prenatal care, and type of delivery. Brazilian pregnant women had more prenatal consultations, caesarean sections, and premature births. Peruvian and Colombian women started antenatal care later, and those with high-risk pregnancies tended to deliver in their home country.
Conclusion for Practice
Our findings show some singularities in the care of women and infants in the Amazonian triple border region. The Brazilian Unified Health Care System performs an important role in the guarantee of free access to health services, and ensures comprehensive care for women and infants, promoting human rights in border regions regardless of nationality.
Significance
The triple frontier between Brazil, Colombia, and Peru is a region that has specificities that defy assistance flows, normally based on predominantly urban and locally fixed populations. Analysis of the live birth certificate data completed after the births that took place in the only public maternity hospital in this region could help to quantify and understand the migratory phenomenon and its repercussions on the health of women and their infants. Studies show that maternal and child mortality indicators are sensitive to health conditions and can reveal various aspects of a territory, such as social inequalities, socioeconomic development, and quality of life.
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Data Availability
Not applicable.
Code Availability
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Change history
01 July 2023
A Correction to this paper has been published: https://doi.org/10.1007/s10995-023-03750-0
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Acknowledgements
The authors would like to thank the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for supporting the postgraduate program. Also, we thank the FAPEAM Founding Agency for the scholarship support for the author C.S.T (Resolution nº. 002/2016 - POSGRAD 2017). MH is supported in part by the National Institute for Health and Care Research Applied Research Collaboration Northwest London. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Lastly, we thank Dr. Jaidson N. Becker for his support in the geoprocessing process. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Opinions, assumptions and conclusions or recommendations expressed in this article are the responsibility of the authors and do not necessarily reflect the viewpoint of FAPEAM. We are especially grateful to the Tabatinga Health Secretary and the professional health team from the maternity hospital for all support during the fieldwork.
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Study conception and design: C.S.T, M.S.M.N, R.T.S.L. Acquisition of data: C.S.T, M.S.M.N. Analysis and interpretation of data: C.S.T, T.G.F, M.A.B.D, M.J.H, R.T.S.L. Drafting of manuscript and critical revision: all authors. All authors read and approved the final manuscript.
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The study respects the Brazilian resolution 466/2012, which deals with the norms and guidelines for research involving human beings in Brazil, and was approved by the Research Ethics Committees of the Adriano Jorge Hospital Foundation Certificate number: 2.763.838; Process Number: 89682418.7.0000.0007). Also the data were analyzed anonymously.
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Teixeira, C.S., Fernandes, T.G., Dias, M.A.B. et al. Perinatal Health in Amazon Triple Border Region: Cross-Sectional Analysis Comparing Outcomes in the Brazilian, Peruvian and Colombian Population. Matern Child Health J 27, 1876–1884 (2023). https://doi.org/10.1007/s10995-023-03673-w
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DOI: https://doi.org/10.1007/s10995-023-03673-w