Avaliação de impacto da Casa de Parto de São Sebastião – DF: efeitos do parto humanizado sobre indicadores neonatais, obstétricos e maternos

Abstract

The policy of creating Normal Birth Centers (CPN) aims to offer women the role of protagonist in the birth process, establishing a new model of obstetric care focused on the pregnant woman and her family. To evaluate the impact of the São Sebastião Birth Center (DF), the Propensity Scoring Matching (PSM) method was used to mitigate sample self-selection bias based on information from the Live Birth Information System (SINASC), and the Linkage method was employed to aggregate data from the SUS Hospital Information System (SIH/SUS) with SINASC data. The results indicate that the Birth Center had a positive effect on neonatal health indicators, including an average weight gain of 54g compared to other health facilities. Positive effects on birth weight were also observed in the first deciles of the distribution, with increases ranging from 105g (D10) to 51g (D40). For Apgar scores, the Birth Center’s practices contributed to higher scores in the 9-10 range for the first minute and a score of 10 for the fifth minute. Regarding gestational age, a positive marginal effect (0.0377) was observed on the likelihood of term births (37 to 42 weeks). Maternal outcomes showed that the Birth Center’s practices reduced hospital stay by at least one day, benefiting both mother and child and resulting in cost savings for the healthcare system. Significant effects were also observed across all deciles, except D10, with approximately two fewer days of hospital stay for the D90 decile. Additionally, the likelihood of having a spontaneous single delivery was higher at the Birth Center, with a positive marginal effect (0.47) on this obstetric indicator. In conclusion, the São Sebastião Birth Center's policy of humanized birth presents significant and positive results for neonatal and maternal health indicators, contributing to more welcoming and efficient care for the mother and baby.