{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:13:01Z","timestamp":1778573581179,"version":"3.51.4"},"reference-count":17,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>RESUMO:  Introdu\u00e7\u00e3o:  Foi observado que em muitos pa\u00edses, nos \u00faltimos anos, houve redu\u00e7\u00e3o da propor\u00e7\u00e3o de nascimentos com 40 semanas e desvio \u00e0 esquerda da curva de distribui\u00e7\u00e3o da idade gestacional (IG), quando comparada ao padr\u00e3o esperado.  Objetivo:  Estudar o padr\u00e3o de distribui\u00e7\u00e3o da idade gestacional nos nascimentos do Munic\u00edpio de S\u00e3o Paulo (MSP) e sua rela\u00e7\u00e3o com o tipo de hospital e tipo de parto.  M\u00e9todos: Foram extra\u00eddos dados do Sistema de Informa\u00e7\u00f5es sobre Nascidos Vivos (SINASC) de 2013 e 2014 e do Cadastro Nacional de Estabelecimentos de Sa\u00fade (CNES). Os dados s\u00e3o apresentados segundo nascimentos nas redes SUS e n\u00e3o SUS, tipo de parto e IG, com padroniza\u00e7\u00e3o segundo a idade da m\u00e3e.  Resultados:  Houve um desvio \u00e0 esquerda da IG para o total de nascimentos e entre os nascidos na rede n\u00e3o SUS, e foi mais acentuado entre nascimentos por ces\u00e1rea. A mediana de IG na rede SUS foi 39 semanas e na rede n\u00e3o SUS, 38 semanas. A propor\u00e7\u00e3o de nascimentos pr\u00e9-termo (9,5%) \u00e9 semelhante nas duas redes, por\u00e9m com propor\u00e7\u00e3o mais elevada de nascimentos muito pr\u00e9-termo (&lt;32 semanas) na rede SUS e (34-36) pr\u00e9-termo tardios na rede n\u00e3o SUS.  Conclus\u00e3o:  A mudan\u00e7a na distribui\u00e7\u00e3o da idade gestacional ao nascer no MSP est\u00e1 relacionada ao tipo de hospital em que ocorrem os nascimentos e \u00e0 alta frequ\u00eancia de ces\u00e1reas na rede privada.<\/jats:p>","DOI":"10.1590\/1980-5497201600040016","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T16:48:17Z","timestamp":1485362897000},"page":"878-882","source":"Crossref","is-referenced-by-count":8,"title":["O impacto do tipo de hospital e tipo de parto sobre a idade gestacional ao nascer no Munic\u00edpio de S\u00e3o Paulo, 2013-2014"],"prefix":"10.1590","volume":"19","author":[{"given":"Priscila Ribeiro","family":"Raspantini","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina Jorge de","family":"Miranda","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zilda Pereira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gizelton Pereira","family":"Alencar","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone Grilo","family":"Diniz","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcia Furquim de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1053\/j.semperi.2006.01.009","article-title":"Changes in the gestational age distribution among U S. singleton births: impact on rates of late preterm birth, 1992 to 2002","volume":"30","author":"Davidoff MJ","year":"2006","journal-title":"Semin Perinatol"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0056238","article-title":"Trends in the distribution of gestational age and contribution of planned births in New South Wales, Australia","volume":"8","author":"Nassar N","year":"2013","journal-title":"PLoS One"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1590\/0102-311X00151513","article-title":"Interven\u00e7\u00f5es obst\u00e9tricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitual","volume":"30","author":"Leal MC","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1590\/0102-311X00129813","article-title":"Cesariana e resultados neonatais em hospitais privados","volume":"30","author":"Torres JA","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1111\/j.1523-536X.2010.00459.x","article-title":"Is a rising cesarean delivery rate inevitable? 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