Clipping of news on Brazilian Culture, Law and Citizenship
08.20.2015
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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The time of delivery, for women, is one of the most special and the relationship established with the doctor and the health plan operator at that time should be guided by the fullest possible transparency
One of the first rights that is established in the Consumer Protection Code (CDC) is the right to protection of life and health. The time of delivery, for women, is one of the most special and the relationship established with the doctor and the health plan operator at that point must be marked by the greatest possible transparency, and must correct information about the procedures to be performed and whether or not C-section.
According to the National Health Agency (ANS), currently the percentage of cesarean deliveries in the health insurance is 84.6%. Caesareans save lives, but it is a surgical procedure and as such must be precise.
When there is no medical indication, CS causes unnecessary risks to women's health and baby as it increases prematurity: premature delivery increases by 120 times the likelihood of breathing problems for the newborn and triples the risk of mother's death. About 25% of neonatal deaths and 16% of infant deaths in Brazil are related to prematurity.
Given these data, the ANS has developed two important initiatives aimed at improving obstetric care and reducing unnecessary cesareans in the health insurance, they are: Childbirth Project Adequate and Normative Resolution 368.
Childbirth Suitable project
The Birth Suitable project is technical cooperation between the NSA, the Hospital Israelita Albert Einstein and the Institute for Healthcare Improvement (IHI), with support from the Ministry of Health, implemented in public and private hospitals in the form of a pilot project to test strategies that promote normal birth and help to reduce unnecessary cesarean sections and possible adverse effects resulting from unsuitable delivery.
Part of the project about 40 hospitals, five of them are hospitals that cater for the Health System.
The health plan operators have also shown interest and participated actively in the initiative.
Normative Resolution 368
The measure aims to guarantee the right of access to quality information so that women can take together with your doctor, the decision on delivery.
With more information, women have more decision-making power. For this, the operators of health plans, where required, shall disclose the percentage of cesarean surgeries and normal deliveries by the clinic and doctor.
Operators will also be required to provide the Maternity Card and Newsletter to pregnant women, which should include the record of all prenatal care. Besides this information, physicians should use Partograph, graphic document which is recorded everything that happens during labor. If the mother does not go into labor, the partograph may be replaced by a medical report.
The partograph must contain key information about signs consistent with the need to change the natural delivery route, and any other assistance that may be necessary. It is a simple instrument, recommended by the World Health Organization (WHO) and of fundamental importance for the monitoring of labor, so it was included with one of the documents required for billing performed by medical service as a way to induce their use in the supplementary health sector.
Operators that fail to provide the requested information in compliance with Normative Resolution are subject to sanctions that can reach the fine of $ 25,000. In case of breach of RN 368, ANS has channels to answer questions or file complaints: dial ANS (0800 701 9656), toll-free call, available Monday through Friday from 8 am to 20 hours (excluding holidays).
Source: Earth -Economy
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This article was translated by an automatic translation system, and was therefore not reviewed by people.