THE ADEQUACY OF PRENATAL CARE IN A SOUTHERN BRAZILIAN UNIVERSITY HOSPITAL
DOI:
https://doi.org/10.17058/rips.v8i1.19002Palabras clave:
Prenatal booklet, Gestation, Mother, Women’s HealthResumen
Introduction: the purpose of prenatal care is to identify risk factors in a timely manner in order to take action to prevent disease and maintain a high level of attention to maternal and child health during pregnancy. While there has been increasing quality and access to maternal health care globally, many times the level of adequacy of Prenatal Care is unfortunately inappropriate or insufficient. Objective: to evaluate the adequacy of prenatal care for puerperae of the Basic Health Network in a Southern Brazilian University Hospital and associated it with sociodemographic and health determinants. Method: prospective cross-sectional study, with information obtained through a questionnaire/interview, medical record and the pregnant card of the mothers admitted to the Obstetrics Service in a Southern Brazilian University Hospital. Results: overall, 61.1% of the women reported starting prenatal care before the 14th-week of pregnancy, with prenatal care considered as adequate in 67.0% of women. Adequate prenatal care was associated with first pregnancy, planned pregnancy and higher gestational age. Inadequate prenatal care, on the other hand, was associated with a higher number of pregnancies, low education, lower gestational age, and an incomplete prenatal booklet. Conclusion: inadequate prenatal care was associated with multiparity, educational level, gestational age and an incomplete prenatal booklet.
Descargas
Citas
Goudard MJ, Simões VM, Batista RF, Queiroz RC, Alves MT, Coimbra LC, Martins MD, Barbieri MA, Nathasje IF. Inadequacy of the content of prenatal care and associated factors in a cohort in the northeast of Brazil. Ciênc Saúde Colet 2016; 21:1227-38. doi: https://doi.org/10.1590/1413-81232015214.12512015
Ickovics JR, Lewis JB, Cunningham SD, Thomas J, Magriples U. Transforming prenatal care: Multidisciplinary team science improves a broad range of maternal–child outcomes. Am Psychol 2019; 74(3):343. doi: https://doi.org/10.1037/amp0000435
Rodrigues TA, Pinheiro AKB, Silva AA, Castro LRG, da Silva MB, Fonseca LMB. Quality of the prenatal care records in the pregnant women’s booklet. Rev Baiana Enferm 2020; 34:e35099. doi: https://doi.org/10.18471/rbe.v34.35099
Brito FA, Moroskoski M, Shibawaka BM, Oliveira RR, Toso BR, Higarashi IH. Rede Cegonha: maternal characteristics and perinatal outcomes related to prenatal consultations at intermediate risk. Rev Esc Enferm USP 2022; 56:e20210248. doi: https://doi.org/10.1590/1980-220X-REEUSP-2021-0248
Barros PD, Aquino ÉC, Souza MR. Fetal mortality and the challenges for women’s health care in Brazil. Rev Saúde Pública 2019; 53:12. doi: https://doi.org/10.11606/S1518-8787.2019053000714
Tenorio DS, de Matos Brasil AG, Nogueira BG, Lima NN, Araújo JE, Neto ML. High maternal mortality rates in Brazil: Inequalities and the struggle for justice. Lancet Reg Health Am 2022; 14:100343. doi: https://doi.org/10.1016/j.lana.2022.100343
Brazil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Portaria nº 1.459, de 24 de junho de 2011. Institui no âmbito do Sistema Único de Saúde - SUS - a Rede Cegonha. Brasília (DF): MS; 2011.
Brazil. Ministério da Saúde. Portaria nº 569, de 01 de junho de 2000. Institui o Programa de Humanização no Pré-natal e Nascimento, no âmbito do Sistema Único de Saúde. In: Diário Oficial da União, Brasília (DF): MS; 8 de junho de 2000, seção 1, p. 4-6.
Mario DN, Rigo L, Boclin KD, Malvestio LM, Anziliero D, Horta BL, Wehrmeister FC, Martínez-Mesa J. Quality of Prenatal Care in Brazil: National Health Research 2013. Ciênc Saúde Colet 2019; 24:1223-32. doi: https://doi.org/10.1590/1413-81232018243.13122017
Saavedra JS, Cesar JA, Linhares AO. Prenatal care in Southern Brazil: coverage, trend and disparities. Rev Saúde Pública 2019; 53:40. doi: https://doi.org/10.11606/S1518-8787.2019053000968
Leal LF, Malta DC, Souza MD, Vasconcelos AM, Teixeira RA, Veloso GA, Lansky S, Ribeiro AL, França GV, Naghavi M. Maternal Mortality in Brazil, 1990 to 2019: a systematic analysis of the Global Burden of Disease Study 2019. Rev Soc Bras Med Trop 2022; 55(1):e0279-2021. doi: https://doi.org/10.1590/0037-8682-0279-2021
Tomasi E, Fernandes PA, Fischer T, Siqueira FC, Silveira DS, Thumé E, Duro SM, Saes MD, Nunes BP, Fassa AG, Facchini LA. Quality of prenatal services in primary healthcare in Brazil: indicators and social inequalities. Cad Saúde Pública 2017; 33:e00195815. doi: https://doi.org/10.1590/0102-311x00195815
Almeida RN, Filha FS, de Sousa Moreira A, da Silva ML, dos Santos EP, da Silva Paiva LC, de Macedo LK. Attention to women in pre-christmas: Analysis of care versus right to health. IMMES. 2019; 2(2):41-7. doi: https://doi.org/10.5935/2595-4407/rac.immes.v2n2p41-47
Oliveira RL, Ferrari AP, Parada CM. Process and outcome of prenatal care according to the primary care models: a cohort study. Rev Lat Am Enfermagem 2019; 27:e3058. doi: https://doi.org/10.1590%2F1518-8345.2806.3058
Bellizzi S, Padrini S. Quality utilization of antenatal care and low birth weight: evidence from 18 demographic health surveys. East Mediterr Health J. 2020; 26(11):1381-1387. doi: https://doi.org/10.26719/emhj.20.055
Thai A, Johnson KM. Relationship between Perceived Quality of Prenatal Care and Maternal/Infant Health Outcomes. South Med J 2022; 115(12):893-8. doi: https://doi.org/10.14423/smj.0000000000001483
Brazil. Technical Institutional Reports. Antinatal and Delivery Humanization Program. Rev Bras Saúde Mat Infant 2002; 2:69-71. doi: https://doi.org/10.1590/S1519-38292002000100011
Jacobi ER, Gomes CM, Jacobi LF. Análise dos indicadores relativos à saúde da gestante de um município do sul do Brasil. Saúde 2018; 3(44):1-12. doi: https://doi.org/10.5902/2236583422156
ABEP. Associação Brasileira de Empresas de Pesquisa. São Paulo: ABEP; 2013 [citado em 10 de abril de 2023]. Disponível em: www.abep.org/new/criterioBrasil.aspx.
Capurro H, Konichezky S, Fonseca D. A simplied method for diagnosis of gestational age in the newborn infant. J Pediatr 1978; 93(1)120-122. doi: https://doi.org/10.1016/S0022-3476(78)80621-0
Battaglia FC, Lubchenco LO. A practical classification of newborn infants by weight and gestational age. J Pediatr. 1967; 71(2):159-63. doi: https://doi.org/10.1016/S0022-3476(67)80066-0
Takeda S. Avaliação de unidade de atenção primária: modificação dos indicadores de saúde e qualidade da atenção [dissertação]. Pelotas: Universidade Federal de Pelotas; 1993.
Leal MD, Esteves-Pereira AP, Viellas EF, Domingues RM, Gama SG. Prenatal care in the Brazilian public health services. Rev Saúde Pública 2020; 54:08. doi: https://doi.org/10.11606/S1518-8787.2019053000968
Souza DR, de Morais TN, da Silva Costa KT, de Andrade FB. Maternal health indicators in Brazil: a time series study. Medicine. 2021; 100(44):e27118. doi: https://doi.org/10.1097%2FMD.0000000000027118
Mazzetto FM, de Oliveira Prado JT, da Silva JC, Siqueira FP, Marin MJ, Escames L, Kim CJ. The waiting room: health education in a high risk pregnancy clinic. Saúde e Pesqui 2020; 13(1):93-104. doi: https://doi.org/10.17765/2176-9206.2020v13n1p93-104
Anversa ET, Bastos GA, Nunes LN, Dal SP. Quality of prenatal care: traditional primary care and Family Health Strategy units in a city in southern Brazil. Cad Saúde Pública 2012; 28(4):789-800. doi: https://doi.org/10.1590/S0102-311X2012000400018
Rodrigues KM, Zoldan C, Silva CB, Santana EF, Araujo Júnior E, Peixoto AB. Relationship between the number of prenatal care visits and the occurrence of adverse perinatal outcomes. Rev Assoc Med Bras 2022; 68:256-60. doi: https://doi.org/10.1590/1806-9282.20211239
Geiger CK, Clapp MA, Cohen JL. Association of prenatal care services, maternal morbidity, and perinatal mortality with the advanced maternal age cutoff of 35 years. JAMA Health Forum 2021; 2(12):e214044. doi: https://doi.org/10.1001%2Fjamahealthforum.2021.4044
Shin D, Song WO. Influence of the adequacy of the prenatal care utilization index on small-for-gestational-age infants and preterm births in the United States. J Clin Med 2019; 8(6):838. doi: https://doi.org/10.3390%2Fjcm8060838
Vale CC, Almeida NK, Almeida RM. Association between prenatal care adequacy indexes and low birth weight outcome. Rev Bras Ginecol Obstet 2021; 43:256-63. doi: https://doi.org/10.1055/s-0041-1728779
##submission.downloads##
Publicado
Cómo citar
Número
Sección
Licencia
A submissão de originais para este periódico implica na transferência, pelos autores, dos direitos de publicação impressa e digital. Os direitos autorais para os artigos publicados são do autor, com direitos do periódico sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações indicando claramente este periódico como o meio da publicação original. Em virtude de sermos um periódico de acesso aberto, permite-se o uso gratuito dos artigos em aplicações educacionais e científicas desde que citada a fonte conforme a licença CC-BY da Creative Commons.
