Caracterização da cobertura do pré-natal no Estado do Maranhão, Brasil

Chein, Maria Bethânia da Costa; Gama, Mônica Elinor Alves; Coelho, Leidyane Silva Caldas; Costa, Andreia Susana Vieira da; Cunha, Carlos Leonardo Figueiredo; Brito, Luciane Maria Oliveira

doi:10.1590/s0034-71672010000600021

Cited by 16 publications

(32 citation statements)

References 11 publications

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“…Regarding prenatal monitoring, almost all mothers of children under one year old have used public services. Similar data were found in another study where most of the medical visits were in the public health network (17) . However, results of a study carried out in Rio Grande do Sul showed that pregnant women served by the public health system were disadvantaged in comparison with those served by the private health system that had better socio-economic, demographic, reproductive conditions, and coverage (18) .…”

Section: Discussionsupporting

confidence: 88%

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Santos

Ferrari

Bertolozzi

et al. 2016

Rev. esc. enferm. USP

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Objective:To analyze infant death after discharge from maternity in the time period between 2000 and 2013. Method: A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p<0.05. Results: Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p=0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p=0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. Conclusion: Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

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Section: Discussionsupporting

confidence: 88%

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Santos

Ferrari

Bertolozzi

et al. 2016

Rev. esc. enferm. USP

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“…It is suggested that this change is associated with the reorganization that the USF proposes with reference teams, which promote actions that articulate the participation of nurses and community health workers (12) . Encouragement of the companion's participation in prenatal and pregnancy care was evidenced by health professionals as promoters of a humanized care.…”

Section: The Nurse Reported That the Increased Coverage Of Prenatal Amentioning

confidence: 99%

“O Sistema Único de Saúde que dá certo”: ações de humanização no pré-natal

Barreto¹,

Wilhelm²,

Silva

et al. 2015

Rev. Gaúcha Enferm.

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RESUMO Objetivo Entender como ocorre a aproximação dos pressupostos de humanização das políticas públicas e dos programas de saúde propostos pelo Ministério da Saúde na práxis da atenção pré-natal de risco habitual. Método Estudo de campo, descritivo exploratório de abordagem qualitativa. A pesquisa foi realizada de fevereiro a junho de 2014, com observação participante e entrevista semiestruturada, em quatro unidades de saúde da família, tendo a participação de cinco enfermeiros e três médicos. Quanto à análise de dados, optou-se pela Proposta Operativa. Resultados As categorias reveladas neste estudo que promoveram a humanização da atenção pré-natal foram: a aproximação e a vinculação da gestante e de sua família com as unidades de saúde da família e a educação permanente como facilitadora da humanização no pré-natal. Conclusões Compreende-se que para a aproximação de uma atenção humanizada é necessário um olhar ampliado frente às singularidades das mulheres.

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“…In the state of Maranhão, Northeastern Brazil, prenatal care coverage (proportion of women having attended prenatal care at least once) was 71.3% in 1996 [23], increasing to 85.6% in 2007/2008 [24]. However, when considering adequate prenatal care coverage (as recommended by the Ministry of Health), this value was much lower, 43.4%, in 2007/2008 [24].…”

Section: Introductionmentioning

confidence: 99%

Inadequate prenatal care utilization and associated factors in São Luís, Brazil

Bernardes

Silva

Coimbra

et al. 2014

BMC Pregnancy Childbirth

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BackgroundOver the last decades there has been a reduction of social inequalities in Brazil, as well as a strong expansion of health services, including prenatal care. The objective of the present study was to estimate the rate of inadequate prenatal care utilization and its associated factors in São Luís, Brazil, in 2010 and to determine whether there was a reduction of inequity in prenatal care use by comparing the present data to those obtained from a previous cohort started in 1997/98.MethodsData from the BRISA (Brazilian birth cohort studies of Ribeirão Preto and São Luís) population-based cohort, which started in 2010 (5067 women), were used. The outcome variable was the inadequate utilization of prenatal care, classified according to the recommendations of the Brazilian Ministry of Health. The explanatory variables were organized into three hierarchical levels based on the Andersen’s behavioral model of the use of health services: predisposing, enabling and need factors.ResultsOnly 2.0% of the women did not attend at least one prenatal care visit. The rate of inadequate prenatal care utilization was 36.7%. Despite an improved adequacy of prenatal care use from 47.3% in 1997/98 to 58.2% in 2010, social inequality persisted: both low maternal schooling (prevalence ratio (PR) = 2.78; 95% confidence interval (95% CI) 2.23-3.47 for 0 to 4 years of study) and low family income, less than 0.5 monthly minimum wage per capita (PR = 1.37; 95% CI 1.22-1. 54), continued to be associated with higher rates of inadequate prenatal care utilization. Racial disparity regarding adequate utilization of prenatal services was detected, with black (PR = 1.19; 95% CI 1.04-1.36) and mulatto (PR = 1.14; 95% CI 1.02-1.26) women showing higher rates of inadequate use. On the other hand, women covered by the FHP - Family Health Program (PR = 0.92; 95% CI 0.85-0.98) showed a lower rate of inadequate prenatal care utilization.ConclusionsDespite strong expansion of health services and expressive improvements in adequate prenatal care use and social indicators, inequalities in prenatal care use still persist. The FHP seems to be effective in reducing inadequate prenatal care utilization.

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Caracterização da cobertura do pré-natal no Estado do Maranhão, Brasil

Cited by 16 publications

References 11 publications

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Mortality among children under the age of one: analysis of cases after discharge from maternity *

“O Sistema Único de Saúde que dá certo”: ações de humanização no pré-natal

Inadequate prenatal care utilization and associated factors in São Luís, Brazil

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