Adequação do processo de assistência pré-natal entre as usuárias do Sistema Único de Saúde em Juiz de Fora-MG

Coutinho, Tadeu; Teixeira, Maria Teresa Bustamante; Dain, Sulamis; Sayd, Jane Dutra; Coutinho, Larissa Milani

doi:10.1590/s0100-72032003001000004

Cited by 66 publications

(117 citation statements)

References 13 publications

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“…Among the national papers published in the last ten years that analyzed the moment of the beginning of prenatal care and the number of attended medical visits in the evaluation of the provided care, the prevalence of pregnant women whose care was classifi ed as inadequate and intermediate varied between 40% and 87%. 2,3,13,20,22,24 Among the strengths of this study, we highlight the classifi cation strategy used for assessing key variables of interest, the cautious fi eldwork and careful analysis model that was used. The Kotelchuck index, used to assess the quality of prenatal care, is employed in different studies and contexts, which allows comparison with other research studies.…”

Section: Discussionmentioning

confidence: 99%

“…Despite being widely used, some authors 3,13 criticize the Kotelchuck index due to the fact that its indicators are not able to reveal details of the quality of the provided care. Complementing the evaluation with process indicators would enable a more comprehensive view of the quality of prenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…Complementing the evaluation with process indicators would enable a more comprehensive view of the quality of prenatal care. 3,13 Another question that should be discussed is the possibility of underestimating the associations that were found. Some authors have suggested that PIPVG is associated with prematurity, neonatal mortality and natimortality, which apparently are also associated with low quality of prenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…Although services coverage has improved in the last years, achieving 99% in some municipalities, and the average number of medical visits has increased in many cities, many pregnant women begin to attend prenatal visits after the fi rst trimester of gestation, attend less prenatal visits than recommended and their routine complementary exams are not guaranteed. 3,28 Aiming at the improvement in prenatal care quality, studies have attempted to identify factors associated with the quality of the provided assistance. However, the majority of them are limited to the exploration of the role of the pregnant women's socioeconomic and demographic profi le and/or of the healthcare services' characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal

2010

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OBJECTIVE:To evaluate physical intimate partner violence during gestation as an independent risk factor for low quality of prenatal care. METHODS:A cross-sectional study was carried out at three public maternity wards of the municipality of Rio de Janeiro (Southeastern Brazil). The 528 puerperal women included in the study were selected by simple random sampling from all babies born at term in 2000. Prenatal care information was collected through the pregnant woman's card and face-to-face interviews. The Kotelchuck index was employed to assess the quality of prenatal care. In order to identify violence situations, the Brazilian version of the instrument Revised Confl ict Tactics Scales was used. Non-conditional logistic regression was used to assess the effect of exposure, after controlling for confounding variables. RESULTS:Even after adjustment for socioeconomic, demographic, reproductive, and couple's lifestyle variables, physical intimate partner violence during gestation remained associated with low quality of prenatal care. Women exposed to physical violence during gestation had 2.2 times more chance of presenting inadequate prenatal care compared to those without history of physical violence. CONCLUSIONS:These fi ndings point to the need of identifying family confl ict situations since the beginning of prenatal care in order to address the issue and enable higher adherence to follow-up among victimized pregnant women. DESCRIPTORS:Pregnancy. Battered Women. Spouse Abuse. Violence Against Women. Prenatal Care. Domestic Violence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal

2010

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“…Seu sucesso depende, em grande parte, do momento em que ele se inicia e do número de consultas realizadas, podendo variar de acordo com o mês de início e com as intercorrências durante a gravidez. Em estudo realizado com 520 pacientes em uma maternidade de Juiz de Fora -MG, em 2002, detectou-se que apenas 29,7% das gestantes haviam iniciado o pré-natal no primeiro trimestre, ou seja, a dificuldade de captação precoce das gestantes repete-se também em outros municípios (13) . Estudo realizado, em um Hospital Público do Rio de Janeiro, revisando 118 fichas de gestantes que realizaram consulta pré-natal de janeiro a junho de 2003, identificou 42,3% de captação precoce ao acompanhamento pré-natal (14) .…”

Section: Discussionunclassified

Atenção Pré-Natal no Município de Quixadá-CE segundo indicadores de processo do SISPRENATAL

Grangeiro

Diógenes

Moura

2008

Rev. esc. enferm. USP

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Pesquisa descritiva, documental, que objetivou analisar os indicadores de processo do Sistema de Informação do Pré-natal (SISPRENATAL), em Quixadá-CE. Estudaram-se 1.544 cadastros de gestantes no período de 2001 a 2004. Os dados foram coletados de fevereiro a abril de 2005 no SISPRENATAL, implantado no setor de Epidemiologia da Secretaria Municipal de Saúde. Os resultados foram apresentados em tabela única e analisados à luz da literatura atual e experiência acumulada das autoras. Verificou-se percentual crescente de gestantes com indicador de, no mínimo, seis consultas, todos os exames básicos, teste anti-HIV, imunização antitetânica e consulta puerperal de 2001 a 2004, ou seja, zero, 2,6, 5,68 e 21,11%, respectivamente. É necessário, pois, uma melhora na utilização do Sistema, assim como a leitura sistemática dos indicadores de processo, no sentido de obter subsídios para a melhoria da qualidade da assistência pré-natal.

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Association between Prenatal Care Adequacy Indexes and Low Birth Weight Outcome

Vale

Almeida

2021

Rev Bras Ginecol Obstet

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Objective To investigate the association between prenatal care (PNC) adequacy indexes and the low birth weigth (LBW) outcome. Methods A total of 368,093 live term singleton births in the state of Rio de Janeiro (Brazil) from 2015 to 2016 were investigated using data from the Brazilian Live Birth Information System (Sistema de Informações sobre Nascidos Vivos, SINASC, in Portuguese). Seven PNC adequacy indexes were evaluated: four developed by Brazilian authors (Ciari Jr. et al., Coutinho et al., Takeda, and an index developed and used by the Brazilian Ministry of Health – MS) and three by authors from other countries (Kessner et al., the Adequacy of Prenatal Care Utilization index – APNCU, and the Graduated Prenatal Care Utilization Index – GINDEX). Adjusted odds ratios were estimated for the PNC adequacy indexes by means of multivariate logistic regression models using maternal, gestational and newborn characteristics as covariates. Results When the PNC is classified as “inadequate”, the adjusted odds ratios to the LBW outcome increase between 42% and 132%, depending on which adequacy index is evaluated. Younger (15 to 17 years old) and older (35 to 45 years old) mothers, those not married, of black or brown ethnicity, with low schooling (who did not finish Elementary School), primiparous, with preterm births, as well as female newborns had increasing odds for LBW. The models presented areas under the receiver operating characteristic (ROC) curve between 80.4% and 81.0%, and sensitivity and specificity that varied, respectively, between 57.7% and 58.6% and 94.3% and 94.5%. Conclusion Considering all PNC adequacy indexes evaluated, the APNCU had the best discriminatory power and the best ability to predict the LBW outcome.

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Adequação do processo de assistência pré-natal entre as usuárias do Sistema Único de Saúde em Juiz de Fora-MG

Cited by 66 publications

References 13 publications

Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal

Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal

Atenção Pré-Natal no Município de Quixadá-CE segundo indicadores de processo do SISPRENATAL

Association between Prenatal Care Adequacy Indexes and Low Birth Weight Outcome

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