Adequação do processo da assistência pré-natal segundo os critérios do Programa de Humanização do Pré-natal e Nascimento e Rede Cegonha

Abstract

Resumo OBJETIVO: Avaliar a adequação do processo de assistência pré-natal segundo os parâmetros do Programa de Humanização do Pré-natal e Nascimento (PHPN), acrescido dos procedimentos previstos pela Rede Cegonha, no Sistema Único de Saúde (SUS) de uma microrregião do Espírito Santo, Brasil. MÉTODOS: Foi realizado um estudo transversal, em 2012-2013, por meio de entrevistas e de análise do Cartão da Gestante e do prontuário do recém-nascido, com 742 puérperas em 7 maternidades da região escolhida para a pesquisa. As informações foram coletadas, processadas e submetidas aos testes do χ 2 e exato de Fisher para testar a diferença de proporção entre os critérios adotados pelo PHPN mais a Rede Cegonha e o local de moradia, renda familiar mensal e modalidade de cobertura do serviço pré-natal. Foi considerado um nível de significância de 5%. RESULTADOS: Os parâmetros que apresentaram as menores taxas de adequação foram os testes rápidos e os exames de repetição, com frequências em torno de 10 e 30%, respectivamente, além das atividades educativas (57,9%) e da imunização antitetânica (58,7%). Já os parâmetros manejo do risco (92,6%) e exame de glicemia de jejum (91,3%) apresentaram os melhores resultados. Foi encontrada adequação de 7,4% para o PHPN, de 0,4% para a Rede Cegonha, no que diz respeito aos parâmetros da gravidez de risco habitual, e de 0 para os de alto risco. Houve diferença estatisticamente significante entre as puérperas segundo local de moradia para realização de sorologia para sífilis (VDRL), teste anti-HIV e repetição de glicemia de jejum, e a renda familiar mensal influenciou a realização dos exames tipagem sanguínea/fator Rh, VDRL, hematócrito e teste anti-HIV. CONCLUSÃO: A assistência pré-natal no SUS mostrou-se inadequada, de acordo com os procedimentos previstos pelo PHPN e Rede Cegonha na microrregião de um estado do Sudeste brasileiro, principalmente para as mulheres de menor renda, usuárias do PACS e residentes na zona rural. Abstract PURPOSE:To evaluate the adequacy of the process of prenatal care according to the parameters of the Program for the Humanization of Prenatal Care (PHPN) and of the procedures provided by the Stork Network of Unified Health System (SUS) in the microregion of Espirito Santo state, Brazil. METHODS: A cross-sectional study was conducted in 2012-2013 by interviewing and analyzing the records of 742 women during the postpartum period and of their newborns in 7 hospitals in the region chosen for the research. The information was collected, processed and analyzed by the χ 2 and Fisher's exact test to determine the difference in proportion between the criteria adopted by the PHPN and the Stork Network and the place of residence, family income and type of coverage of prenatal service. The level of significance was set at 5%. RESULTS: The parameters showing the lowest adequacy rate were quick tests and repeated exams, with frequencies around 10 and 30%, respectively, in addition to educational activities (57.9%) and tetanus immunization (58.7%). In contrast, risk managemen...

Prenatal care: nurses’ testimonial / Assistência ao pré-natal: depoimento de enfermeiras

“…In this universe of discussion, attention to maternal and child health is considered a major challenge for the health services, since it presents indicators that have a negative impact on this population and on society in general, such as, for example, maternal mortality considered The best indicator of health care for women, since it reflects the evaluation of living conditions and the quality of health care for this population. 3 Studies are unanimous in affirming that the adhesion of the pregnant woman to the health service and the quality of care provided avoid 98% of the maternal deaths. Political, economic, social, and cultural factors may determine adequate health care, depending on the adherence of women to prenatal care, but it is health professionals who can effectively improve reality, since the causes of maternal mortality are avoided By simple measures to ensure the quality of health care and to guarantee access to these services.…”

“…Political, economic, social, and cultural factors may determine adequate health care, depending on the adherence of women to prenatal care, but it is health professionals who can effectively improve reality, since the causes of maternal mortality are avoided By simple measures to ensure the quality of health care and to guarantee access to these services. [3][4][5] The Program for Humanization in Childbirth and Childbirth (PHPN), implemented by the Ministry of Health through Ordinance/GM n° 569 of June 1, 2000, was established with the aim of increasing access and coverage of pre-school care services As well as delivery, puerperium and newborn care, reinforcing the idea of improving the services provided to pregnant women. 6 Every pregnancy is a reason for care and requires qualified prenatal care; The woman should be provided with active listening, preventive actions and health promotion, in addition to the early identification of risk factors, through the critical eye and the scientific knowledge of the health professional and, subsequently, an adequate diagnosis and treatment of the Problems that occur in this period.…”

Percepção De Gestantes Sobre a Atuação Da Enfermeira Na Assistência Pré-Natal: Estudo Analítico

“…Sem dúvida, esses sentimentos serão compartilhados com um profissional de saúde, neste caso, com a enfermeira, no momento da assistência pré-natal. Afinal, a consulta de enfermagem representa o momento em que a usuária busca solução para suas necessidades, quer seja no biológico, psicológico ou social (2).…”

Nursing and assistance to family planning at the primary attention: The contraception’s interface

“…Today, with the guidance of comprehensive care through the Health Care Networks, the Network Stork [4], normalized by Ordinance nº 1.459 of June 24, 2011 the Ministry of Health, has been following the conceptual break to see the woman not only as mother and mother, but as a subject of rights, with full service warranty on health beyond issues related to social reproduction and physiological.…”