O que os cartões de pré-natal das gestantes revelam sobre a assistência nos serviços do SUS da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil?

Abstract

This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent (< 5% incomplete cards) to very bad (> 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.

Uso de instrumento de acompanhamento do crescimento e desenvolvimento da criança no Brasil – Revisão sistemática de literatura

“…, 51 , 52 However, the importance of records to build the epidemiological profile of a population and as a channel of communication between health professionals in the development of their actions is recognized. When done right, it allows the practice of personalized care and reflects the quality of care 25…”

“…30 , 51 , 52 No entanto, é reconhecida a importância dos registros para a construção do perfil epidemiológico de uma população e como um canal de comunicação entre os profissionais de saúde no desenvolvimento de suas ações. Quando bem feito, permite a prática do cuidado personalizado e reflete a qualidade da assistência prestada 25…”

Acquisition and completion of pregnant woman's medical booklet in four populational-based surveys

“…10,23,24 This was not confirmed systematically in this study. What seems to occur is that all the examination that took a little more time, especially the physician's, which it was, in fact, lower than expected, both for the laboratory and for the clinical, 11,21,[24][25][26][27] as for the qualitative urine test, VDRL and clinical breast examination and cytopathology uterine cervix. 7,13 It should be noted that the latter is not always necessary, since women may have performed it in less than three years, with a negative result, which would discharge its performance in a current gestation.…”

Representações sociais sobre o acesso e o cuidado pré-natal no Sistema Único de Saúde da Região Metropolitana da Grande Vitória, Espírito Santo

“…A partir da amostra de 1.035 puérperas, 24 foram selecionadas dentre aquelas que informaram, durante a primeira fase do estudo, aceitar participar da etapa qualitativa do mesmo, caso selecionadas (Santos--Neto et al, 2012). O Ministério da Saúde preconiza o mínimo de seis consultas pré-natal (Brasil, 2000a).…”