Concordância entre informações do Cartão da Gestante e do recordatório materno entre puérperas de uma cidade brasileira de médio porte

Zanchi, Mariza; Gonçalves, Carla Vitola; César, Juraci Almeida; Dumith, Samuel Carvalho

doi:10.1590/s0102-311x2013000500019

Cited by 28 publications

(14 citation statements)

References 28 publications

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“…However, it was lower than Botucatu, which ranged from 86.0% to 93.0%, (13) and Araguari, with 91.7% (14) . The number of six or more visits during PN was superior to several recent studies, which found 79.2% (1) 80.0 to 74.0% (15) , 80.0% (13) and 80.4% (16) , but lower than that of João Pessoa, with 89.9% (12) and Botucatu, with 94.0% in the FHSS and 97.0% in the traditional PHU (13) . Also, the combination of an early start of PN and conducting six consultations was higher than that found in two studies, one in São Paulo, at 63.1% (17) and another in Recife, at 38.0% (18) .…”

Section: Discussioncontrasting

confidence: 81%

Evaluation of prenatal care in unit with family health strategy

Corrêa

Tsunechiro

Lima

et al. 2014

Rev. esc. enferm. USP

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INTRODUCTIONPrenatal care (PN) may contribute to more favorable maternal and perinatal outcomes by enabling early detection and timely treatment of various diseases; in addition to the control of some risk factors that cause complications to women's health and that of newborns (1) .In Brazil, although infant mortality rates have decreased in recent decades, this decline has been uneven across states and municipalities, as well as between areas of a specific municipality (2,3) . To improve national rates and decrease these regional differences, the Brazilian government has taken several measures to increase women's access to prenatal care, in order to qualify the actions developed within it and to modify the model of health care for deliveries.For pregnant women of normal risk, the Program for Humanization of Prenatal and Birth (PHPB) established basic rules for qualified and humanized care, recommending a first prenatal care consultation before the fourth month of pregnancy, at least six prenatal visits (one in the first trimester of pregnancy, two in the second and three in the third), and puerperal consultation until 42 days after birth (4) .Furthermore, in the city of São Paulo, with the goal of improving the quality of maternal-infant care, the Network for the Protection of the Paulistana Mother (Rede de Proteção à Mãe Paulistana) was created in 2006 (5) , which works by way of articulation, integration and monitoring of ambulatory healthcare services as well as municipal and state hospitals. This program aims to ensure: registration and connection of pregnant women to primary healthcare units (PHU) near their homes; inclusion of pregnant women exclusively in the primary healthcare network, regulating the entry point into the healthcare system; linking of pregnant women to reference hospitals in their region and means of transport.Despite the expansion of teams in the Family Health Strategy Service (FHSS) in the municipal healthcare system in São Paulo, the most recent study that evaluated the quality of the prenatal care network occurred in the mid-2000s (6) , and did not specifically focus on primary care. Therefore, there is a knowledge gap, especially in the regions of greatest vulnerability in São Paulo. Recent studies indicate that prenatal care offered by FHSS teams is more in line with the regulations of the PHPB than in the PHU, which has a more traditional organization (7,8) .The objectives of this study were therefore constituted as follows: to analyze the healthcare process of PN in a unit of the FHSS, in accordance with the indicators of the PHPB, and compare the adequacy of the PN with sociodemographic variables, clinical procedures and obstetrics, examinations and maternal and perinatal outcomes. METHODThis study is part of the project Prenatal assessment in a region of the southern area of São Paulo, funded by the National Council for Scientific and Technological Development -CNPq (Case No. 485.264/2011-0), approved by the Research Ethics Committee of the sponsoring institution and the co-par...

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Section: Discussioncontrasting

confidence: 81%

Evaluation of prenatal care in unit with family health strategy

Corrêa

Tsunechiro

Lima

et al. 2014

Rev. esc. enferm. USP

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“…Essa variável do estudo mostrou que uma parcela considerável das usuárias entrevistadas teve acesso a uma abordagem multiprofissional durante seu acompanhamento pré-natal. A equipe multidisciplinar dá suporte, procurando entender o meio em que vive a paciente, levando em conta os aspectos sócio econômicos, culturais e religiosos, auxiliando no desenvolvimento da cidadania (21) .…”

Section: Discussionunclassified

Caracterização Da Infraestrutura E Do Processo De Trabalho Na Assistência Ao Pré-Natal

et al. 2016

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Pesquisa descritiva exploratória com enfoque quantitativo, realizada entre os meses de novembro de 2014 e março de 2015, envolvendo 25 Unidades Básicas de Saúde com Estratégia Saúde da Família, 35 profissionais que assistem ao pré-natal e 305 usuárias da atenção básica de um município do Rio Grande do Norte, para caracterizar a infraestrutura e o processo de trabalho nos serviços de atenção ao pré-natal de baixo risco. Evidenciou-se que, no geral, a infraestrutura foi considerada adequada. Na variável processo de trabalho, foram detectadas 24 (68,6%) unidades com abordagem multiprofissional, com realização de todos os procedimentos clínico-obstétricos (100%). No cotidiano assistencial, 186 (61%) gestantes relataram que há atividades de educação em saúde, e, para 22 (62,9%) profissionais, a visita puerperal foi considerada adequada. Estudos como estes podem ser elaborados e ações implementadas, no intuito de propiciar o melhoramento da assistência realizada durante o pré-natal.

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“…[23][24] Buscando apresentar um modelo para avaliar a qualidade da atenção básica em saúde bucal e testar sua aplicabilidade em municípios de diferentes portes em SC, um trabalho 25 Com relação à discussão dos instrumentos e modelos de avaliação, um estudo procurou o instrumento "mais adequado" para avaliar a APS. Demonstrou que o principal objetivo nas pesquisas de avaliação é a produção de um conhecimento que seja reconhecido pela comunidade cientifica e que sirva como fator orientador de decisão.…”

Section: Materiais E Métodosunclassified

Avaliação em Saúde nos serviços de Atenção Primária no Brasil: uma revisão integrativa da literatura

Nicola

Pelegrini

2018

J Nurs Health

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Concordância entre informações do Cartão da Gestante e do recordatório materno entre puérperas de uma cidade brasileira de médio porte

Cited by 28 publications

References 28 publications

Evaluation of prenatal care in unit with family health strategy

Evaluation of prenatal care in unit with family health strategy

Caracterização Da Infraestrutura E Do Processo De Trabalho Na Assistência Ao Pré-Natal

Avaliação em Saúde nos serviços de Atenção Primária no Brasil: uma revisão integrativa da literatura

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