Evaluation of prenatal care at basic health units in the city of Sao Paulo

Succi, Regina Célia de Menezes; Figueiredo, Elisabeth Níglio de; Zanatta, Letícia de Carvalho; Peixe, Marina Biffani; Rossi, Maura Vincenza; Vianna, Lucila Amaral Carneiro

doi:10.1590/s0104-11692008000600008

Cited by 16 publications

(16 citation statements)

References 9 publications

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“…Nos estudos de avaliação, o Prontuário da Atenção Básica 17,18,19,20,21,22 , o Cartão da Gestante 13 e as entrevistas com mãe 14 , gestantes 23 e puérpe-ras 12 , e a combinação das fontes 1,15,24 têm sido métodos utilizados para obtenção de informações. Entretanto, algumas dificuldades têm sido encontradas no que se refere à assistência integrada à gestação, parto e puerpério, no SUS.…”

Section: Discussionunclassified

“…O acompanhamento pré-natal é realizado prioritariamente por médicos ou enfermeiros da atenção básica que elaboram o prontuário rotineiro de consultas, exames e procedimentos terapêuticos 17 . Contudo, por mais completo que esteja, geralmente o prontuário não acompanha a gestante até o hospital ou maternidade, onde outro profissional realiza o parto sem nunca antes ter avaliado a mulher.…”

Section: Discussionunclassified

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Concordância entre informações do Cartão da Gestante e da memória materna sobre assistência pré-natal

et al. 2012

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Este estudo seccional objetivou verificar a concordância entre as informações prestadas por puérperas e as registradas nos cartões das gestantes sobre assistência pré-natal no Sistema Único de Saúde da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil. Considerou-se uma população de estudo de 1.035 puérperas, entrevistadas em oito maternidades, onde os cartões foram copiados. A representatividade da amostra foi garantida pela estratificação segundo a proporção de nascidos vivos. Informações foram coletadas, processadas e submetidas aos testes de kappa e McNemar. Os níveis de concordância sobre assistência pré-natal foram predominantemente ruins (kappa < 0,20). Puérperas tendem a superestimar a quantidade de consultas pré-natais (McNemar = 51,73; valor de p = 0,001), afirmar doenças gestacionais, como diabetes, anemia, hipertensão e infecções urinárias, relatar a execução de exames laboratoriais e clínicos. Os resultados sugerem uma reflexão sobre dados utilizados para o planejamento de políticas em saúde pública materno-infantil, visto que há variação conforme a fonte de informação.

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Section: Discussionunclassified

Concordância entre informações do Cartão da Gestante e da memória materna sobre assistência pré-natal

et al. 2012

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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%

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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“…1,2, 5,20 Studies that collected primary data on the coverage of GS testing indicate that 66% to 95% of pregnant women have access to at least one venereal disease research laboratory (VDRL) test during the prenatal period, but only about one-fourth (0.2 to 20.7%) have access to the second VDRL test, which ought to be performed before gestational week 30. …”

Section: Introductionmentioning

confidence: 99%

Incidência da sífilis congênita no Brasil e sua relação com a Estratégia Saúde da Família

et al. 2012

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OBJECTIVE: To estimate the incidence of congenital syphilis and identify its relationship with Family Health Strategy coverage. METHODS:An observational ecological study was carried out with both descriptive and analytical components, by two different approaches: one that explores a temporal series (2003 to 2008) RESULTS:Increasingly trends of congenital syphilis notifi cation in Brazil refl ect social inequalities in the distribution of cases. The incidence of congenital syphilis was lower in the municipalities with high Family Health Strategy coverage; however, after controlling for the co-variables, such an effect might be attributed to the coverage of prenatal care and the demographic characteristics of the municipalities where the implementation of the Strategy was a priority. CONCLUSIONS:Despite the increase in prenatal care coverage, the actions implemented still exhibit low effectiveness in the prevention of congenital syphilis. Prenatal care performed by Family Health Strategy teams did not control syphilis better than the prenatal care performed within the context of other models of assistance.

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Evaluation of prenatal care at basic health units in the city of Sao Paulo

Cited by 16 publications

References 9 publications

Concordância entre informações do Cartão da Gestante e da memória materna sobre assistência pré-natal

Concordância entre informações do Cartão da Gestante e da memória materna sobre assistência pré-natal

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

Incidência da sífilis congênita no Brasil e sua relação com a Estratégia Saúde da Família

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