Assistência pré-natal na percepção de puérperas provenientes de diferentes serviços de saúde

Abstract

OBJETIVO: conhecer a percepção de puérperas acerca da assistência pré-natal. MÉTODO: foram entrevistadas em até 48 horas após o parto, 150 puérperas, provenientes de diferentes serviços de saúde que acessaram o Hospital Universitário de Santa Maria/RS, no período de dezembro de 2010 a fevereiro de 2011. RESULTADOS: das 150 puérperas, 91,33% realizaram consultas de pré-natal em algum serviço de saúde do município e 8,67% não realizaram nenhuma consulta. 56,67% das puérperas entrevistadas consideraram que fazer o pré-natal é importante tanto para a mãe quanto para o bebê; quanto à assistência pré-natal realizada no município 84,67% das puérperas julga que não há necessidade de mudanças. CONCLUSÃO: apesar das usuárias considerarem a assistência como adequada, as autoras avaliam que existem carências na atenção pré-natal nos diferentes serviços e que poderiam ser supridas com a realização de um trabalho multiprofissional e interdisciplinar. Nesse sentido, intensificar o processo educativo entre as gestantes pode melhorar a qualidade da atenção, eliminar a falta de realização de pré-natal e diminuir a morbi-mortalidade materno-infantil no município.

Ocorrências obstétricas atendidas pelo serviço de atendimento móvel de urgência

“…19,26 They observed that in studies that interviewed pregnant women, they show that they recognize the benefits of prenatal care for the birth of a healthy baby. 20,27 It is known that the adequate follow-up in pregnancy allows the identification of problems and risks in a timely manner for interventions and, thus, avoids complications and reduces damages. The percentage of adherence to the seven consultations recommended by the Ministry of Health (six during pregnancy and one in the puerperium) has increased over the years from 46% in 2000 to 61% in 2010.…”

The use of the Delphi Method adjusted to evaluate the Stork Network: from Image-objective to Reality

“…For there is no guarantee of bed and bonding of the pregnant woman, transportation voucher, and taxi voucher to the place of birth in the maternity hospitals or public reference hospitals. This reflects in the indicators of morbidity and mortality that, in a curious way, have deteriorated punctually due to complications arising from pregnancy, childbirth, puerperium, and child care, where the Northeast Region historically always has a higher concentration of rates 1,3 . This can be confirmed, because the Macro Regional III, which has a large territorial area in the semi-arid, bordering four States of the Federation (Ceará, Paraíba, Alagoas, and Bahia), is located far from the state capital (Recife); and there is no Stork SAMU offering (equipped) to the newborn who needs outpatient emergency, showing a critical condition, explicitly demonstrating a vulnerability 3,4 , in this basic component of SN.…”

“…In Brazil, since 2000, several themes of concern in the Public Health agenda have merited relevance, including the Maternal and Child Health Care 1 . In this context, in 2011, an intergovernmental policy initiative to address the health problems of this follow-up was the implementation of the Network of Storks Network (SN) throughout the country 2 , with an innovative standard based on non-verticalized actions for network execution of public services.…”

“…In the Unified Health System (SUS), this program was articulated in view of the need to increase public expenditures for assistance to the maternal and child segment, given the worrisome health situation related to the precarious indicators of morbidity and mortality reaching this target population, specifically associated to prenatal, childbirth and puerperium 1,2 .…”

Assistência ao pré-natal e as práticas desenvolvidas pela equipe de saúde: revisão integrativa Prenatal care and practices developed by the health team: integrative review

“…1 A good prenatal and childbirth care, especially for early detecting diseases caused or worsened by pregnancy and childbirth, is described as a condition to reduce maternal and perinatal mortality. 2 It is important to mention that the PBHP has been implemented since 2002 and, initially, was adopted by 3.923 cities. The total number of registered pregnant women in the country from January 2001 to August 2002 was 316.154.…”