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Evaluation of prenatal care in unit with family health strategy

Marianne Dias Corrêa1, Maria Alice Tsunechiro1, Marlise de Oliveira Pimentel Lima2

  • 1School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.

Revista Da Escola De Enfermagem Da U S P
|December 18, 2014
PubMed

Insights

This study evaluated prenatal care (PN) in São Paulo, finding that while initiation and consultations were high, overall adequacy dropped significantly. Deficiencies in PN registration impact maternal and infant outcomes.

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Healthcare Quality Assessment

Background:

  • Prenatal care (PN) is crucial for maternal and infant well-being.
  • The Program for the Humanization of Prenatal and Birth (PHPB) sets quality indicators for PN.
  • Assessing PN adequacy is essential for identifying areas of improvement.

Purpose of the Study:

  • To analyze the adequacy of prenatal care (PN) provided by a Family Health Strategy Service unit in São Paulo.
  • To evaluate PN based on Program for the Humanization of Prenatal and Birth (PHPB) indicators.
  • To compare PN adequacy concerning sociodemographic variables, procedures, examinations, and maternal/perinatal outcomes.

Main Methods:

  • Cross-sectional study utilizing data from 308 pregnant women's records in 2011.
  • Analysis of early PN initiation, minimum consultation numbers, and puerperal consultations.
  • Comparison of adequate PN rates across different variables and outcomes.

Main Results:

  • High rates of early PN initiation (82.1%), minimum consultations (84.1%), and puerperal consultations (89.0%) were observed.
  • Overall adequate PN was achieved by 67.9% of cases.
  • Significant differences in gestational age and birth weight were found between adequate and inadequate PN groups.
  • Deficiencies were noted in the registration of procedures, exams, and immunizations.

Conclusions:

  • While key PN components show high adherence, overall adequacy declines when all actions are considered.
  • Inadequate PN registration represents a significant gap in care delivery.
  • Adherence to PHPB parameters in PN is vital for improving perinatal outcomes.

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