Prenatal evaluation in primary care in Northeast Brazil

Bibliographic Data

ID16780458
AuthorsEsther Pereira Da Silva (0000-0002-2875-3050, Universidade Federal de Pernambuco), Antônio Flaudiano Bem Leite (0000-0003-0211-6608, Universidade Federal de Pernambuco), Roberto Teixeira De Lima (0000-0002-2454-3574, Universidade Federal da Paraíba), Mônica Maria Osório (0000-0003-2330-4923, Universidade Federal de Pernambuco)
Year2019
Volume53
Pages43
Publication date2019-05-16
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2019053001024
PMID31066821
OpenAlexW2946760446
LanguageEN
References cited8

OBJECTIVE: To characterize prenatal care and verify possible factors associated with its adequacy. METHODS: This is a cross-sectional study based on interviews with health care professionals and consultations on official documents of women attending prenatal of the primary health care in the city of João Pessoa, capital of Paraíba, in the Northeast region of Brazil. Prenatal care was evaluated by an index with criteria referring to aspects of structure, process and outcome, denominated IPR/Prenatal. The multivariate logistic regression method revealed that demographic, socioeconomic, reproductive and maternal morbidity variables were possible determinants for prenatal adequacy. RESULTS: The survey involved 130 services and 1,625 primary health care patients. Prenatal care was adequate in approximately 23% of the cases. Low prevalence of referral to maternity, educational strategies and examinations were observed. The analysis showed that nonadolescent women (OR = 1,390), with a longer period of schooling (OR = 1.750), higher per capita income (OR = 1,870) and primiparous women (OR = 1,230) were more likely to have an adequate prenatal. CONCLUSIONS: Prenatal care, when evaluated by broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors associated with adequacy must be considered by managers and health professionals

Environmental health · Family medicine · Logistic regression · Population · Pregnancy · Prenatal care · Referral · Socioeconomic status · Demography · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing

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