Adequacy of prenatal care considering nutritional assistance in Southern Brazil

Maternar Cohort Study

Bibliographic Data

ID5174349
AuthorsBruna Luiza Holand (0000-0003-3931-7622, Universidade Federal do Rio Grande do Sul), Simone Guerra Fonseca (Universidade Federal do Rio Grande do Sul), Michele Drehmer (0000-0002-5996-2672, Universidade Federal do Rio Grande do Sul), Vera Lúcia Bosa (0000-0002-6283-9640, Universidade Federal do Rio Grande do Sul)
Year2021
Volume37
Issue6
Pagese00130320-e00130320
Publication date2021-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00130320
PMID34231762
OpenAlexW3181861383
SciELOS0102-311X2021000605017
LanguageEN
References cited21

We verified the prevalence of adequacy in prenatal care considering nutritional assistance and associated factors. It is a cross-sectional study, part of Maternar Cohort Study, conducted between 2018-2019 in Southern Brazil. Women were interviewed during hospitalization in the immediate postpartum period and data were collected from the prenatal chart. Prenatal adequacy and nutritional care were assessed according to criteria from the Brazilian Ministry of Health. Two outcome models were constructed. Outcome 1 consisted of minimal coverage (early prenatal start and minimum number of visits) and exams, and Outcome 2 comprised minimal coverage, exams, and nutritional assistance. Poisson regression was used to estimate prevalence ratios. A total of 802 women were analyzed, and we identified 57% of adequacy of Outcome 1. Unplanned pregnancy (PR = 0.76; 95%CI: 0.68-0.86), parity (PR = 0.88; 95%CI: 0.83-0.94) and prenatal care outside Porto Alegre, Rio Grande do Sul State (PR = 0.80; 95%CI: 0.69-0.92), were associated with lower prenatal adequacy frequencies. Outcome 2 was considered adequate for 10.2% of women. Follow-up by different professionals during prenatal care was associated with lower adequacy (PR = 0.49; 95%CI: 0.28-0.86). Women with high-risk pregnancies had a higher frequency of adequacy in Outcome 1 (PR = 1.21; 95%CI: 1.07-1.37) and in Outcome 2 (PR = 1.75; 95%CI: 1.16-2.64). General adequacy was considered low in both outcomes. There was a lack of nutritional assistance during prenatal care. Characteristics such as pregnancy planning, lower parity, prenatal care in Porto Alegre, follow-up by the same professional and high-risk pregnancy were predictors for the adequacy of prenatal care

Christian ministry · Cohort · Cohort study · Environmental health · Obstetrics · Poisson regression · Population · Pregnancy · Prenatal care · Demography · Global Maternal and Child Health · Internal Medicine · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Pediatrics

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