Avaliação do pré-natal na atenção primária à saúde em Marau-RS

Abstract

This study aimed to evaluate the prenatal care in Primary Health Services (APS) in the city of Marau, northern Rio Grande do Sul, Brazil. A cross-sectional study was carried out with secondary data collection from the integrated medical record system of the Family Health Strategies (ESF). Were included all pregnant women with an Estimated Date of Delivery between March 1, 2019 and February 28, 2020 that completed the antenatal care at the municipality's APS. To assess the adequacy of care, the procedures of the Program for the Humanization of Prenatal and Birth (PHPN) and the Rede Cegonha, of the Ministry of Health, were used, including beginning of prenatal care up to 12 weeks, the minimum of six appointments and at least one of each of the routine exams. An expanded index was also carried out, in which procedures for monitoring nutritional status and blood pressure, immunizations and supplements were added. The sample consisted of 196 pregnant women and an adequacy of 37.7% was found for the first index and 14.3% for the second. Considering these results, strategies are needed to increase the attention of services to the recommended procedures in addition to the number of consultations, as well as to encourage professionals to adhere to protocols and care for records.