Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/20375 |
Resumo: | Objective: to classify the prenatal care of women attended for childbirth in maternity hospitals in Espírito Santo, through a universal index, involving the recommendations of the World Health Organization (WHO), and a national index, from the Ministry of Health of Brazil (MHB), in addition to analyzing the factors associated with inadequate prenatal care. Methods: Cross-sectional study with postpartum women participating in the study “Born in Brazil” in maternity hospitals in Espírito Santo, between 2011-2012. Multivariate logistic regression was performed to verify the factors associated with inadequate prenatal care. Results: 450 postpartum women participated in the study. In more than half of the items that make up the WHO protocol, 80% or more was achieved. Iron and folic acid supplementation were the least performed items (20%). Based on the recommendations of the MHB, clinical-obstetric procedures were the most performed, while the uterine cervix cytopathological examination was the least recorded (9.3%). More than 50% of mothers had prenatal care considered inadequate. The factors associated with inadequate prenatal care were: not having a paid job (OR=2.09; 95%CI=1.22-3.57), not having an intention to become pregnant (OR=1.91 and OR=1.88; 95%CI=1.08-3.37), living outside the state capital (OR=1.87 and OR=1.91; 95%CI=1.11-3.17), prenatal care in the public sector (OR=4.92; 95%CI=1.65-14.68) and being multipara (OR=9.85; 95%CI=2.92-33.14). Conclusion: The most vulnerable women were the ones who had the most inadequate prenatal care, which requires changes in the way pregnant women are recruited and adhered to prenatal care, expanding the social role of public health services, based on predetermined prenatal protocols, in addition to expanding access to reproductive planning. |
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Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of HealthClasificación de la atención prenatal en las maternidades de Espírito Santo según las recomendaciones de la Organización Mundial de la Salud y el Ministerio de Salud de BrasilClassificação do pré-natal em maternidades do Espírito Santo conforme recomendações da Organização Mundial da Saúde e do Ministério da Saúde do BrasilAtención PrenatalEvaluación de Resultado en la Atención de SaludMecanismos de evaluación de la atención de saludServicios de salud materno-infantil.Prenatal CareOutcome Assessment, Health CareHealth Care Evaluation MechanismsMaternal-child health services.Cuidado Pré-NatalAvaliação de Resultados em Cuidados de SaúdeMecanismos de Avaliação da Assistência à SaúdeServiços de saúde materno-infantil.Objective: to classify the prenatal care of women attended for childbirth in maternity hospitals in Espírito Santo, through a universal index, involving the recommendations of the World Health Organization (WHO), and a national index, from the Ministry of Health of Brazil (MHB), in addition to analyzing the factors associated with inadequate prenatal care. Methods: Cross-sectional study with postpartum women participating in the study “Born in Brazil” in maternity hospitals in Espírito Santo, between 2011-2012. Multivariate logistic regression was performed to verify the factors associated with inadequate prenatal care. Results: 450 postpartum women participated in the study. In more than half of the items that make up the WHO protocol, 80% or more was achieved. Iron and folic acid supplementation were the least performed items (20%). Based on the recommendations of the MHB, clinical-obstetric procedures were the most performed, while the uterine cervix cytopathological examination was the least recorded (9.3%). More than 50% of mothers had prenatal care considered inadequate. The factors associated with inadequate prenatal care were: not having a paid job (OR=2.09; 95%CI=1.22-3.57), not having an intention to become pregnant (OR=1.91 and OR=1.88; 95%CI=1.08-3.37), living outside the state capital (OR=1.87 and OR=1.91; 95%CI=1.11-3.17), prenatal care in the public sector (OR=4.92; 95%CI=1.65-14.68) and being multipara (OR=9.85; 95%CI=2.92-33.14). Conclusion: The most vulnerable women were the ones who had the most inadequate prenatal care, which requires changes in the way pregnant women are recruited and adhered to prenatal care, expanding the social role of public health services, based on predetermined prenatal protocols, in addition to expanding access to reproductive planning.Objetivo: Clasificar la atención prenatal de mujeres atendidas por parto en maternidades de Espírito Santo, a través de un índice universal, que involucra las recomendaciones de la Organización Mundial de la Salud (OMS), y un índice nacional, del Ministerio de Salud de Brasil (MS), además de analizar los factores asociados a una atención prenatal inadecuada. Métodos: Estudio transversal con puérperas participantes del estudio “Nacidas en Brasil” en maternidades de Espírito Santo, entre 2011-2012. Se realizó una regresión logística multivariante para verificar los factores asociados con una atención prenatal inadecuada. Resultados: 450 mujeres en posparto participaron en el estudio. En más de la mitad de los ítems que componen el protocolo de la OMS se logró el 80% o más. La suplementación con hierro y ácido fólico fueron los ítems menos realizados (20%). De acuerdo con las recomendaciones del Ministerio de Salud, los procedimientos clínico-obstétricos fueron los más realizados, mientras que el examen citopatológico del cuello uterino fue el menos registrado (9,3%). Más del 50% de las madres tenían una atención prenatal considerada inadecuada. Los factores asociados con una atención prenatal inadecuada fueron: no tener un trabajo remunerado (OR = 2,09; IC95% =1,22-3,57), no tener la intención de quedar embarazada (OR=1,91 y OR=1,88; IC95% =1,08-3,37), vivir fuera de la capital del estado (OR=1,87 y OR = 1,91; IC 95% =1,11-3,17), atención prenatal en el sector público (OR=4,92; IC 95% =1,65-14,68) y ser multípara (OR=9,85; IC95% = 2,92-33,14). Conclusión: Las mujeres más vulnerables fueron las que tuvieron una atención prenatal más inadecuada, lo que requiere cambios en la forma en que las embarazadas son reclutadas y adheridas a la atención prenatal, ampliando el rol social de los servicios de salud pública, con base en los protocolos prenatales establecidos, en además de ampliar el acceso a la planificación reproductiva.Objetivo: Classificar o atendimento pré-natal de mulheres atendidas para o parto em maternidades do Espírito Santo, por meio de um índice universal, envolvendo as recomendações da Organização Mundial da Saúde (OMS), e um índice nacional, do Ministério da Saúde do Brasil (MS), além de analisar os fatores associados à inadequação do pré-natal. Métodos: Estudo transversal com puérperas participantes do estudo “Nascer no Brasil” em maternidades do Espírito Santo, entre 2011-2012. Realizou-se regressão logística multivariada para verificar os fatores associados à inadequação do pré-natal. Resultados: 450 puérperas participaram do estudo. Em mais da metade dos itens que compõem o protocolo da OMS obteve-se 80% ou mais de execução. A suplementação de ferro e ácido fólico foram os itens menos executados (20%). Com base nas recomendações do MS, os procedimentos clínico-obstétricos foram os mais executados, enquanto o exame citopatológico de colo uterino foi o menos registrado (9,3%). Mais de 50% das puérperas tiveram pré-natal considerado inadequado. Os fatores associados à inadequação do pré-natal foram: não ter trabalho remunerado (OR=2,09; IC95%=1,22-3,57), não ter intenção de engravidar (OR=1,91 e OR=1,88; IC95%=1,08-3,37), residir fora da capital do estado (OR=1,87 e OR=1,91; IC95%=1,11-3,17), pré-natal no setor público (OR=4,92; IC95%=1,65-14,68) e ser multípara (OR=9,85; IC95%=2,92-33,14). Conclusão: Mulheres mais vulnerabilizadas foram as que mais tiveram inadequação do pré-natal, o que demanda mudanças no modo de captação e adesão das gestantes ao atendimento pré-natal, ampliando o papel social dos serviços públicos de saúde, com base em protocolos pré-estabelecidos, além de ampliar o acesso ao planejamento reprodutivo.Research, Society and Development2021-09-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2037510.33448/rsd-v10i12.20375Research, Society and Development; Vol. 10 No. 12; e290101220375Research, Society and Development; Vol. 10 Núm. 12; e290101220375Research, Society and Development; v. 10 n. 12; e2901012203752525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/20375/18244Copyright (c) 2021 Katrini Guidolini Martinelli; Silvana Granado Nogueira da Gama; Erica Marvila Garcia; Edson Theodoro dos Santos-Netohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMartinelli, Katrini GuidoliniGama, Silvana Granado Nogueira daGarcia, Erica MarvilaSantos-Neto, Edson Theodoro dos2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/20375Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:02.571587Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health Clasificación de la atención prenatal en las maternidades de Espírito Santo según las recomendaciones de la Organización Mundial de la Salud y el Ministerio de Salud de Brasil Classificação do pré-natal em maternidades do Espírito Santo conforme recomendações da Organização Mundial da Saúde e do Ministério da Saúde do Brasil |
title |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
spellingShingle |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health Martinelli, Katrini Guidolini Atención Prenatal Evaluación de Resultado en la Atención de Salud Mecanismos de evaluación de la atención de salud Servicios de salud materno-infantil. Prenatal Care Outcome Assessment, Health Care Health Care Evaluation Mechanisms Maternal-child health services. Cuidado Pré-Natal Avaliação de Resultados em Cuidados de Saúde Mecanismos de Avaliação da Assistência à Saúde Serviços de saúde materno-infantil. |
title_short |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
title_full |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
title_fullStr |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
title_full_unstemmed |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
title_sort |
Classification of prenatal care in maternity hospitals in Espírito Santo according to the recommendations of the World Health Organization and Brazilian Ministry of Health |
author |
Martinelli, Katrini Guidolini |
author_facet |
Martinelli, Katrini Guidolini Gama, Silvana Granado Nogueira da Garcia, Erica Marvila Santos-Neto, Edson Theodoro dos |
author_role |
author |
author2 |
Gama, Silvana Granado Nogueira da Garcia, Erica Marvila Santos-Neto, Edson Theodoro dos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Martinelli, Katrini Guidolini Gama, Silvana Granado Nogueira da Garcia, Erica Marvila Santos-Neto, Edson Theodoro dos |
dc.subject.por.fl_str_mv |
Atención Prenatal Evaluación de Resultado en la Atención de Salud Mecanismos de evaluación de la atención de salud Servicios de salud materno-infantil. Prenatal Care Outcome Assessment, Health Care Health Care Evaluation Mechanisms Maternal-child health services. Cuidado Pré-Natal Avaliação de Resultados em Cuidados de Saúde Mecanismos de Avaliação da Assistência à Saúde Serviços de saúde materno-infantil. |
topic |
Atención Prenatal Evaluación de Resultado en la Atención de Salud Mecanismos de evaluación de la atención de salud Servicios de salud materno-infantil. Prenatal Care Outcome Assessment, Health Care Health Care Evaluation Mechanisms Maternal-child health services. Cuidado Pré-Natal Avaliação de Resultados em Cuidados de Saúde Mecanismos de Avaliação da Assistência à Saúde Serviços de saúde materno-infantil. |
description |
Objective: to classify the prenatal care of women attended for childbirth in maternity hospitals in Espírito Santo, through a universal index, involving the recommendations of the World Health Organization (WHO), and a national index, from the Ministry of Health of Brazil (MHB), in addition to analyzing the factors associated with inadequate prenatal care. Methods: Cross-sectional study with postpartum women participating in the study “Born in Brazil” in maternity hospitals in Espírito Santo, between 2011-2012. Multivariate logistic regression was performed to verify the factors associated with inadequate prenatal care. Results: 450 postpartum women participated in the study. In more than half of the items that make up the WHO protocol, 80% or more was achieved. Iron and folic acid supplementation were the least performed items (20%). Based on the recommendations of the MHB, clinical-obstetric procedures were the most performed, while the uterine cervix cytopathological examination was the least recorded (9.3%). More than 50% of mothers had prenatal care considered inadequate. The factors associated with inadequate prenatal care were: not having a paid job (OR=2.09; 95%CI=1.22-3.57), not having an intention to become pregnant (OR=1.91 and OR=1.88; 95%CI=1.08-3.37), living outside the state capital (OR=1.87 and OR=1.91; 95%CI=1.11-3.17), prenatal care in the public sector (OR=4.92; 95%CI=1.65-14.68) and being multipara (OR=9.85; 95%CI=2.92-33.14). Conclusion: The most vulnerable women were the ones who had the most inadequate prenatal care, which requires changes in the way pregnant women are recruited and adhered to prenatal care, expanding the social role of public health services, based on predetermined prenatal protocols, in addition to expanding access to reproductive planning. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/20375 10.33448/rsd-v10i12.20375 |
url |
https://rsdjournal.org/index.php/rsd/article/view/20375 |
identifier_str_mv |
10.33448/rsd-v10i12.20375 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/20375/18244 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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Research, Society and Development |
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Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 12; e290101220375 Research, Society and Development; Vol. 10 Núm. 12; e290101220375 Research, Society and Development; v. 10 n. 12; e290101220375 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
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Universidade Federal de Itajubá (UNIFEI) |
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UNIFEI |
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UNIFEI |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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rsd.articles@gmail.com |
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1797052833857536000 |