Prenatal care assessment according to the Prenatal and Birth Humanization Program

Detalhes bibliográficos
Autor(a) principal: Tsunechiro,Maria Alice
Data de Publicação: 2018
Outros Autores: Lima,Marlise de Oliveira Pimentel, Bonadio,Isabel Cristina, Corrêa,Marianne Dias, Silva,Amanda Villalba Alves da, Donato,Suzana Cristina Teixeira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Saúde Materno Infantil (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000400771
Resumo: Abstract Objectives: to analyze prenatal care process in primary health care units and compare the prenatal adequacy in the third trimester with maternal and perinatal outcomes. Methods: a cross-sectional study of 2,404 pregnant women assisted in 2011in twelve primary health care units in the South region of São Paulo city. The data was collected through medical records. The assessment was based on the indicators process of the Programa de Humanização do Pré-natal e Nascimento (PHPN) (Prenatal and Birth Humanization Program). The prenatal adequacy in the third trimester was analyzed according to three criteria (early-onset, minimum of six consultations and puerperal consultation); and the compared maternal and perinatal outcomes were: type of childbirth, gestational age, birth weight and breastfeeding. The analysis was descriptive for the PHPN indicators and comparative for the prenatal adequacy by the chi-square test. Results: early prenatal (82.9%), minimum of six consultations (73.0%) and puerperal consultation (77.9%). In the overall of the PHPN indicators, there was an expressive decrease in the medical records (10.2%). Prenatal care was adequate for 63.6% with a significant difference in relation to gestational age (p=0.037) and birth weight (p=0.001). Conclusions: There were deficiencies in prenatal care. The difference between the groups in the perinatal outcomes reinforcing the need for prenatal care according to national indicators.
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spelling Prenatal care assessment according to the Prenatal and Birth Humanization ProgramPrenatal careHealth assessmentQuality indicators in health careWomen's healthPrimary health careAbstract Objectives: to analyze prenatal care process in primary health care units and compare the prenatal adequacy in the third trimester with maternal and perinatal outcomes. Methods: a cross-sectional study of 2,404 pregnant women assisted in 2011in twelve primary health care units in the South region of São Paulo city. The data was collected through medical records. The assessment was based on the indicators process of the Programa de Humanização do Pré-natal e Nascimento (PHPN) (Prenatal and Birth Humanization Program). The prenatal adequacy in the third trimester was analyzed according to three criteria (early-onset, minimum of six consultations and puerperal consultation); and the compared maternal and perinatal outcomes were: type of childbirth, gestational age, birth weight and breastfeeding. The analysis was descriptive for the PHPN indicators and comparative for the prenatal adequacy by the chi-square test. Results: early prenatal (82.9%), minimum of six consultations (73.0%) and puerperal consultation (77.9%). In the overall of the PHPN indicators, there was an expressive decrease in the medical records (10.2%). Prenatal care was adequate for 63.6% with a significant difference in relation to gestational age (p=0.037) and birth weight (p=0.001). Conclusions: There were deficiencies in prenatal care. The difference between the groups in the perinatal outcomes reinforcing the need for prenatal care according to national indicators.Instituto de Medicina Integral Prof. Fernando Figueira2018-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000400771Revista Brasileira de Saúde Materno Infantil v.18 n.4 2018reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042018000400006info:eu-repo/semantics/openAccessTsunechiro,Maria AliceLima,Marlise de Oliveira PimentelBonadio,Isabel CristinaCorrêa,Marianne DiasSilva,Amanda Villalba Alves daDonato,Suzana Cristina Teixeiraeng2019-01-14T00:00:00Zoai:scielo:S1519-38292018000400771Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2019-01-14T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false
dc.title.none.fl_str_mv Prenatal care assessment according to the Prenatal and Birth Humanization Program
title Prenatal care assessment according to the Prenatal and Birth Humanization Program
spellingShingle Prenatal care assessment according to the Prenatal and Birth Humanization Program
Tsunechiro,Maria Alice
Prenatal care
Health assessment
Quality indicators in health care
Women's health
Primary health care
title_short Prenatal care assessment according to the Prenatal and Birth Humanization Program
title_full Prenatal care assessment according to the Prenatal and Birth Humanization Program
title_fullStr Prenatal care assessment according to the Prenatal and Birth Humanization Program
title_full_unstemmed Prenatal care assessment according to the Prenatal and Birth Humanization Program
title_sort Prenatal care assessment according to the Prenatal and Birth Humanization Program
author Tsunechiro,Maria Alice
author_facet Tsunechiro,Maria Alice
Lima,Marlise de Oliveira Pimentel
Bonadio,Isabel Cristina
Corrêa,Marianne Dias
Silva,Amanda Villalba Alves da
Donato,Suzana Cristina Teixeira
author_role author
author2 Lima,Marlise de Oliveira Pimentel
Bonadio,Isabel Cristina
Corrêa,Marianne Dias
Silva,Amanda Villalba Alves da
Donato,Suzana Cristina Teixeira
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Tsunechiro,Maria Alice
Lima,Marlise de Oliveira Pimentel
Bonadio,Isabel Cristina
Corrêa,Marianne Dias
Silva,Amanda Villalba Alves da
Donato,Suzana Cristina Teixeira
dc.subject.por.fl_str_mv Prenatal care
Health assessment
Quality indicators in health care
Women's health
Primary health care
topic Prenatal care
Health assessment
Quality indicators in health care
Women's health
Primary health care
description Abstract Objectives: to analyze prenatal care process in primary health care units and compare the prenatal adequacy in the third trimester with maternal and perinatal outcomes. Methods: a cross-sectional study of 2,404 pregnant women assisted in 2011in twelve primary health care units in the South region of São Paulo city. The data was collected through medical records. The assessment was based on the indicators process of the Programa de Humanização do Pré-natal e Nascimento (PHPN) (Prenatal and Birth Humanization Program). The prenatal adequacy in the third trimester was analyzed according to three criteria (early-onset, minimum of six consultations and puerperal consultation); and the compared maternal and perinatal outcomes were: type of childbirth, gestational age, birth weight and breastfeeding. The analysis was descriptive for the PHPN indicators and comparative for the prenatal adequacy by the chi-square test. Results: early prenatal (82.9%), minimum of six consultations (73.0%) and puerperal consultation (77.9%). In the overall of the PHPN indicators, there was an expressive decrease in the medical records (10.2%). Prenatal care was adequate for 63.6% with a significant difference in relation to gestational age (p=0.037) and birth weight (p=0.001). Conclusions: There were deficiencies in prenatal care. The difference between the groups in the perinatal outcomes reinforcing the need for prenatal care according to national indicators.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000400771
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000400771
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-93042018000400006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
dc.source.none.fl_str_mv Revista Brasileira de Saúde Materno Infantil v.18 n.4 2018
reponame:Revista Brasileira de Saúde Materno Infantil (Online)
instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron:IMIPFF
instname_str Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron_str IMIPFF
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reponame_str Revista Brasileira de Saúde Materno Infantil (Online)
collection Revista Brasileira de Saúde Materno Infantil (Online)
repository.name.fl_str_mv Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
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