Evaluation of prenatal care: relevance of laboratory examinations

Detalhes bibliográficos
Autor(a) principal: Queiroz, Dayanna Joyce Marques
Data de Publicação: 2015
Outros Autores: Oliveira, Kátia Cristina Araújo, Soares, Danielle Bezerra
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/3845
Resumo: Objective: To evaluate the prenatal care assistance provided to women assisted at delivery and examine the relevance of laboratory tests on the quality of prenatal care. Methods: A cross-sectional cohort study carried out in a university referral hospital, in the city of Santa Cruz-RN, from June to July 2014, including 50 pregnant women assisted at delivery. The women were between 18-40 years old and presented low obstetric risk. Data was collected from the prenatal medical chart and through a structured questionnaire. The characterization of the prenatal assistance adequacy was developed based on guidelines of the Prenatal and Puerperium Humanization Program (PPHP) and the Prenatal and Postpartum Technical Manual (PPTM). A descriptive analysis of the data was performed and the chi-square test was used for verification of differences between proportions. Results: It was observed that 86% (n=43) of the women initiated the prenatal care assistance early and had an average of 7.3 appointments. The clinical obstetric procedures had five or more records in 58% (n=29) of the sample. When assessed the laboratory tests records, a low percentage of adequacy was found in the 2nd recommended routine testing (32%, n=16). According to the parameters (PPHP and PPTM), prenatal care was suitable only in 24% (n=12) of the cases. When evaluated the classification of prenatal care assistance without the use of laboratory tests, the adequacy rose to 48% (n=24), presenting a statistically significant difference (p
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spelling Evaluation of prenatal care: relevance of laboratory examinationsEvaluación de la asistencia prenatal: relevancia de las pruebasAvaliação da assistência pré-natal: relevância dos exames laboratoriaisPrenatal CareQuality of Health CareBlood Tests.Atención PrenatalCalidad de la Atención de SaludPruebas HematológicasCuidado Pré-natalQualidade da Assistência à SaúdeExames de Sangue.Objective: To evaluate the prenatal care assistance provided to women assisted at delivery and examine the relevance of laboratory tests on the quality of prenatal care. Methods: A cross-sectional cohort study carried out in a university referral hospital, in the city of Santa Cruz-RN, from June to July 2014, including 50 pregnant women assisted at delivery. The women were between 18-40 years old and presented low obstetric risk. Data was collected from the prenatal medical chart and through a structured questionnaire. The characterization of the prenatal assistance adequacy was developed based on guidelines of the Prenatal and Puerperium Humanization Program (PPHP) and the Prenatal and Postpartum Technical Manual (PPTM). A descriptive analysis of the data was performed and the chi-square test was used for verification of differences between proportions. Results: It was observed that 86% (n=43) of the women initiated the prenatal care assistance early and had an average of 7.3 appointments. The clinical obstetric procedures had five or more records in 58% (n=29) of the sample. When assessed the laboratory tests records, a low percentage of adequacy was found in the 2nd recommended routine testing (32%, n=16). According to the parameters (PPHP and PPTM), prenatal care was suitable only in 24% (n=12) of the cases. When evaluated the classification of prenatal care assistance without the use of laboratory tests, the adequacy rose to 48% (n=24), presenting a statistically significant difference (pObjetivo: Evaluar la asistencia prenatal de mujeres asistidas en el parto y verificar la relevancia de las pruebas de laboratorio para la calidad del prenatal. Métodos: Estudio transversal desarrollado em un hospital universitario de referencia de la ciudad de Santa Cruz-RN en el período entre junio y julio de 2014 con 50 parturientas asistidas en el parto. Las mujeres tenían entre 18-40 años y riesgo obstétrico bajo. Fueron recogidos los datos de la tarjeta del prenatal y aplicación de un cuestionario estructurado. La caracterización de la adecuación del prenatal fue elaborada basado en las directrices del Programa de Humanización del Prenatal y Puerperio (PHPN) y em el Manual Técnico del Prenatal y Puerperio (MTPP). Se realizó um análisis descriptivo de los datos y el test Chi-cuadrado para verificar las diferencias de las proporciones. Resultados: Se observó que el 86% (n=43) iniciaron el prenatal precoz y tuvieron una media de 7,3 consultas. Los procedimientos clínicos de la obstetrícia tuvieron cinco o más registros en el 58% (n=29) de la muestra. En la evaluación del registro de las pruebas de laboratorio se observó un porcentual de adecuación bajo en la 2ª rutina de prueba establecida (32%, n=16). Según los parámetros (PHPN y MTPP), el prenatal fue adecuado solamente para el 24% (n=12) de los casos. En la evaluación de la clasificación de la asistencia del prenatal sin el uso de pruebas de laboratorio, la adecuación subió al 48% (n=24) con diferencia estadística significativa (pObjetivo: Avaliar a assistência pré-natal de mulheres assistidas ao parto e verificar a relevância dos exames laboratoriais na qualidade do pré-natal. Métodos: Estudo de corte transversal desenvolvido em um hospital universitário de referência na cidade de Santa Cruz- RN, no período de junho a julho de 2014, com 50 parturientes assistidas ao parto. As mulheres tinham entre 18-40 anos e possuíam baixo risco obstétrico. Os dados foram coletados a partir do cartão do pré-natal e aplicação de questionário estruturado. A caracterização da adequação do pré-natal foi elaborada com base nas diretrizes do Programa de Humanização do Pré-natal e Puerpério (PHPN) e no Manual Técnico de Pré-natal e Puerpério (MTPP).Realizou-se análise descritiva dos dados e o teste Qui-quadrado para a verificação de diferenças entre as proporções. Resultados: Observou-se que 86% (n=43) iniciaram o pré-natal precocemente e obtiveram uma média de 7,3 consultas. Os procedimentos clínicos obstétricos tiveram cinco ou mais registros em 58% (n=29) da amostra. Quando avaliado o registro de exames laboratoriais, observou-se um baixo percentual de adequação na 2ª rotina de exame preconizada (32%, n=16). De acordo com os parâmetros (PHPN e MTPP), o pré-natal esteve adequado apenas em 24% (n=12) dos casos. Quando avaliada a classificação da assistência do pré-natal sem o uso dos exames laboratoriais, a adequação subiu para 48% (n=24), com diferença estatisticamente significantes (pUniversidade de Fortaleza2015-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/384510.5020/18061230.2015.p504Brazilian Journal in Health Promotion; Vol. 28 No. 4 (2015); 504-512Revista Brasileña en Promoción de la Salud; Vol. 28 Núm. 4 (2015); 504-512Revista Brasileira em Promoção da Saúde; v. 28 n. 4 (2015); 504-5121806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/3845/pdfhttps://ojs.unifor.br/RBPS/article/view/3845/pdf_1Queiroz, Dayanna Joyce MarquesOliveira, Kátia Cristina AraújoSoares, Danielle Bezerrainfo:eu-repo/semantics/openAccess2022-02-16T12:29:37Zoai:ojs.ojs.unifor.br:article/3845Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:29:37Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Evaluation of prenatal care: relevance of laboratory examinations
Evaluación de la asistencia prenatal: relevancia de las pruebas
Avaliação da assistência pré-natal: relevância dos exames laboratoriais
title Evaluation of prenatal care: relevance of laboratory examinations
spellingShingle Evaluation of prenatal care: relevance of laboratory examinations
Queiroz, Dayanna Joyce Marques
Prenatal Care
Quality of Health Care
Blood Tests.
Atención Prenatal
Calidad de la Atención de Salud
Pruebas Hematológicas
Cuidado Pré-natal
Qualidade da Assistência à Saúde
Exames de Sangue.
title_short Evaluation of prenatal care: relevance of laboratory examinations
title_full Evaluation of prenatal care: relevance of laboratory examinations
title_fullStr Evaluation of prenatal care: relevance of laboratory examinations
title_full_unstemmed Evaluation of prenatal care: relevance of laboratory examinations
title_sort Evaluation of prenatal care: relevance of laboratory examinations
author Queiroz, Dayanna Joyce Marques
author_facet Queiroz, Dayanna Joyce Marques
Oliveira, Kátia Cristina Araújo
Soares, Danielle Bezerra
author_role author
author2 Oliveira, Kátia Cristina Araújo
Soares, Danielle Bezerra
author2_role author
author
dc.contributor.author.fl_str_mv Queiroz, Dayanna Joyce Marques
Oliveira, Kátia Cristina Araújo
Soares, Danielle Bezerra
dc.subject.por.fl_str_mv Prenatal Care
Quality of Health Care
Blood Tests.
Atención Prenatal
Calidad de la Atención de Salud
Pruebas Hematológicas
Cuidado Pré-natal
Qualidade da Assistência à Saúde
Exames de Sangue.
topic Prenatal Care
Quality of Health Care
Blood Tests.
Atención Prenatal
Calidad de la Atención de Salud
Pruebas Hematológicas
Cuidado Pré-natal
Qualidade da Assistência à Saúde
Exames de Sangue.
description Objective: To evaluate the prenatal care assistance provided to women assisted at delivery and examine the relevance of laboratory tests on the quality of prenatal care. Methods: A cross-sectional cohort study carried out in a university referral hospital, in the city of Santa Cruz-RN, from June to July 2014, including 50 pregnant women assisted at delivery. The women were between 18-40 years old and presented low obstetric risk. Data was collected from the prenatal medical chart and through a structured questionnaire. The characterization of the prenatal assistance adequacy was developed based on guidelines of the Prenatal and Puerperium Humanization Program (PPHP) and the Prenatal and Postpartum Technical Manual (PPTM). A descriptive analysis of the data was performed and the chi-square test was used for verification of differences between proportions. Results: It was observed that 86% (n=43) of the women initiated the prenatal care assistance early and had an average of 7.3 appointments. The clinical obstetric procedures had five or more records in 58% (n=29) of the sample. When assessed the laboratory tests records, a low percentage of adequacy was found in the 2nd recommended routine testing (32%, n=16). According to the parameters (PPHP and PPTM), prenatal care was suitable only in 24% (n=12) of the cases. When evaluated the classification of prenatal care assistance without the use of laboratory tests, the adequacy rose to 48% (n=24), presenting a statistically significant difference (p
publishDate 2015
dc.date.none.fl_str_mv 2015-12-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/3845
10.5020/18061230.2015.p504
url https://ojs.unifor.br/RBPS/article/view/3845
identifier_str_mv 10.5020/18061230.2015.p504
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/3845/pdf
https://ojs.unifor.br/RBPS/article/view/3845/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 28 No. 4 (2015); 504-512
Revista Brasileña en Promoción de la Salud; Vol. 28 Núm. 4 (2015); 504-512
Revista Brasileira em Promoção da Saúde; v. 28 n. 4 (2015); 504-512
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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