Evaluation of prenatal care: relevance of laboratory examinations
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
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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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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1808844181282488320 |