The nutritional care during the prenatal and postpartum: perceptions of managers of primary health care

• Autor(a) principal: Laporte-Pinfildi, Anna Sylvia de Campos [UNIFESP]
• Data de Publicação: 2016
• Outros Autores: Zangirolani, Lia Thieme Oikawa [UNIFESP], Spina, Natalia [UNIFESP], Martins, Paula Andrea [UNIFESP], Medeiros, Maria Angélica Tavares de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/1678-98652016000100011; http://repositorio.unifesp.br/handle/11600/49618
• topic: Health Evaluation; Nutrition Programs And Policies; Postpartum Period; Prenatal Care; Primary Health CareRio-De-Janeiro; Southern Brazil; Quality; City; Units

Objective To evaluate the perception of managers regarding the nutritional care to prenatal and postpartum in Primary Health Units in Southern, Sao Paulo, Brazil. Methods It was conducted a census of 28 Primary Health Units from the insular area, using interviews with managers. The nutritional care was assessed according to infrastructure, work process and food and nutrition surveillance. Results The insertion of dietitians was the main insufficient component of dimension structure, interfering negatively on nutritional care for 60% of managers. It was founded low compliance for the following variables of theprocess dimension: calculate the body mass index (35%), monitoring of nutritional status in body mass index/gestational week curve (46%) and conducting individualized nutritional counseling in antenatal (14%). Conclusion Prenatal and postpartum nutritional care is unsatisfactory to achieve comprehensive care. It is necessary to sensitize local manager's awareness and qualify the health teams to ensure the effectiveness of such actions in Santos, Sao Paulo.