Adequacy of prenatal care and associated factors in the State of Rio Grande do Sul, Brazil.

Autor:	Adami AG; Universidade de Caxias do Sul. Programa de Pós-graduação em Ciências da Saúde. Caxias do Sul, RS, Brazil.; Universidade de Caxias do Sul. Instituto de Pesquisas em Saúde. Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brazil., Motta LRD; Universidade de Caxias do Sul. Instituto de Pesquisas em Saúde. Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brazil., Sperhacke RD; Universidade de Caxias do Sul. Instituto de Pesquisas em Saúde. Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brazil., Kato SK; Universidade de Caxias do Sul. Instituto de Pesquisas em Saúde. Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brazil.; Universidade Federal de Ciências da Saúde de Porto Alegre. Departamento de Saúde Coletiva. Porto Alegre, RS, Brazil., Pereira GFM; Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de HIV/aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis. Brasília, DF, Brazil., Rahmi RM; Universidade de Caxias do Sul. Programa de Pós-graduação em Ciências da Saúde. Caxias do Sul, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Revista de saude publica [Rev Saude Publica] 2023 Oct 20; Vol. 57, pp. 68. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023).
DOI:	10.11606/s1518-8787.2023057005146
Abstrakt:	Objective: This study aims to assess the degree of adequacy of prenatal care (PNC) in the state of Rio Grande do Sul (RS) and in its 7 macro-regions considering the time of PNC initiation and the number of appointments attended. It also aims to verify the mode of delivery prevalence and the factors associated with PNC adequacy by mode of delivery. Methods: Sub analysis from a cross-sectional study conducted among 13,432 childbearing women aged 15-49 years assisted in 66 maternity hospitals of the Unified Health System (SUS) and private associated facilities from September 2017 to October 2019. A standardized form was used to collect sociodemographic data, and information about PNC and delivery from the childbearing women's prenatal cards, hospital records, and medical reports. Results: The PNC coverage was (98.4%), but only 57.5% of the participants had an adequate PNC defined as the one initiated until the 12th gestational week, with attendance of at least 6 appointments. The cesarean rate was 57.2%. Among women who performed vaginal delivery, multivariate analysis showed that for each 1-year increase in the age of the parturient, the chance of having an adequate PNC increased by 5%. White parturients with higher education and fewer deliveries residing in the macro-region of Valleys were more likely to have an adequate PNC when compared with non-white parturients, who were illiterate and/or had incomplete elementary school, with 3 or more deliveries and who resided in other macro-regions. During pregnancy, 96.0% of the women performed at least one anti-HIV test, 55.8% a rapid test for syphilis, and 75.0% a Venereal Disease Research Laboratory test (VDRL). Conclusions: Despite the almost universal PNC coverage in RS, the PNC offered by the SUS was adequate for just half of the population, therefore public health policies targeted at women receiving care in this setting shall be revisited.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu