Avaliação da assistência pré-natal entre as usuárias do Sistema Único de Saúde em Aracaju-SE

Abstract

To assess the adequacy of prenatal care provided to low risk pregnant women users of the Unified Health System in Aracaju. Cross-sectional retrospective descriptive study using analysis of pregnant women filling cards. The study population consisted of 280 postpartum women hospitalized after birth that held their prenatal care at public services of Aracaju, and had low-risk pregnancy and delivery at term at Hospital Santa Isabel, from April to May 2015 and data collected in a second period from October to November 2015 . The evaluation of adequacy occurred on three levels. On the first level the Kessner Index (top and number of queries) was used to evaluate the assistance. On the second level performing basic complementary tests defined by the Program for Humanization of Prenatal and Birth (PHPN) was added: ABO blood-FatorRh, hematocrit / hemoglobin, VDRL, glucose, urine type 1. At the third level, besides prenatal care and basic additional tests was increased compliance with mandatory clinical and obstetric procedures in prenatal appointment (calculation of gestational age, assessment of blood pressure, weight, edema, fundal height, research fetal heartbeat and fetal presentation). The adequacy of the process was only 42,5% of the sample at level 1, 16,4% at level 2, and 0% at level 3. The mean age was 23.6 years and the number of appointments was 6. The analysis of prenatal care provided to pregnant women at low risk of Public Health System in Aracaju showed low suitability considering the minimum criteria by the Ministry of Health, requiring strategies to improve the quality of care offered to these woman.