Concordância da adequação dos encaminhamentos das gestantes de alto risco realizados pela rede básica de saúde

Abstract

OBJECTIVE: To observe compliance of referrals from the Basic Health Network pregnant women regarding the evaluation of Secondary Care Reference Service in Sergipe. METHODS: A descriptive, retrospective study, based on information collected from 756 medical records of pregnant women referred and treated at High Risk Prenatal clinic in Integral Care Center for Women's Health, from January 2014 to March 2015. They were excluded and not counted, the records in the absence of Routing Report and those who did not use prenatal standard plug of high risk in the first consultation. After listing the cause of forwarding and evaluation of reference, diagnoses were classified as appropriate or inappropriate. RESULTS: Women had met between 11 and 47 years, averaging 27.3 years. The metropolitan region accounted for 25% of referrals. Nurses are professionals who refer more with 55.6% of referrals, and primary care physicians are responsible for 29%. In the first consultation at the heart of reference, 13.25% of the women were in the 1st trimester, 53% in the 2nd and 26.75% in the 3rd. Of the total, 78.8% were considered adequate, and 21.2% Unsuitable. Maternal age and hypertension were the most common justifications, and their inadequacy rates were 4.9% and 8.7%, respectively. The nutritional risk was the most neglected diagnosis more frequently than 5x been referenced. CONCLUSION: It is essential not to underestimate the clinical approach in prenatal to bring benefits to maternal and fetal health.