Acquisition and completion of pregnant woman's medical booklet in four populational-based surveys

Tatiane Nogueira Gonzalez,Juraci Almeida Cesar

doi:10.1590/1806-93042019000200007

Tatiane Nogueira Gonzalez, Juraci Almeida Cesar

Open Access

https://doi.org/10.1590/1806-93042019000200007

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Abstract

Abstract Objectives: to measure the prevalence of acquiring and evaluating the level of completion of the pregnant women's medical booklet on the occasion of childbirth in Rio Grande, Brazil. Methods: this is a cross-sectional study including all puerperals residing in this municipality in 2007, 2010, 2013 and 2016. The mothers were interviewed at the only two local maternities up to 48 hours after childbirth. The data from the pregnant woman’s medical booklet were copied on a standard form. The chi-square test was used to compare proportions. Results: 10,242 pregnant women were included in this study. Of these, 54.8% (CI95%=53.8%-55.7%) had their pregnant woman's medical booklet with them at the time of admission. The completion pattern of the pregnant woman's medical booklet is divided into three groups, namely: with at least 95%: date of the last consultation visit, maternal height and blood pressure verification, uterine height, cardio-fetal heart rate and the Rh factor; 85% or more: date of the last menstruation, qualitative urine test, VDRL and HIV; and less than 30%: performance of clinical breast examination and cytopathology of the uterine cervix. In the private sector, the acquisition of the pregnant woman's medical booklet was 41% lower than at the public sector (62% vs. 44%). Conclusions: the use of the pregnant woman's medical booklet and its completion were lower than expected on several items. Local managers need to work together with the health professionals and these health professionals should work with the mothers to promote the full use of this essential document for the maternal and child's health.

Highlights

The pregnant women’s medical booklet are the most complete and accessible document there is for pregnancy
This study evaluates the acquisition and completion of the pregnant woman’s medical booklet among the parturients living at municipality level of Rio Grande (RS), Brazil, in a four populationalbased surveys
Data from the Sistema de Informações sobre Nascidos Vivos (Sinasc) (Information System on Live Births) revealed that 10,626 mothers residing in the municipality had a child in one of the two local maternities in 2007, 2010, 2013 and 2016

Summary

Introduction

The pregnant women’s medical booklet are the most complete and accessible document there is for pregnancy It is a vital instrument for registering all the procedures and examinations performed, as well as to monitor the development of the pregnancy. In 1988, the Cartão da Gestante (Pregnant woman’s medical card) was created and the pregnant woman’s medical card underwent several modifications. The first version of the card had information about maternal demographic characteristics, reproductive history, some clinical and laboratory tests performed and pre-existing morbidities.[1] The most relevant changes occurred in 2015 when the pregnant woman’s medical card was submitted to a significant reformulation, it was called the Caderneta da Gestante (Pregnant woman’s booklet). In 2016, the new version of the booklet included information on prevention and protection against dengue, as well as syphilis treatment and prevention.[3]

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