Abstract
Objective: to evaluate the prevalence of an incomplete prenatal booklet and gestational diabetes mellitus (GDM) screening of postpartum women in a southern Brazilian University Hospital, relating to the municipality of origin and the neighborhood in which they live. Methods: cross-sectional study, including 283 postpartum women, aged over 18 years and who had their births at the University Hospital of Santa Maria/Brazil from January to April 2015. An incomplete prenatal booklet was defined in the absence of any data referring to the obstetric history and the current pregnancy, as well as the lack of identification of the pregnant woman and the Health Unit where prenatal care was performed. For GDM screening, information on fasting blood glucose and risk factors collected from the postpartum women was used. The SPSS 20.0 program was used for descriptive statistics and the Geolocation maps were separated by municipalities of origin and by neighborhoods where the prenatal care of the puerperal women occurred and plotted according to the variables evaluated, using the ArcGIS 10.3 software. Results: the prevalence of an incomplete prenatal booklet was 79.2%, while prevalence of positive GDM screening was 73.9%. The geolocation pointed out 14 municipalities of origin and six neighborhoods where prenatal care had the highest prevalence of incomplete prenatal booklets. For GDM screening, spatial distribution showed ten municipalities of origin and four neighborhoods with a higher prevalence of positive screening for GDM. Conclusion: the geolocation showed that 14 municipalities of origin and six neighborhoods had the highest prevalence of incomplete prenatal booklets. In addition, ten municipalities of origin and four neighborhoods presented with higher prevalence of positive screening for GDM.
Highlights
IntroductionPrenatal care aims to identify risks in a timely manner and to take actions that maintain a high level of attention to maternal and child health.[1,2,3] In Brazil, prenatal care is a matter of concern[4] due to deficiencies in healthcare coverage that vary from 1 to 20%.2 In addition, other studies revealed social inequities present in healthcare, showing that women with lower family income, less education and who are non-white are those who receive lower quality of prenatal care.[1,5,6]In 2000, the Brazilian Ministry of Health created the Humanization Program in the Prenatal Period and Birth (PHPN) which standardized the assistance to pregnant women and proposed a change in the assistance model for the pregnancy-puerperal cycle to ensure women’s right to humanized care during pregnancy, childbirth and puerperium and access to prenatal care with quality and care in a universal and timely manner.[7]
Among the puerperal women observed, 14.5% (n=41) did not undergo gestational diabetes mellitus (GDM) screening with the monitoring of fasting blood glucose during pregnancy
When considering positive GDM screening as using fasting glucose data associated with the presence of risk factors, the prevalence of positive screening increased to 73.9% (n=209)
Summary
Prenatal care aims to identify risks in a timely manner and to take actions that maintain a high level of attention to maternal and child health.[1,2,3] In Brazil, prenatal care is a matter of concern[4] due to deficiencies in healthcare coverage that vary from 1 to 20%.2 In addition, other studies revealed social inequities present in healthcare, showing that women with lower family income, less education and who are non-white are those who receive lower quality of prenatal care.[1,5,6]In 2000, the Brazilian Ministry of Health created the Humanization Program in the Prenatal Period and Birth (PHPN) which standardized the assistance to pregnant women and proposed a change in the assistance model for the pregnancy-puerperal cycle to ensure women’s right to humanized care during pregnancy, childbirth and puerperium and access to prenatal care with quality and care in a universal and timely manner.[7]. The absence of information on maternal and child health on the prenatal booklet can directly impair the quality of prenatal care services, causing procedures or tests that protect the fetus and the mother to be neglected or repeated unnecessarily.[7,8] At the same time, the prenatal booklet is an important tool for obtaining information on early diagnosis, monitoring and treatment of diseases that increase the risk of perinatal mortality, such as gestational diabetes mellitus (GDM).[9]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
