Abstract
Objective: To analyze prenatal care in the primary care of the Brazilian Unified Health System. Material and Methods: This is a survey cross sectional research with inquiry-type quantitative-qualitative approach. Data collection was performed in 28 cities of the Sao Paulo state, through on- site observations and interviews with health secretaries, coordinators of primary and oral health care. The following variables were analyzed: Primary health care services for pregnant woman as educational activities, presence of care and referral protocol and the organization of oral health care. Content analysis was performed for the answers of the open questions and the quantitative treatment of the discursive data was obtained through the categorial analysis. For the answers of the closed questions a descriptive analysis was performed. Results: The total number of participants interviewed was 84 managers. It was observed that 78.6 %% of cities carried out educational activities; 42.9% do not have an active care protocol and 57.1% do not have formal referral guidelines to high-risk pregnancies. The rapid tests for HIV, Syphilis, Hepatitis B and C were confirmed by 53.6% of managers and only 39.3% reported evaluating the vaccine situation. As to dental care, 71.4% of the municipalities do not have an established guideline; 46.4% reported that access occurs through spontaneous demand; 32.1% do not consider pregnant woman a priority care group and 67.9% have instituted prenatal dental care. Conclusion: Prenatal care has guaranteed educational activities, but it has deficiencies related to the work process and to the management of services, due, for the most part, to the inexistence of assistance and organizational protocols.
Highlights
Prenatal care has the objective of ensuring the development of gestation, allowing the delivery of a healthy newborn, with no impact on maternal health, including addressing psychosocial aspects and the educational and preventive activities [1].In 2000, the Brazilian Ministry of Health established the Prenatal and Birth Humanization Program (PHPN) [2] to promote the articulation of health services during childbirth and prenatal care, normalizing health actions [2,3]
71.4% of the municipalities do not have an established guideline; 46.4% reported that access occurs through spontaneous demand; 32.1% do not consider pregnant woman a priority care group and 67.9% have instituted prenatal dental care
Primary care is the main gateway for the monitoring of pregnant woman in the Brazilian Unified Health System (SUS)
Summary
Prenatal care has the objective of ensuring the development of gestation, allowing the delivery of a healthy newborn, with no impact on maternal health, including addressing psychosocial aspects and the educational and preventive activities [1].In 2000, the Brazilian Ministry of Health established the Prenatal and Birth Humanization Program (PHPN) [2] to promote the articulation of health services during childbirth and prenatal care, normalizing health actions [2,3]. Primary care is the main gateway for the monitoring of pregnant woman in the Brazilian Unified Health System (SUS) At this level of attention, health workers are responsible for absorbing all spontaneous and programmed demand, for which they must offer a wide variety of actions such as: active search in the territory, diagnosis, pregnancy risk classification, complementary tests, dental care, immunization, educational activities, nutritional status assessment and gestational weight gain, blood pressure control, attention to psycho-affective aspects and common complaints in pregnancy, access to high-risk prenatal care, as needed, as well as many others services. In this context, conducting research in services is fundamental for understanding situational reality and directing intervention strategies for the health care effectiveness
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
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 callMore From: Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Disclaimer: 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.
