Abstract
Abstract Objectives: to identify and to discuss the frequency of the prenatal and puerperal care of pregnant women from the eastern zone of São Paulo city, São Paulo State, Brazil, categorizing it according to the Kessner Index modified in 1993 by Takeda. We used the data avai-lable on the card of pregnant woman and the discharge summaries, correlating the results with the indicators of severity in childbirth. Methods: this is a descriptive, cross-sectional quantitative study based on the analysis of the variables of the pregnant woman's card and the diagnoses identified in the discharge summaries. Data were collected through a field survey conducted in the Eastern zone of the city of São Paulo city, São Paulo State, Brazil. A statistical analysis was used to identify asso-ciations between the categorization and the severity indicators listed in the discharge summaries. Results: it was observed that prenatal care in the Eastern zone of São Paulo city, São Paulo State, Brazil was classified as intermediate (56.9%) in the majority of women. Regarding this categorization with the severity indicators, there is a higher incidence of risks for inappropriate categorization (8.89%) when compared to the appropriate (1.67%) and the intermediate (4.44%) ones. Conclusions: it was possible to conclude that the more adequate prenatal care, the lower the chances of unfavorable outcomes and incidence of risks.
Highlights
There was a considerable reduction in the mortality rate in Brazil from 1990 to 2012, going from 140 deaths per 100,000 live births to 68 deaths per 100,000 live births,[1,2] according to World Health Organization,[3] recently, it has been observed a reduction in the pace of this slowdown and new strategies need to be revised in order to accelerate this process, given that the target agreed for 2015 was 35 deaths per 100,000 live births
This study aimed to identify and discuss the frequency of prenatal and puerperal care of pregnant women in Eastern São Paulo, São Paulo State, Brazil, categorizing it according to the Kessner Index modified in 1993 by Takeda (IKT),[5] based on the data available on the card of the pregnant woman and the discharge summaries, correlating the results with the indicators of severity in childbirth
This study adopted the descriptive and crosssectional quantitative methods and it was based on the analysis of the pregnant woman's card variables and the correlation of the results with the severity indicators identified in the discharge summary
Summary
There was a considerable reduction in the mortality rate in Brazil from 1990 to 2012, going from 140 deaths per 100,000 live births to 68 deaths per 100,000 live births,[1,2] according to World Health Organization,[3] recently, it has been observed a reduction in the pace of this slowdown and new strategies need to be revised in order to accelerate this process, given that the target agreed for 2015 was 35 deaths per 100,000 live births. The importance of adequate prenatal care, which consists in preventing, diagnosing and treating undesirable events during pregnancy, childbirth and the puerperium, is confirmed. This qualified care is fundamental for reducing maternal and child morbidity and mortality, the quality of prenatal care is directly related to the integral health of mothers and theirfetuses.[4]. This study aimed to identify and discuss the frequency of prenatal and puerperal care of pregnant women in Eastern São Paulo, São Paulo State, Brazil, categorizing it according to the Kessner Index modified in 1993 by Takeda (IKT),[5] based on the data available on the card of the pregnant woman and the discharge summaries, correlating the results with the indicators of severity in childbirth
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