Rede Cegonha: maternal characteristics and perinatal outcomes related to prenatal consultations at intermediate risk.

Franciele Aline Machado De Brito,Marcia Moroskoski,Ieda Harumi Higarashi,Beatriz Rosana De Oliveira Gonçalves Toso,Bianca Machado Cruz Shibawaka,Rosana Rosseto De Oliveira

doi:10.1590/1980-220x-reeusp-2021-0248

Abstract

to analyze the correlation between maternal characteristics and perinatal outcomes, with the number of prenatal consultations performed. a cross-sectional study, carried out with 1,219 mothers and newborns stratified as intermediate risk according to the Programa Rede Mãe Paranaense, adaptation of the Rede Cegonha at the state level. Data were collected from the Birth Certificates. Spearman, Wilcoxon and Kruskal-Wallis tests were used to analyze the correlation between the variables of interest. married women, with higher education, white and aged 30 years or older were the ones who most attended prenatal consultations. With regard to perinatal outcomes, children whose mothers had more frequent prenatal consultations had better Apgar and birth weight scores. High rates of cesarean delivery were identified before the onset of labor. maternal characteristics influence the process of adherence to prenatal care, impacting perinatal outcomes, indicating the relevance of these risk factors and the need to improve actions aimed at greater compliance with risk stratification and qualified and resolute care for pregnant women at intermediate risk.

Highlights

Infant mortality remains a serious global public health problem, pointing to some weaknesses in the public health system[1]
It is known that actions aimed at improving the quality of prenatal care, delivery and puerperium directly impact in infant mortality reduction, especially when they emphasize prenatal care
Scientific evidence already indicates that maternal characteristics influence the process of adherence to prenatal care, with impacts on the perinatal outcomes of newborns, as well as sociodemographic factors interfere in women’s prenatal care

Summary

Introduction

Infant mortality remains a serious global public health problem, pointing to some weaknesses in the public health system[1] Sometimes, such weaknesses involve economic and sociodemographic factors, which makes their reduction complex and dependent on other areas, especially in developing countries where the articulation of services is normally fragile[1,2]. It is known that actions aimed at improving the quality of prenatal care, delivery and puerperium directly impact in infant mortality reduction, especially when they emphasize prenatal care. This modality of care is responsible for ensuring continuous care, preventing obstetric problems, reducing the occurrence of prematurity and low birth weight, ensuring pregnant women’s access to health services and healthy deliveries and births[2]

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Conclusion