Maternal and Child Care Assessment Focused on Prenatal Care and Birth

Abstract

Objective: This study aims at assessing maternal and child care provided from prenatal to birth, so that it can reveal the weaknesses and potentialities of prenatal program in order to guide the development of strategic plans. Methods: This is an exploratory descriptive study with a quantitative approach, conducted in the city of Santa Cruz, state of Rio Grande do Norte, Brazil, from November 2012 to February 2013. The sample consisted of 200 women, chosen by draw, mothers of children under two years old who had attended the Primary Health Care System. The study used a semi-structured questionnaire used by the Ministry of Health. Our research project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under the approval No. 311.613. Results: It was found that most mothers were rated from good to very good in the quality of care during prenatal and birth. As to the performance of prenatal and birth care services, most women performed those services under the municipality’s Public Health System, and the prenatal care primarily under Basic Health Care Units. Conclusion: In this assessment study, indicators regarding maternal and child care provided during the prenatal period were found to be positive, which contributes to the reduction of maternal and child mortality. The study also shows that Primary Health Care is essential to ensuring an effective, humane and comprehensive health care.

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Silva, I. , dos Santos Ferreira, T. , de Oliveira Pereira, D. , de Assunção, J. , Costa, P. , de Carvalho, J. , do Ceu Clara Costa, I. and de Andrade, F. (2015) Maternal and Child Care Assessment Focused on Prenatal Care and Birth. Health, 7, 167-173. doi: 10.4236/health.2015.71019.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Duarte, S.J.H. and Andrade, S.M.O. (2006) Assistência pré-natal no Programa Saúde da Família. Esc Anna Nery R Enfer, 10, 121-125. [Online]
http://www.scielo.br/pdf/ean/v10n1/v10n1a16.pdf
[2] Brasil. Ministério da Saúde. Secretaria de Atencao à Saúde. Departamento de Acoes Programáticas Estratégicas (2005) Pré-natal e puerpério: Atencao qualificada e humanizada—Manual técnico. Brasília.
http://bvsms.saude.gov.br/bvs/publicacoes/manual_pre_natal_puerperio_3ed.pdf
[3] Assis, T.R., Viana, F.P. and Rassi, S. (2008) Estudo dos principais fatores de risco maternos nas síndromes hipertensivas da gestacao. Arquivos Brasileiros de Cardiologia, 91.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2008001300002&lng=en&nrm=iso
[4] Brasil. Ministério da Saúde. Política Nacional de Atencao Básica. Departamento de Atencao Básica. Brasília, 2012.
http://189.28.128.100/dab/docs/publicacoes/geral/pnab.pdf
[5] Fernandes, R.S.R., et al. (2012) Prognóstico obstétrico de pac ientes portadoras de diabetes mellitus prégestacional. Revista Brasileira de Ginecologia e Obstetrícia, 34.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032012001100003&lng=en&nrm=iso.
http://dx.doi.org/10.1590/S0100-72032012001100003
[6] Ramos, D.D. and Lima, M.A.D.S. (2003) Acesso e acolhimento aos usuários em uma unidade de saúde de Porto Alegre, Rio Grande do Sul, Brasil. Cadernos de Saúde Pública, Rio de Janeiro, 19, 27-34.
http://www.scielosp.org/pdf/csp/v19n1/14902.pdf
[7] Costa, A.A., Guilhem, D. and Walter, M.I.M.T. (2005) Atendimento a gestantes no Sistema único de Saúde. Revista de Saúde Pública, 39, 768-774.
http://www.scielosp.org/pdf/rsp/v39n5/26297.pdf
http://dx.doi.org/10.1590/S0034-89102005000500011
[8] Guerreiro, E.M., Rodrigues, D.P., Silveira, M.A.M. and Lucena, N.B.F. (2012) O cuidado prénatal na atencao básica de saúde sob o olhar de gestantes e enfermeiros. remE—Rev. Min. Enferm, 16, 315-323.
http://reme.org.br/artigo/detalhes/533
[9] Brasil. Ministério da Saúde. Secretaria de Atencao à Saúde. Departamento de Acoes Programáticas Estratégicas (2005) área Técnica de Saúde da Mulher. Prénatal e Puerpério: Atencao qualificada e humanizada—manual técnico—Brasília: Ministério da Saúde, 158 p.
http://bvsms.saude.gov.br/bvs/publicacoes/prenatal_puerperio_atencao_humanizada.pdf
[10] Boccolini, C.S., Carvalho, M.L., Oliveira, M.I.C. and Vasconcellos, A.G.G. (2011) Fatores associados à amamentacao na primeira hora de vida. Revista de Saúde Pública, 45, 69-78.
http://www.scielosp.org/pdf/rsp/v45n1/1717
http://dx.doi.org/10.1590/S0034-89102010005000051
[11] Brasil. Ministério da Saúde (2009) Saúde da crianca: Nutricao Infantil aleitamento materno e alimentacao complementar. Cadernos de Atencao Básica, n. 23. Brasília, DF.
http://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_nutricao_aleitamento_alimentacao.pdf
[12] Vieira, S.M., Bock, L.F., Zocche, D.A. and Pessota, C.U. (2011) Percepcao das puérperas sobre a assistência prestada pela equipe de saúde no prénatal. Texto Contexto—Enferm, 20, 255-262. [Online]
http://www.scielo.br/pdf/tce/v20nspe/v20nspea32.pdf
[13] Almeida, S.D.M. and Barros, M.B.A. (2005) Equidade e atencao à saúde da gestante em Campinas (SP), Brasil. Revista Panamericana de Salud Pública, 17, 15-25. [Online]
http://www.scielosp.org/pdf/rpsp/v17n1/24024.pdf
http://dx.doi.org/10.1590/S1020-49892005000100003

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