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- Title
EVALUATION OF PRENATAL CARE: RELEVANCE OF LABORATORY EXAMINATIONS.
- Authors
Marques Queiroz, Dayanna Joyce; Araújo Nascimento de Oliveira, Kátia Cristina; Bezerra Soares, Danielle
- Abstract
Objective: To evaluate the prenatal care assistance provided to women assisted at delivery and examine the relevance of laboratory tests to the quality of prenatal care. Methods: A cross-sectional cohort study carried out in a university referral hospital, in the city of Santa Cruz-RN, from June to July 2014, including 50 pregnant women assisted at delivery. The women were between 18-40 years old and presented low obstetric risk. Data was collected from the prenatal medical chart and through a structured questionnaire. The characterization of the prenatal assistance adequacy was developed based on guidelines of the Prenatal and Puerperium Humanization Program (PPHP) and the Prenatal and Postpartum Technical Manual (PPTM). A descriptive analysis of the data was performed and the chi-square test was used for verification of differences between proportions. Results: It was observed that 86% (n=43) of the women initiated the prenatal care assistance early and had an average of 7.3 appointments. The clinical obstetric procedures had five or more records in 58% (n=29) of the sample. When assessed the laboratory tests records, a low percentage of adequacy was found in the 2nd recommended routine testing (32%, n=16). According to the parameters (PPHP and PPTM), prenatal care was suitable only in 24% (n=12) of the cases. When evaluated the classification of prenatal care assistance without the use of laboratory tests, the adequacy rose to 48% (n=24), presenting a statistically significant difference (p<0.001). Conclusion: Access to prenatal care assistance was satisfactory; however, its quality was deficient, and the major weakness seems to be related to the records of laboratory tests.
- Subjects
PRENATAL care; MEDICAL quality control; BLOOD testing
- Publication
Revista Brasileira em Promoção da Saúde, 2015, Vol 28, Issue 4, p504
- ISSN
1806-1222
- Publication type
Article