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Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns

OBJECTIVE: To estimate the adequacy of health care during pregnancy and the postpartum period in puerperal women and newborn users of the Unified Health System and verify the factors associated with greater adequacy. METHODS: We used data obtained in the hospital interview, the prenatal card and the...

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Autores principales: Bittencourt, Sonia Duarte de Azevedo, Cunha, Elenice Machado, Domingues, Rosa Maria Soares Madeira, Dias, Barbara Almeida Soares, Dias, Marcos Augusto Bastos, Torres, Jacqueline Alves, Leal, Maria do Carmo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584409/
https://www.ncbi.nlm.nih.gov/pubmed/33146323
http://dx.doi.org/10.11606/s1518-8787.2020054002021
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author Bittencourt, Sonia Duarte de Azevedo
Cunha, Elenice Machado
Domingues, Rosa Maria Soares Madeira
Dias, Barbara Almeida Soares
Dias, Marcos Augusto Bastos
Torres, Jacqueline Alves
Leal, Maria do Carmo
author_facet Bittencourt, Sonia Duarte de Azevedo
Cunha, Elenice Machado
Domingues, Rosa Maria Soares Madeira
Dias, Barbara Almeida Soares
Dias, Marcos Augusto Bastos
Torres, Jacqueline Alves
Leal, Maria do Carmo
author_sort Bittencourt, Sonia Duarte de Azevedo
collection PubMed
description OBJECTIVE: To estimate the adequacy of health care during pregnancy and the postpartum period in puerperal women and newborn users of the Unified Health System and verify the factors associated with greater adequacy. METHODS: We used data obtained in the hospital interview, the prenatal card and the first telephone interview of 12,646 women participating in the study Nascer no Brasil (Birth in Brazil), conducted in 2011 and 2012. In the first stage of the analysis, the sociodemographic and obstetric characteristics of women and the estimation of adequacy of prenatal and postpartum care indicators are described. In the second stage, the cascade of care for actions related to puerperal women and their newborns is presented. Finally, maternal factors associated with the adequacy of the line of care are verified by means of multiple logistic regression. RESULTS: Only two of the four prenatal indicators were considered satisfactory: initiation up to the 16th week of pregnancy and adequate number of appointments. The guidance on which maternity to go for delivery, as well as the guidance to perform the puerperal appointment and the performance of the heel prick test have reached partial level of adequacy. The puerperal appointment, the first routine appointment of the newborn and the obtaining of the heel prick test results presented unsatisfactory adequacy. In the joint analysis of indicators regarding the effective use of services, only 1.5% of mothers and their babies received all recommended health care. Multiparous women living in the North, Northeast and Midwest, with lower schooling, presented the lowest chances of continuity of care. CONCLUSIONS: The indicators evaluated indicate that almost all women and their children presented partial and disjointed care, showing that the coordination of care is still a challenge in the health care of women and children in the puerperal pregnancy period.
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spelling pubmed-75844092020-10-30 Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns Bittencourt, Sonia Duarte de Azevedo Cunha, Elenice Machado Domingues, Rosa Maria Soares Madeira Dias, Barbara Almeida Soares Dias, Marcos Augusto Bastos Torres, Jacqueline Alves Leal, Maria do Carmo Rev Saude Publica Original Article OBJECTIVE: To estimate the adequacy of health care during pregnancy and the postpartum period in puerperal women and newborn users of the Unified Health System and verify the factors associated with greater adequacy. METHODS: We used data obtained in the hospital interview, the prenatal card and the first telephone interview of 12,646 women participating in the study Nascer no Brasil (Birth in Brazil), conducted in 2011 and 2012. In the first stage of the analysis, the sociodemographic and obstetric characteristics of women and the estimation of adequacy of prenatal and postpartum care indicators are described. In the second stage, the cascade of care for actions related to puerperal women and their newborns is presented. Finally, maternal factors associated with the adequacy of the line of care are verified by means of multiple logistic regression. RESULTS: Only two of the four prenatal indicators were considered satisfactory: initiation up to the 16th week of pregnancy and adequate number of appointments. The guidance on which maternity to go for delivery, as well as the guidance to perform the puerperal appointment and the performance of the heel prick test have reached partial level of adequacy. The puerperal appointment, the first routine appointment of the newborn and the obtaining of the heel prick test results presented unsatisfactory adequacy. In the joint analysis of indicators regarding the effective use of services, only 1.5% of mothers and their babies received all recommended health care. Multiparous women living in the North, Northeast and Midwest, with lower schooling, presented the lowest chances of continuity of care. CONCLUSIONS: The indicators evaluated indicate that almost all women and their children presented partial and disjointed care, showing that the coordination of care is still a challenge in the health care of women and children in the puerperal pregnancy period. Faculdade de Saúde Pública da Universidade de São Paulo 2020-10-23 /pmc/articles/PMC7584409/ /pubmed/33146323 http://dx.doi.org/10.11606/s1518-8787.2020054002021 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bittencourt, Sonia Duarte de Azevedo
Cunha, Elenice Machado
Domingues, Rosa Maria Soares Madeira
Dias, Barbara Almeida Soares
Dias, Marcos Augusto Bastos
Torres, Jacqueline Alves
Leal, Maria do Carmo
Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title_full Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title_fullStr Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title_full_unstemmed Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title_short Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
title_sort nascer no brasil: continuity of care during pregnancy and postpartum period for women and newborns
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584409/
https://www.ncbi.nlm.nih.gov/pubmed/33146323
http://dx.doi.org/10.11606/s1518-8787.2020054002021
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