O impacto da realização do pré-natal no desfecho da gestação em no Hospital São Luiz em Cáceres – MT

Abstract

Prenatal care performed throuhout pregnancy is of great importance in terms of ensuring maternal and newborn health. The whole approach taken with the pregnant woman has the principle of raising her awareness of aspects related to pregnancy, as well as carrying out various assessments that guarantee her health. However, the way in which this assistance is offered to the population can vary due to numerous factors, such as adequate professional training and sociodemographic factors. Thus, it is important to establish ways of classifying or evaluating how the service is offered with a focus on improving it. Therefore, the objective of this study is to evaluate the form of prenatal care offered in the city of Cáceres, Mato Grosso, to identify possible points to be improved, as well as to associate the outcome of pregnancy with the type of prenatal care performed. For this, pregnant women who were admitted to the hospital and progress to labor in a public hospital in the city of Cáceres - MT were evaluated. The evaluation was carried out by the information collected from the medical record of the pregnant woman present in the files of the obstetrics sector of the evaluated hospital. Data analysis was performed to classify the type of prenatal care according to the Kessner Index modified by Takeda (TAKEDA, 1993), in addition to the data recommended by the Ministry of Health (2002, 2006), correlating the outcome of pregnancy with the type of prenatal care performed. The data were analyzed using multivariate analyses, in addition to the application of the chi-square test to obtain the level of significance (p <0.05) between the variables studied. It was possible to observe through the Kessner Index that of the 596 pregnant women evaluated, 63.8% had prenatal care classified as adequate, 12.2% inadequate and 20.8% as intermediaries, since they did not meet all the requirements to be classified as adequate or inadequate. According to the parameters of the Ministry of Health, of the 596 pregnant women, 58.4% had adequate prenatal care, 15.9% inadequate and 22.5% intermediate. In both cases, 2.2% of the pregnant women did not perform any assistance during pregnancy, and 1% had their information ignored when filling out the medical record. Thus, it is expected that this study will serve as a parameter to identify how prenatal care is being carried out in the public hospital in the municipality of Cáceres - Mato Grosso, allowing the improvement of this procedure, if necessary, always aiming at ensuring the health of pregnant women and newborns, in addition to serving as a parameter for the evaluation of prenatal care in other places in the country.