O impacto da realização do pré-natal nas condições clínicas de nascimento dos recém-nascidos atendidos no Hospital de São Luiz em Cáceres – MT

Abstract

Prenatal care throughout the gestational period brings numerous health benefits to the pregnant woman; however, this is crucial for a healthy birth to occur for the newborn. At this stage, all care provided to the mother is necessary to guarantee the baby a problem-free development. However, the institution of prenatal care is not yet offered to all pregnant women, as recommended by the Ministry of Health. The lack of monitoring of pregnant women by professionals trained during prenatal care can prevent the detection of diseases or changes that will influence the outcome of childbirth and birth. Thus, conducting studies that assess the form of prenatal care with the characteristics of the newborn is of great importance. Therefore, the objective of this study was to evaluate the clinical aspects of the birth of the babies of the study participants to correlate them with the type of prenatal care performed in the city of Cáceres - MT. The evaluation was performed by collecting information from the medical records of pregnant women who progressed to labor in a public hospital in the city of Cáceres - MT, present in the files of the hospital's obstetrics sector, as well as in the newborn's clinical information, contained in the hospital's pediatrics notes book. 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, correlating the clinical characteristics of births with the type of prenatal care performed by the mother. 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. Among the 600 newborns evaluated, according to the Kessner index, 64% were born from mothers with adequate prenatal care, 12.2% from inadequate ones and 20.6% from mothers with intermediate prenatal care. By the parameters of the Ministry of Health, 58.7% of the 600 newborns were born from mothers with adequate prenatal care, 15.8% from mothers with inadequate prenatal care and 22.3% with intermediate prenatal care. In both assessments, 2.2% were born from mothers without any attention during pregnancy, and 1% had their information ignored when filling out the medical record. Thus, it is expected that this study provides information so that it can establish a link between the characteristics of newborns after birth, with the type of prenatal care instituted with mothers assisted in a public hospital in the municipality of Cáceres - Mato Grosso, always aiming to improve the whole process.