Proposta de intervenção para ampliação da abordagem do pré-natal pelo médico da estratégia saúde da família

Abstract

Among the various problems related to health in the territory covered by the Family Health Program, Palmeiras in Bom Sucesso, Minas Gerais was selected the "low performance of the medical of the Family Health Strategy in the pregnant woman's health approach" as the first priority for the team. This situation is caused by a social and cultural paradigm preferably care by the specialist doctor at the expense of the general practitioner, and an error in the marking process of pre-natal consultations. The aim of this study was to propose an action plan aimed at improving the agenda calls for pre-natal consultations usual risk by general practitioner family health team. A collection of data in the records of patient records was performed on System Primary Care Information System (SIAB) and e-SUS More Doctors in order to raise awareness of the assistance to prenatal care in Primary Health. It was also made a literature review on the topic as well as study of standards and technical manuals of the Ministry of Health and Research at the Department of the Unified Health System (DATASUS). In the action plan the approach identified the "critical nodes" that need to be addressed. Thus, it was proposed intervention strategies based on the creation of three projects called "Learning +", "+ Pregnant Women" and "Unsatisfied". The "Find out more" as the purpose to increase information about the basic care during pregnancy and about the general practitioner contribution in monitoring the prenatal usual risk. A "+ Pregnant Women" via train health staff in marking consultations usual risk of prenatal doctor on the agenda of a period reserved for the exclusive service of prenatal and postpartum visits. "Unsatisfied" is to ensure the satisfaction of pregnant women as the monitoring of prenatal care so that the functions are divided among the team members, ensuring an organized and quality multidisciplinary care. The intervention plan resulted in significant expansion of prenatal care by the physician of the Family Health Strategy in Palmeiras Family Health Program, and the average monthly assistance by general practitioners increased from 15.83% to 77.63% of pregnant.