Início tardio do pré-natal: revisão integrativa da literatura

Abstract

Considering the importance of adequate prenatal assistance and that the late access to this assistance causes impact on the quality of it, the present study had as objective to analyze the reasons that determine late prenatal beginning in order to provide recommendations based on evidences for health professionals and health managers. This study is a integrative review of literature through the research in the Virtual Library of Health (BVS) with preselected key- words, getting studies indexed in the databases: LILACS, MEDLINE, SciELO and others in the period of 2001 the 2011. The collection of data was carried through of application of a form previously elaborated. 14 (fourteen) studies had been located, 13 (thirteen) published in Portuguese and 1 (one) in Spanish. The studies had been classified in three categories -: Evaluation of the covering of the prenatal assistance; Evaluation of the quality of the prenatal assistance and Factors implied in the access to the prenatal one. The results mark a good covering of prenatal influenced by regional differences and a reduction of its quality when was included criterias as, vaccination, physician procedures and education in health. Still exists the lack of sensitization and information concerning the importance of the prenatal control. The factors for a late access to prenatal are concerning the woman and some of them elucidated by this revision were, minor income, age maternal low, increase of the parity and the access to the health services, mainly related to the organizations barriers well as delay in the marking of consultations, scarcity of human resources. It is possible to conclude that some of the reasons for the late beginning of prenatal justified by the health professionals of Malacacheta-MG had been confirmed, pointing to the qualification necessity and the continue performance of the Strategy of Health Family with action of spreading, professional qualification, education in health, precocious capitation and active searchs. The use of thise results will be useful to change this. Such measures aim to diminish the time that woman initiates the prenatal assistance as well as its quality.