Avaliação dos dados do cartão de pré-natal e registro da rotina prevista na assistência pré-natal de baixo risco em uma coorte de gestantes em Belo Horizonte

Abstract

The adequacy of prenatal care is important for reduction of maternal and perinatal mortality, being fundamental the integration of the information from different levels of care for pregnant women. This study aimed to assess the completeness of data from antenatal cards submitted by a cohort of pregnant women enrolled in two university hospitals in Belo Horizonte, according to the routine protocol provided by MS and the Municipality of Belo Horizonte (PBH) to low-risk pregnancies. As the specific objective of evaluating the records of prenatal care cards, as well as this routine. This is a descriptive, cross-sectional study, with quantitative character, based on the structured interview questionnaire administered to women (Part I), and audit of antenatal cards presented in the nursery in birth time (Part II). The informations were collected in the maternity wards of the Hospital das Clinicas / UFMG and in the Hospital Risoleta Tolentino Neves, from October 2012 to January 2013, totaling 214 postpartum women. In the cards auditing, we analyzed the completeness of data, and the records of prenatal care as MS and PBH protocols. The results showed completeness ranging from 95.7 % to 3.2 %. The information related to vaccination, the examinations of the breast, and preventive dental presented low completeness. The records of obstetric procedures, fetal presentation, edema and BMI were more missing procedures. The results of vertical transmission screening tests (VDRL, HIV, HBsAg) were not conducted or reported in the last trimester, in a average of 70 % of patients. In the assessing records of prenatal care cards, the start of prenatal care and the number of queries submitted adequacy of 60 % , in the obstetric procedures and basic laboratory tests , the adequacy was 4.3 % and 36.8 % , respectively. The study highlighted the inadequacy of important information as well as non-compliance with prenatal care protocols. Indicates the need to create alternatives to the existing collection / data storage and prenatal care model today.