Evaluation of prenatal care in primary care in the perception of pregnant women. / Avaliação do cuidado pré-natal na atenção primária a saúde na percepção da gestante.

OBJECTIVE: To evaluate prenatal care in primary health care in the perception of pregnant women. METHOD: This cross-sectional study analyzes the association and statistical significance of the expectations and satisfaction of pregnant women receiving prenatal care in a municipality of southeast Brazil. We evaluated the association using simple logistic regression and statistical significance between variables and the expectation and satisfaction domains. RESULTS: A predominance of low expectations, with 279 (74%), and high satisfaction, with 220 (58.8%), was identified among the pregnant women regarding their perceptions of prenatal care. Tests showed an association and a statistical significance between the variable "to have used the same prenatal service" with the satisfaction domain. No differences were found between the two service models for both domains. CONCLUSION: The low expectation and high satisfaction of the pregnant women for the two care models can reveal ways of improving the quality of care in both services.

[Programs and public policy contributions for the improvement of maternal health]. / Contribuições de programas e políticas públicas para a melhora da saúde materna.

OBJECTIVE: To analyze the contributions of public policies and programs to the improvement of maternal health. METHOD: Historical and reflective study from the perspective of the theoretical framework of sexual and reproductive rights. RESULTS: maternal health is embedded in sexual and reproductive rights, which are seen as human rights and a responsibility of the state. Many programs and policies have been developed and improved in order to bring advancements to maternal health and contribute to meeting the fifth Millennium Development Goal. CONCLUSIONS: The development and enhancement of programs and policies played an important role in the organization of health systems, reflecting on improvements achieved in maternal health indicators. However, the perpetuation of high levels of maternal mortality over the years underscores the need to rethink the path trailed to date.

[Epidemiological research of the maternal deaths and compliance with the fifth millennium development goal]. / Pesquisa epidemiológica dos óbitos maternos e o cumprimento do quinto objetivo de desenvolvimento do milênio.

OBJECTIVE: To identify and describe the epidemiological characteristics of maternal deaths that occured between 2000-2012 in a reference hospital in the state of São Paulo in order to contribute to the analysis of compliance with the fifth Millennium Development Goal. METHOD: Epidemiological, retrospective and cross-sectional study with a population of 58 maternal deaths. Data were collected in the second half of 2013, through medical records and death certificates, and analyzed by SPSS version 13.0. RESULTS: An average age of 29.11 years was identified, 56.9% with 1-3 previous pregnancies, 56.9% cesarean deliveries, 84.5% of maternal complications occurred during pregnancy and the postpartum period, 81% of deaths occurred in postpartum, 56.9% of deaths were classified as direct causes, with 44.8% of deaths being attributed to high blood pressure. CONCLUSION: There is a need for investment in obstetric care to optimize the reduction of complications during the gestation and puerperal period, thereby influencing the reduction of maternal mortality.

Food choices and practices during pregnancy of immigrant women with high-risk pregnancies in Canada: a pilot study.

BACKGROUND: Immigrant women may be regarded as a vulnerable population with respect to access and navigation of maternity care services. They may encounter difficulties when accessing culturally safe and appropriate maternity care, which may be further exacerbated by language difficulties and discriminatory practices or attitudes. The project aimed to understand ethnocultural food and health practices and how these intersect in a particular social context of cultural adaptation and adjustment in order to improve the care-giving capacities of health practitioners working in multicultural perinatal clinics. METHODS: This four-phase study employed a case study design allowing for multiple means of data collection and different units of analysis. Phase one consists of a scoping review of the literature. Phases two and three incorporate pictorial representations of food choices with semi-structured photo-elicited interviews. This study was undertaken at a Prenatal and Obstetric Clinic, in an urban Canadian city. In phase four, the research team will inform the development of culturally appropriate visual tools for health promotion. RESULTS: Five themes were identified: (a) Perceptions of Health, (b) Social Support (c) Antenatal Foods (d) Postnatal Foods and (e) Role of Health Education. These themes provide practitioners with an understanding of the cultural differences that affect women's dietary choices during pregnancy. The project identified building collaborations between practitioners and families of pregnant immigrant women to be of utmost importance in supporting healthy pregnancies, along with facilitating social support for pregnant and breastfeeding mothers. CONCLUSION: In a multicultural society that contemporary Canada is, it is challenging for health practitioners to understand various ethnocultural dietary norms and practices. Practitioners need to be aware of customary practices of the ethnocultural groups that they work with, while simultaneously recognizing the variation within-not everyone follows customary practices, individuals may pick and choose which customary guidelines they follow. What women choose to eat is also influenced by their own experiences, access to particular foods, socioeconomic status, family context, and so on. The pilot study demonstrated the efficacy of the employed research strategies and we subsequently acquired funding for a national study.

Prediction of odds for emergency cesarean section: A secondary analysis of the CHILD term birth cohort study.

INTRODUCTION: Previously developed cesarean section (CS) and emergency CS prediction tools use antenatal and intrapartum risk factors. We aimed to develop a predictive model for the risk of emergency CS before the onset of labour utilizing antenatal obstetric and non-obstetric factors. METHODS: We completed a secondary analysis of data collected from the CHILD Cohort Study. The analysis was limited to term (≥37 weeks), singleton pregnant women with cephalic presentation. The sample was divided into a training and validation dataset. The emergency CS prediction model was developed in the training dataset and the performance accuracy was assessed by the area under the receiver operating characteristic curve(AUC) of the receiver operating characteristic analysis (ROC). Our final model was subsequently evaluated in the validation dataset. RESULTS: The participant sample consisted of 2,836 pregnant women. Mean age of participants was 32 years, mean BMI of 25.4 kg/m2 and 39% were nulliparous. 14% had emergency CS delivery. Each year of increasing maternal age increased the odds of emergency CS by 6% (adjusted Odds Ratio (aOR 1.06,1.02-1.08). Likewise, there was a 4% increase odds of emergency CS for each unit increase in BMI (aOR 1.04,1.02-1.06). In contrast, increase in maternal height has a negative association with emergency CS. The final emergency CS delivery predictive model included six variables (hypertensive disorders of pregnancy, antenatal depression, previous vaginal delivery, age, height, BMI). The AUC for our final prediction model was 0.74 (0.72-0.77) in the training set with a similar AUC in the validation dataset (0.77; 0.71-0.82). CONCLUSION: The developed and validated emergency CS delivery prediction model can be used in counselling prospective parents around their CS risk and healthcare resource planning. Further validation of the tool is suggested.

Food choices and practices during pregnancy of immigrant and Aboriginal women in Canada: a study protocol.

BACKGROUND: Facilitating the provision of appropriate health care for immigrant and Aboriginal populations in Canada is critical for maximizing health potential and well-being. Numerous reports describe heightened risks of poor maternal and birth outcomes for immigrant and Aboriginal women. Many of these outcomes may relate to food consumption/practices and thus may be obviated through provision of resources which suit the women's ethnocultural preferences. This project aims to understand ethnocultural food and health practices of Aboriginal and immigrant women, and how these intersect with respect to the legacy of Aboriginal colonialism and to the social contexts of cultural adaptation and adjustment of immigrants. The findings will inform the development of visual tools for health promotion by practitioners. METHODS/DESIGN: This four-phase study employs a case study design allowing for multiple means of data collection and different units of analysis. Phase 1 consists of a scoping review of the literature. Phases 2 and 3 incorporate pictorial representations of food choices (photovoice in Phase 2) with semi-structured photo-elicited interviews (in Phase 3). The findings from Phases 1-3 and consultations with key stakeholders will generate key understandings for Phase 4, the production of culturally appropriate visual tools. For the scoping review, an emerging methodological framework will be utilized in addition to systematic review guidelines. A research librarian will assist with the search strategy and retrieval of literature. For Phases 2 and 3, recruitment of 20-24 women will be facilitated by team member affiliations at perinatal clinics in one of the city's most diverse neighbourhoods. The interviews will reveal culturally normative practices surrounding maternal food choices and consumption, including how women negotiate these practices within their own worldview and experiences. A structured and comprehensive integrated knowledge translation plan has been formulated. DISCUSSION: The findings of this study will provide practitioners with an understanding of the cultural differences that affect women's dietary choices during maternity. We expect that the developed resources will be of immediate use within the women's units and will enhance counseling efforts. Wide dissemination of outputs may have a greater long term impact in the primary and secondary prevention of these high risk conditions.

Post-COVID-19 Condition in Children.

This cohort study assesses the parent-reported incidence and resolution of post­COVID-19 symptoms among children aged 8 to 13 years.

An Innovative Exchange Model for Global and Community Health Nursing Education.

Understanding different cultures is important in the education of nursing students who will become the health care workforce of our future interdependent and globalized societies. International practicum courses help students and nurses understand different cultures. This article describes an innovative approach to nursing education and understanding diverse cultures, in the context of a hybrid course (online course coupled with face-to-face practicum experiences), which enrolled nursing students from opposite hemispheres.

Pain during the labor active phase: the effect of walking.

UNLABELLED: This study aimed to verify whether the distance walked is correlated with women's pain level throughout the active phase of labor. METHODOLOGY: We realized an analytic, quasi-experimental intervention study. Study participants were 80 primiparous parturient women, who were admitted during spontaneous labor, with 37-42 weeks, at the start of the active phase. DATA ANALYSIS: Spearman's correlation test. RESULTS: the parturient women walked an average distance of 1,624 meters, 63.09% of the active phase of labor and during an average time of five hours. Pain scores increase along with the advance in cervical dilatation. However, we only found a significant positive correlation when 5cm of dilatation had been reached, that is, the more distance the participants walked, the higher the pain scores they reached.

Nutritional guidance during prenatal care in public health services in Ribeirão Preto: discourse and care practice.

This study aimed to verify if pregnant women attended in prenatal care services at Basic Health Units in Ribeirão Preto-SP, Brazil, received nutritional guidance and if this guidance was pertinent to their nutritional status. Ninety-one pregnant women participated. The pregnant women were classified according to their nutritional condition, using a weight, height and pregnancy stage table established by the Brazilian Health Ministry's technical prenatal care manual. We found pregnant women with weight under (13.19%) and exceeding normal levels (37.36%). Independently of their nutritional condition, most of them (60.43%) declared they did not receive nutrition guidance. The mean number of prenatal visits did not influence the nutritional status. The results reveal deficiencies in the contents and quality of nutritional care. This suggests the need for care changes so as to turn discourse into practice.

Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth / Trauma perineal como mudança existencial: um estudo qualitativo com mulheres vivenciando o parto humanizado

ABSTRACT: Objective: To investigate how women experienced perineal trauma during a humanized birth.Methods: A qualitative study with 22 postpartum women was performed from January to December 2018. The Husserlian phenomenology was used as theoretical framework using individual, in-depth interviews that were audio-taped and transcribed verbatim. Results: Twenty-four categories emerged from women ́s reports. During the prenatal phase, we found lack of information regarding perineal trauma, the alterity as a facilitating process to incentive women towards vaginal delivery and the perception of the beginning of an existential transition. During labor, it was noticed trust and attachment with the health professional giving physical and emotional support, the fear of the unknown linking to insecurity, the need for internal surrender to the process, empowerment as a result of trust and commitment, to give herself to the moment and no concerns with intrapartum injury but at the same time, having the possibility to share a decision-making process of suturing(or not). The postpartum period has shown the completion of the existential transition, the body as a place of estrangement, the loosening of some ties, but the construction of new networks of personal support to overcome postpartum. Conclusions: Most of women after humanized birth perceived perineal trauma as an existential transition that was initiated during antenatal period. (AU)

RESUMO: Objetivos: Investigar como as mulheres experienciaram o trauma perineal durante um parto humanizado. Métodos: Um estudo qualitativo com 22 mulheres pós-parto foi realizado de janeiro a dezembro 2018. A fenomenologia Husserliana foi usada como referencial teórico usando entrevistas individuais que foram audiogravadas e transcritas verbatim. Resultados: Vinte e quatro categorias emergiram durante os relatos. Durante o período pré-natal, a falta de informação sobre o trauma perineal, a alteridade como processo facilitador para incentivar as mulheres em direção ao parto vaginal e a percepção do começo de uma transição existencial. Durante o parto, a confiança e ligação com o(a) profissional de saúde com suporte físico e emocional, o medo do desconhecido e a insegurança, a necessidade de se entregar ao processo, o empoderamento como resultado de confiança e comprometimento, e o processo de tomada de decisão compartilhada da sutura (ou não). O período pós-parto mostra a completude da transição existencial, o corpo como local de estranhamento, o afrouxamento de alguns laços, mas a construção de novas redes de suporte pessoal para superar esse período. Conclusão: A maior parte das mulheres depois do parto humanizado percebe o trauma perineal como uma transição existencial que fora iniciada durante o período antenatal. (AU)

The Cultural and Linguistic Adaptation to Brazilian Portuguese and Content Validity of the Patient Expectations and Satisfaction With Prenatal Care Instrument.

BACKGROUND: Patient satisfaction reflects how an individual's expectations, goals, and preferences are met by health care providers or services. Most research on patient expectations and satisfaction has been conducted in developed countries; there was no Portuguese language instrument to measure pregnant women's expectations and satisfaction with prenatal care. PURPOSE: To adapt and test the Patient Expectations and Satisfaction with Prenatal Care (PESPC) instrument for use in Brazil. DESIGN: We conducted a systematic cultural and linguistic adaptation of the PESPC into Brazilian Portuguese and tested the validity of the adapted instrument. RESULTS: Implementation of this rigorous methodological process resulted in a valid, reliable, culturally, and linguistically appropriate instrument. IMPLICATIONS FOR PRACTICE: We recommend further assessment of the Brazilian Portuguese PESPC with more diverse samples of Portuguese-speaking pregnant women in Brazil and other countries. Application of this structured approach to cultural and linguistic instrument adaptation is one way to further transcultural nursing research.

[Care during postpartum "confinement." Beliefs and taboos in a group of puerperal women]. / O cuidado no "resguardo": as vivências de crenças e tabus por um grupo de puérperas.

In our milieu, postpartum confinement is surrounded by cultural manifestations and taboos which are based on natural, supernatural, and social interpretations. This work has identified the meanings attributed to self-care by puerperae under the theoretical framework of culture. The subjects were women soon after childbirth who attended health units with their children for routine procedures. The results showed that the beliefs revealed a symbolic power in the infrastructure of conducts and behaviors of these women in relation to manifestations and care during the postpartum stage. It is important that health professionals incorporate the values and beliefs of women soon after childbirth into their practice, thus sharing the knowledge involving puerperium and favoring the critical understanding of reality and the promotion of health for mothers and their children.

Avaliação do cuidado pré-natal na atenção primária a saúde na percepção da gestante / Evaluación del cuidado prenatal en la atención primaria a salud en la percepción de la gestante / Evaluation of prenatal care in primary care in the perception of pregnant women

Resumo OBJETIVO Avaliar o cuidado pré-natal na Atenção Primária a Saúde na percepção da gestante. MÉTODO Trata-se de um estudo transversal com análise da associação e significância estatística da expectativa e satisfação das gestantes com o cuidado pré-natal em um município da região sudeste do Brasil. A associação foi avaliada pela regressão logística simples e significância estatística entre algumas variáveis e os domínios expectativa e satisfação. RESULTADOS Foi identificado predomínio de baixa expectativa 279 (74%) e alta satisfação 220 (58,8%) das gestantes com o cuidado pré-natal. Os testes de associação demonstraram associação e significância estatística entre a variável "ter utilizado o mesmo serviço de pré-natal" com o domínio satisfação. Não houve diferenças entre os dois modelos de atendimento para ambos os domínios. CONCLUSÃO A baixa expectativa e alta satisfação das gestantes para os dois modelos de atendimento pode ser aperfeiçoada para a melhora da qualidade assistencial de ambos os serviços.

Resumen OBJECTIVO Evaluar el cuidado prenatal en la Atención Primaria a la Salud en la percepción de la gestante. MÉTODO Se trata de un estudio transversal con análisis de la asociación y significancia estadística de la expectativa y satisfacción de las gestantes con el cuidado prenatal en un municipio de la región sudeste de Brasil. La asociación fue evaluada por la regresión logística simple y significancia estadística entre algunas variables y los dominios expectativa y satisfacción. RESULTADOS Se identificó predominio de baja expectativa 279 (74%) y alta satisfacción 220 (58,8%) de las gestantes con el cuidado prenatal. Las pruebas de asociación demostraron asociación y significancia estadística entre la variable "haber utilizado el mismo servicio de prenatal" con el dominio de satisfacción. No hubo diferencias entre los dos modelos de atención para ambos dominios. CONCLUSIÓN La baja expectativa y alta satisfacción de las gestantes para los dos modelos de atención puede ser perfeccionada para la mejora de la calidad asistencial de ambos servicios.

Abstract OBJECTIVE To evaluate prenatal care in primary health care in the perception of pregnant women. METHOD This cross-sectional study analyzes the association and statistical significance of the expectations and satisfaction of pregnant women receiving prenatal care in a municipality of southeast Brazil. We evaluated the association using simple logistic regression and statistical significance between variables and the expectation and satisfaction domains. RESULTS A predominance of low expectations, with 279 (74%), and high satisfaction, with 220 (58.8%), was identified among the pregnant women regarding their perceptions of prenatal care. Tests showed an association and a statistical significance between the variable "to have used the same prenatal service" with the satisfaction domain. No differences were found between the two service models for both domains. CONCLUSION The low expectation and high satisfaction of the pregnant women for the two care models can reveal ways of improving the quality of care in both services.

Adaptation and validation of the Patient Expectations and Satisfaction with Prenatal Care instrument among Brazilian pregnant women.

OBJECTIVE: to adapt and validate the Patient Expectations and Satisfaction with Prenatal Care instrument for use in Brazil. It contains 41 items divided into two dimensions: expectations and satisfaction. The adapted version was submitted to analysis for stability, convergent construct validity, and internal consistency (Cronbach's alpha) for distinct groups and dimensions. METHOD: 119 pregnant women receiving prenatal care were interviewed and 26 of these women answered the instrument twice (retest). Internal consistency was appropriate (Cronbach's alpha ≥ 0.70); test-retest presented strong correlation (r=0.82; p<0.001) for the domain expectations and moderate correlation (r=0.66; p<0.001) for the satisfaction domain. The analysis confirmed that the instrument's adapted version is valid in the studied group. RESULTS: there is strong evidence for the validity and reliability of the instrument's adaptation. CONCLUSION: the instrument needs to be tested in groups of pregnant women with different social characteristics.

Photovoice: method experiment research with adolescent mothers / Photovoice: experiencia del método en investigación con madres adolescentes / Photovoice: experiência do método em pesquisa com mães adolescentes

Abstract Objective: To report on the development of the phases of the photovoice method in qualitative research with adolescent mothers who were experiencing or experienced breastfeeding and/or weaning. Method: Twelve individual interviews and one focus group were conducted. Results: The photovoice was developed in the phases: Identification of the political decision makers in the community with some community leadership profile; Recruitment of participants; Introduction of the methodology to the participants; Obtaining informed consent; Identification of the theme (s) for the photographs; Distribution of cameras and review of their handling; Provision of time for the registration of photographs; Meeting (s) for discussion on photographs and identification of community resources and issues; Shared planning of the dissemination formats of the images and stories produced. Final considerations and implications for the practice: Photovoice stands out as a way to approach health professionals with the life circumstances of adolescent mothers, in order to promote and support breastfeeding.

Resumen Objetivo: Informar la experiencia del desarrollo de las fases del método photovoice en investigación cualitativa junto a madres adolescentes que estaban vivenciando o vivenciaron el proceso de lactancia y/o de destete. Método: Se realizaron 12 entrevistas individuales y un grupo focal. Resultados: El photovoice fue desarrollado en las fases: Identificación de los responsables políticos en la comunidad con algún perfil de liderazgo comunitario; Reclutamiento de las participantes; Introducción de la metodología a las participantes; Obtención del consentimiento informado; Identificación de tema(s) para las fotografías; Distribución de las cámaras y revisión de sus manipulaciones; Ofrecimiento de tiempo para el registro de las fotografías; Encuentro(s) para discusión sobre las fotografías e identificación de los recursos y problemáticas comunitarias; Planificación compartida de los formatos de diseminación de las imágenes e historias producidas. Consideraciones finales e implicaciones para la práctica: Se destaca el photovoice como medio para acercamiento de los profesionales de salud con las circunstancias de vida de las madres adolescentes, para actuar en la promoción y apoyo a la lactancia.

Resumo Objetivo: Relatar experiência do desenvolvimento das fases do método photovoice em pesquisa qualitativa junto a mães adolescentes que estavam vivenciando ou vivenciaram o processo de amamentação e/ou de desmame. Método: Realizaram-se 12 entrevistas individuais e um grupo focal. Resultados: O photovoice foi desenvolvido nas fases: Identificação dos decisores políticos na comunidade com algum perfil de liderança comunitária; Recrutamento das participantes; Introdução da metodologia às participantes; Obtenção do consentimento informado; Identificação de tema(s) para as fotografias; Distribuição das câmeras e revisão de seus manuseios; Oferecimento de tempo para o registro das fotografias; Encontro(s) para discussão sobre as fotografias e identificação dos recursos e problemáticas comunitárias; Planejamento partilhado dos formatos de disseminação das imagens e histórias produzidas. Considerações finais e implicações para a prática: Destaca-se o photovoice como meio para aproximação dos profissionais de saúde com as circunstâncias de vida das mães adolescentes, para atuarem na promoção e apoio à amamentação.

Perfil dos profissionais de enfermagem que atuam na assistência pré-natal: um estudo descritivo / Profile of nursing professionals that act in prenatal care: a descriptive study / Perfil de los profesionales de enfermería que actúan en el cuidado prenatal: un estudio descriptivo

Objetivos: caracterizar os profissionais de enfermagem que atuam no pré-natal da atenção básica e identificar o perfil e a qualificação dos profissionais de enfermagem que prestam assistência às gestantes, ressaltando a importância da assistência pré-natal conduzida por profissionais qualificados. Método: estudo descritivo com abordagem quantitativa, com coleta de dados por meio de entrevista estruturada dirigida a 156 profissionais do município de Ribeirão Preto-SP. Para análise dos dados foi utilizada estatística descritiva. Resultados: houve predominância de profissionais do sexo feminino, casadas, com média de idade de 45,1 anos, com filhos e mais de dez anos de formação. A renda dos auxiliares é de 37,9% da renda dos enfermeiros e a dos técnicos de 49,7%. A maior parte dos enfermeiros possui algum tipo de pós-graduação; destes, seis possuem especialização em obstetrícia. Conclusão: o cuidado pré-natal é prestado por profissionais maduros e experientes que já tiveram tempo para se aprimorar e tiveram discreta qualificação profissional voltada à obstetrícia.(AU)

Objectives: characterizing nursing professionals working in prenatal primary care and identifying the profile and qualification of nursing professionals who provide care for pregnant women, highlighting the importance of prenatal care conducted by qualified professionals. Method: a descriptive study of a quantitative approach, data collection through structured interviews directed to 156 professionals in the city of Ribeirão Preto-SP. For data analysis there were used the descriptive statistics. Results: there was a predominance of female professionals, married, with an average age of 45,1 years old, with children and over ten years of training. The income of the auxiliary is of 37,9% of the income of nurses and 49,7% of technicians. Most nurses have some sort of Postgraduation; of these, six have specialized in obstetrics. Conclusion: prenatal care is provided by mature and experienced professionals, who have had time to improve and had discreet professional qualification focused on obstetrics.(AU)

Objetivos: caracterizar los profesionales de enfermería que trabajan en atención primaria prenatal e identificar el perfil y cualificación de los profesionales de enfermería que prestan atención a las mujeres embarazadas, destacando la importancia de la atención prenatal llevada a cabo por profesionales cualificados. Método: estudio descriptivo con enfoque cuantitativo, la recopilación de datos se dio a través de entrevistas estructuradas dirigidas a 156 profesionales en la ciudad de Ribeirão Preto-SP. Se utilizó como análisis de datos la estadística descriptiva. Resultados: hubo un predominio de mujeres profesionales, casadas, con una edad media de 45,1 años, con niños y más de diez años de entrenamiento. Los ingresos del auxiliar son de 37,9% de los ingresos de las enfermeras y el 49,7% de los técnicos. La mayoría de las enfermeras tiene una especie de post-grado; de estas seis se han especializado en obstetricia. Conclusión: la atención prenatal es proporcionada por profesionales maduros y experimentados, que han tenido tiempo para mejorar y tenían cualificación profesional discreta centrada en obstetricia.(AU)

Evolução de indicadores maternos a partir do Sistema de Informação Sobre Nascidos Vivos / Development of maternal indicators from the Information System on Live Births / Evolución de indicadores maternos a partir del Sistema de Información Sobre Nacidos Vivos

Objetivos: delinear as características maternas e avaliar os indicadores de saúde materna por meio do SINASC. Método: estudo retrospectivo e longitudinal com abordagem quantitativa. A população foi constituída por 18.065 nascimentos ocorridos em São Luís/MA, no ano de 2012, selecionados a partir do SINASC. Na análise dos dados, utilizou-se o programa Epi-info. Resultados: verificou-se que 17,3% eram adolescentes; 65,9% tinham companheiro; 80,5% cursaram até o ensino superior; 84,13% realizaram quatro ou mais consultas pré-natais; 51,54% realizaram partos cesáreos; e 11,94% foram partos prematuros. A proporção de nascidos vivos de mães adolescentes foi 17,30%, de partos cesáreos 51,54% e de partos prematuros 11,94%. O indicador de cobertura pré-natal para o mínimo de quatro consultas foi 84,13%. Conclusão: os indicadores de partos cesáreos e partos prematuros tiveram destaque desfavorável, refletindo a importância do desenvolvimento de ações na assistência pré-natal.(AU)

Objectives: to outline the maternal characteristics and evaluate maternal health indicators through SINASC. Method: a retrospective, longitudinal study with a quantitative approach. The population consisted of 18,065 births in São Luis/MA in 2012 selected from the SINASC. In the data analysis, the Epi-info program was used. Results: it was found that 17.3% were adolescents; 65.9% had a partner; 80.5% had completed higher education; 84.13% had four or more antenatal visits; 51.54% underwent cesarean deliveries, and 11.94% were premature births. The proportion of live births to adolescent mothers was 17.30%, cesarean deliveries were 51.54%, and premature births was 11.94%. Prenatal coverage indicator for a minimum of four visits was 84.13%. Conclusion: the cesarean deliveries indicators and premature births were unfavorable highlighted, reflecting the importance of developing actions in prenatal care.(AU)

Objetivos: delinear las características maternas y evaluar los indicadores de salud materna por medio del SINASC. Método: estudio retrospectivo y longitudinal con enfoque cuantitativo. La población fue constituída por 18.065 nacimientos en São Luís/MA en el año 2012 seleccionados a partir del SINASC. En el análisis de los datos, se utilizó el programa Epi-info. Resultados: se verificó que 17,3% eran adolescentes; 65,9% tenían compañero; 80,5% cursaron hasta la enseñanza superior; 84,13% realizaron cuatro o más consultas prenatales; 51,54% realizaron partos cesáreos y 11,94% fueron partos prematuros. La proporción de nacidos vivos de madres adolescentes fue 17,30%, de partos cesáreas fue 51,54%, y de partos prematuros fue 11,94%. El indicador de cobertura pre-natal para lo mínimo de cuatro consultas fue 84,13%. Conclusión: los indicadores de partos cesáreas y partos prematuros tuvieron destaque desfavorable, reflexionando la importancia del desarrollo de acciones en la asistencia pre-natal.(AU)

Incompletude de informação de nascidos vivos em São Luís/MA no ano de 2012 / Información de la incompletitud de nacidos vivos en São Luís/MA en 2012 / Information incompleteness of Live Births in São Luís/MA in 2012

To evaluate the Information System on Live Births in São Luís/MA referring to the mother, child and pregnancy. Method: this is a longitudinal and retrospective study. Data collection was performed in 2012, with a population of 18,065 live births in the Declaration of Live Birth. The calculation of the percentage of incomplete classification criterion of scale Romero and Cunha was carried out. Results: the Information System on Live Births in São Luís/MA showed fair to excellent completeness for most variables. Maternal and infant variables with excellent completeness were maternal age, marital status, education, sex of child, weight and Apgar score at 1 and 5 minutes. The highest percentages of incompleteness were the variables gestational age, mother's occupation, number of children living and dead. Conclusions: the estimated coverage of the Information System of Live Birth showed a regular completeness...

Avaliar o Sistema de Informação de Nascidos Vivos na cidade de São Luís/MA referente às variáveis relacionadas à mãe, criança e a gestação. Método: trata-se de um estudo longitudinal e retrospectivo. A coleta de dados foi realizada em 2012, com população de 18.065 nascidos vivos, por meio da Declaração de Nascidos Vivos. Realizou-se o cálculo do percentual de incompletitude pelo critério de classificação da escala de Romero e Cunha. Resultados: completitude identificada de regular a excelente para a maioria das variáveis. As variáveis maternas e infantis que apresentaram excelente completitude foram: idade materna,estado civil, escolaridade, sexo da criança, peso e índice de Apgar no 1º e 5º minuto. Os maiores percentuais de incompletude foram as variáveis: idade gestacional, ocupação da mãe, quantidade de filhos vivos e mortos. Conclusões: a cobertura estimada do Sistema de Informação de Nascidos Vivos apresentou uma completude regular...

Evaluar el Sistema de Información sobre Nacidos Vivos en São Luís/MA relativos a las variables relacionadas con la madre, el niño y el embarazo. Método: se realizó un estudio retrospectivo longitudinal. La recolección de datos se realizó en 2012, con una población de 18.065 nacidos vivos en la Declaración de Nacido Vivo. Se realizó el cálculo del porcentaje de la escala criterio de clasificación incompleta de Romeroy Cunha. Resultados: el sistema de Informaciones de Nacidos Vivos de São Luís/MA identificó de buena a excelente para la mayoría de las variables. Maternal y las variables infantiles con una excelente integridad fueron: edad materna, el estado civil, la educación, el sexo del niño, peso e índice de Apgar a 1 y 5 minutos.Los mayores porcentajes de la incompletitud fueron las variables: edad gestacional, la ocupación de la madre, número de nacidos vivos y mortinatos. Conclusiones: la cobertura estimada del Sistema de Información de Nacido Vivo presentó una integridad regular...

Satisfação com o cuidado pré-natal: contribuição para oquinto objetivo de desenvolvimento do milênio / Satisfaction with prenatal care: a contribution to achieving the fifth millennium development goal

O presente artigo apresenta uma reflexão dos aspectos que influenciam a satisfaçãoda gestante com o cuidado pré-natal recebido com enfoque para o cumprimento doquinto objetivo do desenvolvimento do milênio que visa melhorar a saúde materna. Foiidentificado evidências de que a assistência pré-natal é um fator importante na redução damorbimortalidade materna e perinatal, e a avaliação da satisfação da gestante por meiodo desenvolvimento de pesquisas pode contribuir para a qualidade do pré-natal reduzindoassim, a mortalidade materna e melhorando consequentemente saúde materna.Portanto, recomenda-se o desenvolvimento de mais pesquisas de caráter investigativoquanto ao enfoque da expectativa e satisfação da gestante com o cuidado pré-natal, como objetivo de contribuir significativamente com a garantia da qualidade da assistênciapré-natal, resultando consequentemente na redução de complicações do ciclo gravídicopuerperal, melhorando os resultados de bons nascimentos, reduzindo a mortalidadematerno-infantil e contribuindo consequentemente para o cumprimento do quinto objetivode desenvolvimento do milênio...

An analysis focused on compliance with the fifth millennium development goal is presented:to improve maternal health, of the factors that influence the satisfaction of pregnant womenwith prenatal care. Evidence has been found that prenatal care is an important factor inreducing morbidity and maternal and perinatal mortality. Satisfaction assessment of thepregnant woman through investigation factor can contribute to the quality of prenatalcare, reducing maternal mortality and thus to improving maternal health.Therefore, it is recommended that the research be focused on development and meeting theexpectations of pregnant women with prenatal care, in order to contribute significantly toensure the quality of prenatal care and leading to reduction of complications in pregnancyand childbirth, the improvement of births and reducing maternal and infant mortality, thuscontributing to meeting the fifth Millennium Development Goal...