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Prenatal care for pregnant women diagnosed with syphilis according to primary health care nurses / Assistência pré-natal às gestantes com diagnóstico de sífilis segundo os enfermeiros da atenção primária à saúde
Preprint
in English
| SciELO Preprints
| ID: pps-5959
Responsible library:
BR1.1
ABSTRACT
Objective:
to analyze how prenatal care to pregnant women diagnosed with syphilis is provided by nurses working in primary health care, in a health region of the interior of the State of São Paulo.Method:
non-experimental, cross-sectional, descriptive correlational research with a quantitative approach.Results:
it was possible to observe that 29.6% of nurses reported not performing subsequent prenatal consultations, and also an important association where most nurses who performed the subsequent consultations based their care on municipal protocol (P=0.000). Among the results, 30.4% of nurses did not prescribe benzylpenicillin benzathine for pregnant women who were reagent to syphilis, and 22.7% did not administer it without the presence of a physician in the unit. Another result that deserves attention is the prescription of a single treatment protocol for pregnant women regardless of the stage of syphilis.Conclusion:
There are gaps between the protocols for the care of pregnant women diagnosed with syphilis and the care provided by nurses in primary health care. It is expected that the actions evidenced in this study will promote improvements in the practice of nurses and that they will contribute to reaching the goal recommended by the World Health Organization for congenital syphilis in Brazil.RESUMO
Objetivo:
analisar como ocorre a assistência pré-natal às gestantes com diagnóstico de sífilis pelos enfermeiros que atuam na atenção primária à saúde, em uma regional de saúde do interior do Estado de São Paulo.Método:
pesquisa de delineamento não experimental, transversal, do tipo correlacional descritiva e de abordagem quantitativa.Resultados:
foi possível observar que 29,6% dos enfermeiros referiram não realizar consultas subsequentes de pré-natal, e ainda uma associação importante onde a maioria dos enfermeiros que realizaram as consultas subsequentes baseava sua assistência em protocolo municipal (P=0,000). Destaca-se entre os resultados que 30,4% dos enfermeiros não cumpriram a prescrição de benzilpenicilina benzatina para as gestantes reagentes à sífilis e 22,7% não administraram a mesma sem a presença do médico na unidade. Outro resultado que merece atenção, é a prescrição de protocolo único de tratamento para gestantes independentemente do estágio da sífilis.Conclusão:
Há lacunas entre os protocolos para a assistência às gestantes com diagnóstico de sífilis e a assistência prestada pelos enfermeiros da atenção primária à saúde. Espera-se que as ações evidenciadas neste estudo promovam melhorias para a prática dos enfermeiros e que contribua para atingir no Brasil a meta preconizada pela Organização Mundial de Saúde para a sífilis congênita.
Full text:
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Collection:
Preprints
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Sexually Transmitted Infections: Prevention and Care
/
Goal 3 Human resources for health
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Target 3.8 Achieve universal access to health
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Target 3.7: Universal access to health services related to reproductive and sexual health
/
Maternal Care
Database:
SciELO Preprints
Type of study:
Diagnostic study
/
Practice guideline
Language:
English
Year:
2023
Document type:
Preprint