Mendoza-Sassi Raúl A, Cesar Juraci A, Ulmi Eduardo F, Mano Patrícia S, Dall'Agnol Marinel M, Neumann Nelson A
Departamento de Medicina Interna, Universidade Federal do Rio Grande, Rio Grande, Brasil.
Cad Saude Publica. 2007 Sep;23(9):2157-66. doi: 10.1590/s0102-311x2007000900023.
The aim of this study was to assess knowledge on prenatal care and pregnancy risk among women in poor neighborhoods in the city of Rio Grande, Rio Grande do Sul State, Brazil. Data were collected using a cross-sectional design. A standard questionnaire was applied to all pregnant women from poor neighborhoods. Trained interviewers visited these women at home, covering demographic, socioeconomic, and reproductive data and knowledge concerning prenatal care and pregnancy risk factors. A total of 367 pregnant women were interviewed using non-random sampling. Except for urine tests and HIV testing, spontaneously reported as necessary, other procedures were reported by no more than 30% of the women. Digital vaginal examination, clinical breast examination, and Pap smear were reported by a maximum of 7% of the women. Only two-thirds felt that vaginal bleeding and abdominal pain were serious signs during gestation. Other signs and symptoms were reported by a maximum of one-third of the women. In conclusion, knowledge of prenatal tests and situations indicating serious risk fell far short of the desired levels. Improving this level of information in pregnant women could help reduce maternal and child morbidity and mortality.
本研究的目的是评估巴西南里奥格兰德州里奥格兰德市贫困社区妇女的产前护理知识和妊娠风险。数据采用横断面设计收集。对贫困社区的所有孕妇应用了一份标准问卷。经过培训的访谈员到这些妇女家中走访，收集人口统计学、社会经济和生殖数据以及有关产前护理和妊娠风险因素的知识。采用非随机抽样共访谈了367名孕妇。除了必要时自发报告的尿液检查和艾滋病毒检测外，其他程序的报告率不超过30%。数字阴道检查、临床乳房检查和巴氏涂片检查的报告率最高为7%。只有三分之二的人认为孕期阴道出血和腹痛是严重症状。其他症状和体征的报告率最高为三分之一。总之，产前检查知识和表明严重风险的情况远远低于预期水平。提高孕妇的这一信息水平有助于降低母婴发病率和死亡率。
