Succi Regina Célia de Menezes, Figueiredo Elisabeth Niglio, Zanatta Letícia de Carvalho, Peixe Marina Biffani, Rossi Marina Bertelli, Vianna Lucila Amaral Carneiro
Federal University of São Paulo, Brazil.
Rev Lat Am Enfermagem. 2008 Nov-Dec;16(6):986-92. doi: 10.1590/s0104-11692008000600008.
The aim of this study was to evaluate the quality of prenatal care offered in 12 Basic Health Units (BHU) in the city of Sao Paulo, Brazil, through a review of medical and nurse charts, before and after the municipalization of the public health system. The indicator used considered excellence in care as: starting prenatal care in the first quarter of pregnancy; at least six medical visits; at least two results of blood screening for syphilis and one for HIV; returning to BHU up to 42 days after delivery. This indicator was not present in any care delivered in 2000, and only 7.7% of the care delivered in 2004 obtained it (1.1% to 30% of the care per unit assessed). Although there was an evident improvement in care during the period, the low proportion of excellent prenatal care shows an urgent need to improve this care in the BHU of São Paulo city.
本研究的目的是通过回顾公共卫生系统市政化前后巴西圣保罗市12个基本卫生单位（BHU）提供的产前护理质量，查阅医疗和护理图表。所使用的指标将优质护理定义为：在妊娠第一季度开始产前护理；至少进行六次就诊；至少两次梅毒血液筛查结果和一次艾滋病毒检测结果；产后42天内返回BHU。该指标在2000年提供的任何护理中均未出现，2004年提供的护理中只有7.7%达到该标准（每个评估单位的护理比例为1.1%至30%）。尽管在此期间护理有明显改善，但优质产前护理比例较低表明圣保罗市BHU急需改善此类护理。
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