Mario Débora Nunes, Rigo Lilian, Boclin Karine de Lima Sírio, Malvestio Lygia Maria Mouri, Anziliero Deniz, Horta Bernardo Lessa, Wehrmeister Fernando César, Martínez-Mesa Jeovany
Curso de Medicina, Escola de Saúde, Faculdade Meridional IMED. R. Senador Pinheiro, Vila Rodrigues. 99070-220 Passo Fundo RS Brasil.
Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal de Pelotas (UFPel). Pelotas RS Brasil.
Cien Saude Colet. 2019 Mar;24(3):1223-1232. doi: 10.1590/1413-81232018243.13122017.
This study aimed to assess the adequacy of prenatal care in Brazil associated with sociodemographic determinants. The study included a data analysis from the National Health Research performed in Brazil in 2013. Two outcomes on the adequacy of prenatal care were assessed: the Kessner index modified by Takeda index that, in addition to the former, assessed whether blood pressure and weight were measured in all appointments, as well as the performance of blood and urine tests and ultrasound. Both quality indicators were assessed for Brazil and for its macro-regions. According to Outcome 1, 80.6% of women received adequate prenatal care. When adding the performance of tests (Outcome 2), the rate dropped to 71.4%. Adequate prenatal care was more frequent among white women who performed prenatal care in the private health sector. The northern region had the lowest rate of adequate prenatal care, while the southeast region showed the highest rates. Despite the extensive coverage, prenatal care in Brazil still presents inequities and low service quality, especially for women from the poorest regions of the country.
本研究旨在评估巴西与社会人口学决定因素相关的产前护理充足性。该研究包括对2013年在巴西进行的国家卫生研究的数据分析。评估了两个关于产前护理充足性的结果：由武田指数修改的凯斯纳指数，除了前者外，该指数还评估了在所有预约中是否测量了血压和体重，以及血液和尿液检查及超声检查的执行情况。对巴西及其宏观区域评估了这两个质量指标。根据结果1，80.6%的妇女接受了充足的产前护理。当加上检查执行情况（结果2）时，这一比例降至71.4%。在私立卫生部门进行产前护理的白人妇女中，充足的产前护理更为常见。北部地区的充足产前护理率最低，而东南部地区的率最高。尽管覆盖面广泛，但巴西的产前护理仍然存在不平等和服务质量低下的问题，特别是对于该国最贫困地区的妇女。
