Martin Margot Marie, Knobel Roxana, Nandi Vitor, Pereira Jessica Goedert, Trapani Junior Alberto, Andreucci Carla Betina
Divisão de Saúde da Mulher, Hospital Universitário Polydoro Ernani de São Thiago, Florianópolis, SC, Brazil.
Departamento de ginecologia e obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Rev Bras Ginecol Obstet. 2022 Apr;44(4):398-408. doi: 10.1055/s-0041-1741450. Epub 2022 Feb 17.
The present study aimed to evaluate the antenatal care adequacy for women who gave birth at the University Hospital of Santa Catarina in Florianopolis (Brazil) during the COVID-19 pandemic, and to evaluate the association of adequacy with sociodemographic, clinical, and access characteristics.
Data were collected between October and December 2020, including 254 patients who delivered in the University Hospital from Federal University of Santa Catarina and answered our questionnaires. Additional data were obtained from patients' antenatal booklets. Antenatal care was classified as adequate, intermediate, or inadequate according to the number of appointments, gestational age at the beginning of follow-up, and tests results. We carried out a descriptive statistical analysis and a bivariate/with odds ratio analysis on maternal sociodemographic, clinical and health access variables that were compared with antenatal adequacy.
Antenatal care was considered adequate in 35.8% of cases, intermediate in 46.8%, and inadequate in 17.4%. The following maternal variables were associated with inadequate prenatal care (intermediate or inadequate prenatal care): having black or brown skin colour, having two or more children, being of foreign nationality, not being fluent in Portuguese, and using illicit drugs during pregnancy; the clinical variables were more than 6 weeks between appointments, and not attending high-risk antenatal care; as for access, the variables were difficulties in attending or scheduling appointments, and attending virtual appointments only.
In a sample of pregnant women from a teaching hospital in Florianópolis during the COVID-19 pandemic, antenatal care was considered adequate in 35.8%, intermediate in 46.8%, and inadequate in 17.4% of cases.
本研究旨在评估在新冠疫情期间于巴西弗洛里亚诺波利斯圣卡塔琳娜大学医院分娩的女性的产前护理充足性，并评估充足性与社会人口学、临床及就医便利性特征之间的关联。
于2020年10月至12月收集数据，包括254名在圣卡塔琳娜联邦大学医院分娩并回答了我们问卷的患者。从患者的产前手册中获取了其他数据。根据预约次数、随访开始时的孕周和检查结果，将产前护理分为充足、中等或不足。我们对与产前护理充足性进行比较的孕产妇社会人口学、临床和就医便利性变量进行了描述性统计分析和双变量/比值比分析。
35.8%的病例产前护理被认为充足，46.8%为中等，17.4%为不足。以下孕产妇变量与产前护理不足（中等或不足的产前护理）相关：皮肤为黑色或棕色、育有两个或更多子女、为外国国籍、葡萄牙语不流利以及孕期使用非法药物；临床变量为预约间隔超过6周以及未参加高危产前护理；就医便利性变量为就诊或预约困难以及仅参加虚拟预约。
在新冠疫情期间弗洛里亚诺波利斯一家教学医院的孕妇样本中，35.8%的病例产前护理被认为充足，46.8%为中等，17.4%为不足。
