Conformity between immunization records in prenatal charts and vaccine conditions of pregnant women seen in public health services of Jundiaí-SP

Abstract

The records of the vaccine situation in the prenatal charts are an important source of information to be shared among the health teams responsible for maternity assistance. The objective of this study was to evaluate the conformity between the records regarding immunization in the prenatal chart and the information kept in the archives of the Primary Health Center/Family Health Center in which the pregnant woman underwent prenatal care. The 306-woman sample was calculated from the 4017 childbirths that happened in 2013, taking into account the 54% of pregnant women who were cared for in the Unified Health System (SUS). The inclusion of women in the sample was random and stratified, aiming to work with 15% of the births performed in each month. The results have shown that only 12.4% (41/306) of the prenatal charts presented any recorded vaccines; in the health units the record was verified in 49.6% (152/306) of the pregnant women, which meant it was 3.7 times greater in the PHC/FHC. The underreporting of the records increases with the number of pregnant women. Only two types of vaccine were recorded in the charts analyzed: the MMR, in 36 charts (11.7%) and the Influenza, in six charts (1.9%). In the health units four types were registered, the most frequent of which were the Tetanus: 45.7% (140/306) and the Hepatitis B: 44.4% (136/306). The study has shown that there is not a conformity between the information on the vaccination status of the women contained in the prenatal charts and that in the records archived in the health care units where the prenatal assistance was conducted. The situation deserves much more attention on the part of the health professionals who offer assistance to pregnant women, because underreporting of vaccines in prenatal charts reaches more than 80%, and the vaccines of just a little more than half of the pregnant women studied are correctly recorded in the health.

Social and obstetric inequalities and vaccination in pregnant women

“…However, this cross-sectional study is limited by lack of official records of HBV in pregnant women in the municipality and also because there is a memory bias, that is, some pregnant women may not remember having been vaccinated (24) . Another descriptive and cross-sectional study, conducted in the city of Jundiai, State of São Paulo, did not show any association of sociodemographic and gestational variables with the hepatitis B vaccine (28) .…”

Revisão Sistemática: Cuidados De Enfermagem No Enfrentamento À Hepatite B No Âmbito Da Atenção Primária / Systematic Review: Nursing Care in the Fight Against Hepatitis B in Primary Care

“…Transmissão de conhecimentos sobre a hepatite B e vacinas 10,14,15 ; Biossegurança dos profissionais expostos à Hepatite B 16 .…”

“…Os resultados sistematizados destacaram o repasse de informações em saúde para gestantes durante o pré-natal e o componente educacional dos registros de vacinação 10,15 . O conhecimento sobre sua condição vacinal promove a conscientização da mulher acerca de seu direito à imunização e da importância desse procedimento como método preventivo, a fim de evitar patologias que afetem sua saúde e a de seu filho.…”

Cartão da gestante como instrumento para continuidade da assistência à saúde: revisão integrativa da literatura

“…Contudo, o registro de imunização das mulheres foi maior em prontuário da unidade de saúde, estando presente em 152 (49,6%) destes, em discrepância com o registro de apenas 41 (13,4%) cartões da gestante. Além disso, o número de tipos de vacinas registados no prontuário da unidade de saúde foi superior aos registrados no cartão da gestante, evidenciando que, enquanto na unidade de saúde as vacinas de Tétano (45,7%), Hepatite B (44,4%), Influenza (22,2%) e Tríplice Viral (31,7%) foram presentes, no cartão da gestante apenas dois tipos de vacinas apareceram, a Tríplice Viral (11,7%) e a Influenza (1,9%), confirmando a não conformidade de registros entre os instrumentos 20 .…”