Network care: relationship between prenatal care adequacy and hospital obstetric care in a cross-sectional study

Abstract

Objective: To assess the relationship between prenatal care adequacy and the demand for hospital obstetric care. Method: A cross-sectional, quantitative study, conducted in a Brazilian capital, at six basic units and a hospital unit, from 2017 to 2020. Pregnant women who met the predefined inclusion and exclusion criteria participated in the study. Data were collected by structured questionnaire, and follow-up of participants was in person, by phone and by application. Descriptive and analytical statistics were performed using a statistical program. Results: A total of 224 women were investigated. Prenatal care was adequate in 42.4% of cases, and the mean percentage of adequacy was 76.7% of assessed indicators. Of the 1,067 hospital visits, 63.1% were inopportune. The regression model showed that the variable “prenatal care adequacy” was statistically relevant (0.043), with a 2.2 times higher Odds Ratio (OR) of women who had inadequate prenatal follow-up seeking the hospital inanely. Conclusion: Prenatal care inadequacy was related to the inopportune search for emergency room care, with care overload for this point in the care network.

Educational hypermedia on embracement and obstetric risk classification: content validation and usability

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Hipermídia educativa em acolhimento e classificação de risco obstétrico: validação de conteúdo e usabilidade

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