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PRIMARY CARE SENSITIVE ADMISSIONS IN PREGNANT WOMEN: ASSOCIATED FACTORS BASED ON THE PRENATAL CARE PROCESS

INTERNACIONES SENSIBLES A LA ATENCIÓN PRIMARIA EN GESTANTES: FACTORES ASOCIADOS A PARTIR DEL PROCESO DE ATENCIÓN PRE-NATAL

ABSTRACT

Objective:

to analyze admissions for primary care sensitive conditions among pregnant women, and the associated factors, based on the process of prenatal care, in a city of the center-west of the Brazilian State of Paraná (Brazil).

Method:

this is an inquiry into hospital morbidity undertaken with a sample of 86 pregnant women admitted to hospitals serving the Unified Health System.

Results:

the percentage of admissions was 70.97% (n=59), with emphasis placed on admissions specifically during the period of pregnancy (51.17%), among which, admissions due to infections in the genitourinary tract were the most frequent. The following were associated with the risk of admission due to a sensitive condition: incomplete records in the woman’s ‘pregnancy card’ (cartão da gestante), delayed initiation of prenatal care (after the second trimester), insufficient number of consultations and insufficient care during the consultation.

Conclusion:

the results suggest that a minimumlevel of care for these pregnant women would reduce the risk of unnecessary admission, evidencing that the quality of care provided during the prenatal period in this region is inadequate.

DESCRIPTORS:
Pregnant women; Hospitalization; Prenatal care; Primary health care; Health evaluation

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br