Adesão ao pré-natal em Cajazeiras, Paraíba (2006 a 2010): Fatores de risco.

Abstract

From the year 2000 was established by the Ministry of Health, the humanization program of prenatal and birth, which aims mainly to ensure improved access, coverage and quality in prenatal care , childbirth care and postpartum. This study aims mainly to understand adherence to prenatal care in the municipality of Cajazeiras, PB, (2006-2010). It is a retrospective cohort study of a quantitative approach, analyzing variables such as maternal age, education, occupation and marital status and number of prenatal visits. As a source of data to Birth Certificates, filed at the county health surveillance, using a tool for transcribing the data contained in the DN was used. The instruments were listed for using the Statistical Package for the Social Sciences StatisticalPackage. The variables were analyzed statistically. In the study of the correlation between variables, we used the test Relative Risk Simple Linear Regression and by adopting a confidence level of 5 % and 95 % confidence interval. Results indicate that prenatal coverage Cajazeiras was not investigated in the years satisfactory, because the percentage of completion of 7 + and prenatal visits was 43.7 % (n = 1710). those findings, it was noticed that the percentage of up to 6 prenatal visits was higher among mothers aged 12-24 years (60.4 %), single (58.6 %), with schooling up to 6 years (61.5 %) and occupation farmer / household (59.2 %). For the calculation of relative risk (RR) findings revealed that social factors are unfavorable risk for low adherence to prenatal care, since the RR (in all correlations) was >1, but did not exceed 1.5. Therefore, it is considered that the association was weak and that there are not more likely to be causal. We know that prenatal care is strongly influenced by socioeconomic factors, the infrastructure service and care and preventative public policies. Thus, the results demonstrate the need to investigate other risk factors for low adherence to prenatal care, associated with sociodemographic data, highlighting the active search for pregnant women in monitoring, staff training, hospitality, among other aspects.