Page 28 - IJPS-10-3

International Journal of
Population Studies Prenatal care in Santa Catarina, Brazil

Table 2. Procedures performed in the prenatal care of women admitted for childbirth at the Maternity at the São José Regional
Hospital, Santa Catarina (n=237)
Procedures Complete (%) Incomplete (%) Absent (%) No information (%)
Vaccine
Tetanus 43.50 15.20 3.80 37.60
Hepatitis B 57.40 27.40 - 15.20
Supplementation* 77.60 19.80 2.50 -
MoH guidelines** 17.70 81.40 0.80 -
Start of PN
<12 weeks 77.20 - 22.80 -
Number of PN visits
≥6 87.30 - 12.70 -
MoH laboratory***
1 Quarter 70.00 17.70 12.20 -
st
2 Quarter 59.50 3.80 36.70 -
nd
3 Quarter 38.00 51.50 10.50 -
rd
SJ laboratory****
st
1 Quarter 39.70 48.10 12.20 -
nd
2 Quarter 29.50 48.90 21.50 -
3 Quarter 18.60 70.90 10.50 -
rd
Procedures
Weight 92.80 7.20 -
BP 93.20 6.30 0.40 -
UH 74.70 23.50 1.70 -
FHR 81.90 16.00 2.10 -
FM 64.10 30.80 5.10 -
Presentation 40.90 48.10 11.00 -
Notes: *Iron and folic acid. **Breastfeeding, physiological and pathological signs and symptoms of pregnancy and childbirth, newborn care, healthy
habits. ***Brasil, 2012a. ****São José, 2015.
Abbreviations: BP: Blood pressure; FHR: Fetal heart rate; FM: Fetal movements; MoH: Ministry of Health; PN: Prenatal care; SJ: São José; UH: Uterine
height.

Table 3. Quality of prenatal care for women admitted for delivery at the maternity at the São José Regional Hospital, Santa
Catarina, according to different normative criteria (n=237)
Quality level Kessner index modified APNCU index Anversa level 4 (%) Anversa level 3 (%) Anversa level 2 (%) Anversa
by Takeda (%) adapted (%) level 1 (%)
Very adequate - 74.40 - - - -
Adequate 83.10 5.50 48.50 50.60 74.30 83.10
Intermediate 12.20 1.70 46.00 45.10 20.30 12.20
Inadequate 4.60 18.10 5.50 4.20 5.50 4.60
Abbreviation: APNCU: Adequacy of prenatal care utilization.

prenatal care sessions. Moreover, only 15.6% of women and 3.8% undergoing all the laboratory examinations
were invited to participate in pregnant women’s groups recommended by the São José municipality.
at primary health units. Only two patients complied with When assessing the quality of prenatal care using
all MoH recommendations, with 21.1% undergoing all specific indices (Table 3), different values were observed,
the laboratory examinations recommended by the MoH indicating a reduction in adequacy rates as the evaluation

Volume 10 Issue 3 (2024) 22 https://doi.org/10.36922/ijps.1422