[Clinical breast examination during prenatal visits: analysis of coverage and associated factors in a city in the State of Rio Grande do Sul, Brazil].
The Brazilian Ministry of Health recommends that breast examination be performed along with breastfeeding orientation during the first prenatal visit. The aims of the current study were to analyze breast examination during prenatal care and describe the factors associated with insufficient coverage. A cross-sectional study was performed in Rio Grande, Rio Grande do Sul State, Brazil, from May to July 2007. Data for women who had just given birth were recorded on a standardized questionnaire. Of 445 women, 266 (59.8%) had not undergone breast examination during prenatal care. Non-white women and those with a monthly income below the minimum wage (BRL 380.00) or with prenatal care and delivery in the public health system showed the highest probability of not having a breast examination during prenatal care. The results show the low prevalence of breast examination during prenatal care and indicate serious problems related to quality of prenatal care, besides unequal access for poor women.
Gonçalves
Carla Vitola
CV
Departamento Materno-Infantil, Fundação Universidade Federal do Rio Grande, Rio Grande, Brasil.
Dias-da-Costa
Juvenal Soares
JS
Duarte
Geraldo
G
Marcolin
Alessandra Cristina
AC
Garlet
Geane
G
Sakai
Alan Felipe
AF
Bianchi
Mônia Steigleder
MS
D000293:Adolescent; D000328:Adult; D001938:Brazil; D001940:Breast; D001942:Breast Feeding; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000592:standards / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D010353:Patient Education as Topic; D010808:Physical Examination / Q000706:statistics & numerical data*; D016012:Poisson Distribution; D011247:Pregnancy; D011295:Prenatal Care; D012959:Socioeconomic Factors; D014505:Urban Population; D055815:Young Adult