title: [Prenatal patient cards and quality of prenatal care in public health services in Greater Metropolitan Vitória, Espírito Santo State, Brazil].
abstract: This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent (< 5% incomplete cards) to very bad (> 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.
authors.affiliation: Departamento de Medicina Social, Universidade Federal do Espírito Santo, Vitória, Brasil. edsontheodoro@uol.com.br
authors.forename: Edson Theodoro dos
authors.initials: ET
authors.lastname: Santos Neto
authors.forename: Adauto Emmerich
authors.initials: AE
authors.lastname: Oliveira
authors.forename: Eliana
authors.initials: E
authors.lastname: Zandonade
authors.forename: Silvana Granado Nogueira da
authors.initials: SG
authors.lastname: Gama
authors.forename: Maria do Carmo
authors.initials: Mdo C
authors.lastname: Leal
mesh_terms: D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005192:Family Health / Q000592:standards*; D005260:Female; D006282:Health Personnel / Q000592:standards; D006291:Health Policy; D055991:Health Records, Personal; D006297:Health Services Accessibility; D006801:Humans; D007256:Information Systems / Q000592:standards; D009313:National Health Programs / Q000592:standards*; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards* / Q000706:statistics & numerical data; D015397:Program Evaluation; D011787:Quality of Health Care / Q000592:standards* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014505:Urban Population; D055815:Young Adult