Avalia o da qualidade da aten o pr natal dentre gestantes com e sem hist

ARriGOS ORIGINÁIS / ORIGINAL ARriCLES

Avaliaçâo da qualidade da atençâo pré-natal dentre gestantes com e sem historia de prematuridade no Sistema Único de Saude no Rio de Janeiro, Brasil

Assessment of quality of prenatal care among pregnant women with a history of premature deliveries using the Brazilian
National Health Service in Rio de Janeiro,
Brazil

Abstract
Objectives: to assess the adequacy of prenatal care and the satisfaction and gestational risks of pregnant women with a history of premature deliveries.
Methods: a cross-sectional study with 1239 pregnant women, 259 with a history of premature deliveries when being attended by the Brazilian National
Health Service (SUS) in RJ in 2007/2008.
Demographic and socio-economic information, the obstetric history, adequacy ofprenatal care and satisfaction with prenatal care were variables gathered using interviews and the prenatal records. The x' test was used to compare the group with the history of premature deliveries with the groups with low risk or no history ofpremature delivery.
Results: there were no differences in terms of the adequacy of prenatal health care among pregnant women with a history of premature deliveries compared with those with low gestational risk. Women were dissatisfied with the waiting times for consultations, the opening times of health units and the explanations given by health workers.
Conclusions: a history of premature delivery did not improve the quality of prenatal care for these pregnant women. The health units experienced a number of problems, in the view of the women, regarding their functioning. The explanations given by health workers regarding the risk of premature delivery did not meet the expectations of the women.
Key words Infant, premature, Infant, low birth weight.
Prenatal care. Health evaluation

Marcelo Vianna Vettore '
Marcos Dias 2
Mario Vianna Vettore 3
Maria do Carmo Leal t

1 Hospital Federal dos Servidores do Estado. Rua Saeadura Cabrai,
178. Saude. Rio de