ABSTRACT
Objective
To analyze the association between the adequacy of the guidelines received during prenatal care and the professional who assisted the pregnant woman in most consultations in Primary Health Care.
Method
3,111 puerperal women who underwent prenatal care by the Unified Health System in the State of Santa Catarina in 2019 participated, through a questionnaire applied in a hospital environment up to 48 hours postpartum. Association between the main exposure variable and covariates with the outcome according to the professional who carried out the prenatal care was analyzed.
Results
The most frequent guidelines were the signs of risks during pregnancy (80.3%) and risks of self-medication (76.9%). Prevalences below 50% were observed in the guidelines on adequate breastfeeding management (45.9%) and the possibility of visiting the maternity ward before delivery (38.2%); having received all guidelines at least once during prenatal care was 18.4%. Pregnant women assisted in most consultations by physicians and nurses had a 41,0% greater chance of adequacy in the guidelines compared to those assisted exclusively by physicians.
Conclusions and implications for practice
The prevalence of guidelines given by health professionals for pregnant women was higher when prenatal care was more shared between nurses and physicians in comparison to the majority of care provided by professionals from only one profession.
Keywords:
Prenatal Care; Primary Health Care; Health Promotion; Health Education; Patient Care Team