Nutritional interventions
|
Adequate (present all components) |
Inadequate (present one of the components) |
Guidance on nutrition |
Not receiving any or only one guidance associated with not supplementing with iron and/or folic acid |
Guidance on physical exercise |
Daily oral iron and folic acid supplementation |
No use of supplementation |
Maternal and fetal assessment
|
Adequate (present all components) |
Inadequate (present one of the components) |
Blood glucose test (three trimesters) |
No trimester |
Hemoglobin and hematocrit test (two or more records) |
No record |
Hemoglobin electrophoresis test (1st trimester) |
No trimester |
HIV serology*(1st and 3rd or all trimesters) |
None or only one trimester |
Serology for VDRL† (all trimesters) |
None or only one trimester |
HBsAg exam‡ (1st trimester) |
No trimester |
Serology for toxoplasmosis (susceptible pregnant woman all trimesters) and (non-susceptible 1st trimester) |
None or only one trimester in a susceptible pregnant woman |
Three ultrasound scans, the first one before the 24th week GA§ and the second between the 26th and 28th week GA§ |
None or one record |
Preventive measures
|
Adequate (present all components) |
Inadequate (present one of the components) |
Group B Streptococcus culture at 35th to 37th week GA§ |
No record |
Urinalysis I and urine culture (all trimesters) |
None or just one trimester |
ABO blood screening|| and Rh¶ (1st trimester) |
No record |
Pap smear (1st trimester) or in the period ↓ one year of gestation |
Late for ≥ one year of the gestational period |
Tetanus vaccine (dTpa** during pregnancy) |
No records or schemes |
Hepatitis B vaccine (three doses or vaccine up to date) |
No records or schemes |
Influenza vaccine (one dose in the current pregnancy) |
No records in current pregnancy |
≥ one dental consultation during pregnancy |
No dental consultation |
Health system interventions to improve utilization and quality of PN care
|
Adequate (present all components) |
Inadequate (present one of the components) |
Having a PN booklet |
Not having a PN booklet |
Start PN before GA§12th week |
Starting PN after GA§ 12th week |
≥ seven PN consultations |
< seven consultations PN |
Risk rating record (all consultations) |
No record |
Informing which hospital to go to in an emergency |
Not receiving the information |
PN performed at PHC concomitant with SOC |
Not performing PN or performing only at PHC or only at SOC |
Maternity visit during PN care |
-††
|
Participation in ≥ a group of pregnant women |
-††
|
Origin of the pregnant woman to carry out the childbirth in the same city or transport carried out by ambulance or medical transport |
-††
|
Puerperal follow-up in the 1st week and 30-40 days post-childbirth |
No care |
Reproductive method indicated by physician or nurse |
-††
|
Care markers in PN follow-up
|
Adequate (present all components) |
Inadequate (present one of the components) |
≥ six GA§ records |
Having zero-two record(s) |
≥ one LPD‡‡ and PCD§§ record (calculate in all consultations) |
Not having any registration |
≥ six blood pressure records |
Having zero-two record(s) |
≥ six maternal weight records |
Having zero-two record(s) |
≥ six fetal heartbeat records |
Having zero-two record(s) |
≥ six uterine height records |
Having zero-two record(s) |
≥ three fetal status and presentation records |
Having zero-two record(s) |
≥ one change record detected in PN care |
Not having any record |