You searched for:"Edson Theodoro dos Santos Neto"
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Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(7):380-389
To analyze the consumption of minimally-processed and ultraprocessed foods in relation with sociodemographic variables, maternal habits, educational activity received during prenatal care and clinical history.
A cross-sectional, analytical and descriptive study with 1,035 pregnant women who lives in the municipalities of the metropolitan region of Grande Vitória, Espírito Santo, Brazil (RMGV-ES), and who were hospitalized in establishments of the Unified Health System (SUS) due to childbirth (April-September 2010). The food frequency questionnaire, pregnant woman’s card and information from the medical records of the health facility unit were analyzed. The Chi-square test and the binary logistic regression model were used to investigate the association between the independent variables and the consumption of ultraprocessed foods.
It was identified that pregnant women ≤ 19 years of agewere 2.9 timesmore likely to consume ultraprocessed foods (confidence interval [CI] 95% 1.683-5.168, p< 0.001), while those ≥ 35 years old were less likely to consume them (odds ratio [OR] 0.265, 95% CI 0.105-0.666, p= 0.005). Maternal smoking increased the odds of consumption of ultraprocessed foods by 2.2 times (95% CI 1.202-4.199, p= 0.011) and pregnant womenwho did not obtain information on healthy food during prenatal care presented 54.1% less chances of consuming minimally-processed foods (OR 0.459, 95% CI 0.307-0.687, p< 0.001).
Smoking during the gestational period and being a teenager are factors that influence the consumption of ultraprocessed foods of pregnant women. Race/ color, head of household, age group, receiving of information about feeding in the prenatal period and not having smoked in gestation determined the consumption of minimally-processed foods.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(6):269-275
DOI 10.1590/S0100-720320140004907
To determine the agreement between the information on pregnant cards and on primary care medical records about prenatal assistance in the city of Vitória, Espírito Santo, Brazil.
A population study of 360 puerperal women living in this city was interviewed at three hospitals where the cards were copied. Prenatal care data were collected by reviewing the medical records at the city health unit. The information was collected, processed, and submitted to Kappa, Adjusted Kappa, and McNemar tests to check agreement and tendency to disagreement between the cards and the medical records.
The levels of agreement within prenatal care were predominantly moderate (Kappa=0.4-0.6). There was a higher tendency to keep records of appointments on the cards (McNemar=22.3; p-value<0.01). Records of supplementation with folic acid and ferrous sulphate were kept more often on the medical records (McNemar=70.8 and 69.8, respectively; p-value<0.01). The tetanus vaccination coverage was about 50%. Clinical and obstetric procedures and laboratory tests were primarily recorded on the card.
The medical records of primary care were underused as a tool for communication among health professionals, highlighting a precarious record keeping. The results suggest that thought be given to guarantee that the minimum procedures established by the Guidelines of Maternal and Infant Health are followed, and also to the importance of clinical record keeping in health services, since there is variation depending on the source of information.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(2):56-64
DOI 10.1590/S0100-72032014000200003
To evaluate the adequacy of the process of prenatal care according to the
parameters of the Program for the Humanization of Prenatal Care (PHPN) and of the
procedures provided by the Stork Network of Unified Health System (SUS) in the
microregion of Espirito Santo state, Brazil.
A cross-sectional study was conducted in 2012-2013 by interviewing and analyzing
the records of 742 women during the postpartum period and of their newborns in 7
hospitals in the region chosen for the research. The information was collected,
processed and analyzed by the χ2 and Fisher's exact test to determine
the difference in proportion between the criteria adopted by the PHPN and the
Stork Network and the place of residence, family income and type of coverage of
prenatal service. The level of significance was set at 5%.
The parameters showing the lowest adequacy rate were quick tests and repeated
exams, with frequencies around 10 and 30%, respectively, in addition to
educational activities (57.9%) and tetanus immunization (58.7%). In contrast, risk
management (92.6%) and the fasting plasma glucose test (91.3%) showed the best
results. Adequacy was 7.4% for the PHPN, 0.4% for the Stork Network, with respect
to the parameters of normal risk pregnancies, and 0 for high risk pregnancies.
There was a significant difference between puerperae according to housing location
regarding the execution of serology for syphilis (VDRL), anti-HIV and repeated
fasting glucose tests, and monthly income influenced the execution of blood
type/Rh factor tests, VDRL, hematocrit and anti-HIV test.
Prenatal care in the SUS proved to be inadequate regarding the procedures
required by the PHPN and Stork Network in the micro-region of a state in
southeastern Brazil, especially for women of lower income, PACS users and
residents of rural areas.