CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(04): 398-408
DOI: 10.1055/s-0041-1741450
Original Article
Covid-19

Adequacy of Antenatal Care during the COVID-19 Pandemic: Observational Study with Postpartum Women

Adequação da assistência pré-natal durante a pandemia de covid-19: Estudo observacional com puérperas
1   Divisão de Saúde da Mulher, Hospital Universitário Polydoro Ernani de São Thiago, Florianópolis, SC, Brazil
,
2   Departamento de ginecologia e obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
,
1   Divisão de Saúde da Mulher, Hospital Universitário Polydoro Ernani de São Thiago, Florianópolis, SC, Brazil
,
2   Departamento de ginecologia e obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
,
1   Divisão de Saúde da Mulher, Hospital Universitário Polydoro Ernani de São Thiago, Florianópolis, SC, Brazil
2   Departamento de ginecologia e obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
3   Programa de residência médica em ginecologia e obstetrícia, Hospital Regional Homero de Miranda Gomes, São José, SC, Brazil
,
4   Departamento de medicina, Universidade Federal de São Carlos, São Carlos, SP, Brazil
› Author Affiliations

Abstract

Objective The present study aimed to evaluate the antenatal care adequacy for women who gave birth at the University Hospital of Santa Catarina in Florianopolis (Brazil) during the COVID-19 pandemic, and to evaluate the association of adequacy with sociodemographic, clinical, and access characteristics.

Methods Data were collected between October and December 2020, including 254 patients who delivered in the University Hospital from Federal University of Santa Catarina and answered our questionnaires. Additional data were obtained from patients' antenatal booklets. Antenatal care was classified as adequate, intermediate, or inadequate according to the number of appointments, gestational age at the beginning of follow-up, and tests results. We carried out a descriptive statistical analysis and a bivariate/with odds ratio analysis on maternal sociodemographic, clinical and health access variables that were compared with antenatal adequacy.

Results Antenatal care was considered adequate in 35.8% of cases, intermediate in 46.8%, and inadequate in 17.4%. The following maternal variables were associated with inadequate prenatal care (intermediate or inadequate prenatal care): having black or brown skin colour, having two or more children, being of foreign nationality, not being fluent in Portuguese, and using illicit drugs during pregnancy; the clinical variables were more than 6 weeks between appointments, and not attending high-risk antenatal care; as for access, the variables were difficulties in attending or scheduling appointments, and attending virtual appointments only.

Conclusion In a sample of pregnant women from a teaching hospital in Florianópolis during the COVID-19 pandemic, antenatal care was considered adequate in 35.8%, intermediate in 46.8%, and inadequate in 17.4% of cases.

Resumo

Objetivo O objetivo deste estudo foi avaliar a adequabilidade do pré-natal de puérperas atendidas no hospital universitário da Universidade Federal de Santa Catarina, em Florianópolis, durante a pandemia de COVID-19 e avaliar a associação de características sociodemográficas, clínicas e de acesso com essa adequabilidade.

Métodos Este estudo foi realizado de outubro a dezembro de 2020, com 254 puérperas que tiveram seus partos no hospital universitário. Os dados foram obtidos a partir de questionários respondidos pelas pacientes e dos seus cartões de pré-natal e prontuários para obter demais dados clínicos. O pré-natal foi classificado como adequado, intermediário ou inadequado segundo o número de consultas, idade gestacional ao início do pré-natal, e realização de exames. Inicialmente, se realizou uma análise estatística descritiva e, após, bivariada/com razão de chance quanto às variáveis maternas sociodemográficas, clínicas, e de acesso a saúde comparados com adequabilidade do pré-natal.

Resultados O pré-natal foi considerado adequado em 35,8%, intermediário em 46,8% e inadequado em 17,4% dos casos. Estiveram associados a uma assistência pré-natal não-adequada (pré-natal intermediário ou inadequado) as seguintes variáveis maternas: cor de pele preta, parda, ou indígena, ter dois ou mais filhos, ser de nacionalidade estrangeira, não possuir fluência em português, uso de drogas ilícitas durante a gestação; as variáveis clinicas foram: lacuna de mais de 6 semanas entre consultas e não ser atendida em pré-natal de alto risco; quanto a acesso, as variáveis foram: dificuldade de ir e de agendar as consultas e ter tido consultas virtuais.

Conclusão Em uma amostra de gestantes de um hospital universitário de Florianópolis durante a pandemia do Covid-19, a assistência pré-natal foi considerada adequada em 35,8%, intermediária em 46,8%, e inadequada em 17,4% dos casos.

Contributors

Margot Marie Martins worked on study conceptualization, design, data collection, data analysis, drafted, critically reviewed, and revised the manuscript as well as approved its final version as submitted. Roxana Knobel worked on study conceptualization, design, data collection, data analysis, drafted, critically reviewed, and revised the manuscript as well as approved its final version as submitted. Victor Nandi worked on study conceptualization, design, data collection, critically reviewed and revised the manuscript, and approved finalist final version as submitted. Jessica G Pereira worked on study conceptualization, design, data collection, critically reviewed and revised the manuscript, and approved its final version as submitted. Alberto Trapani Junior worked on analysis and interpretation of data, as well as in writing the manuscript, critical review of the intellectual content, and final approval of the version to be published. Carla Betina Andreucci worked on analysis and interpretation of data, as well as in writing the manuscript, critical review of the intellectual content, and final approval of the version to be published.




Publication History

Received: 02 June 2021

Accepted: 01 October 2021

Article published online:
17 February 2022

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