Assistência pré-natal e complicações obstétricas em gestantes atendidas em um centro de saúde da família de Goiânia, Goiás: um estudo transversal

Abstract

The objective of this study was to evaluate the sociodemographic profile and the quality of prenatal care offered to pregnant women attended at a Family Health Center (FHC) and to verify the association between adequate prenatal care and possible pregnancy complications. It is a cross-sectional study carried out at the public prenatal service in the city of Goiânia, Goiás from January 2021 to July 2022. Data were collected from electronic medical records from February 2022 to July 2022. The variables were sociodemographic, related to the coverage and quality of prenatal care and to pregnancy and the health history of the pregnant woman. De-scriptive and inferential statistics were used. The chi-square test was applied to assess the as-sociation between obstetric complications and other variables. 157 medical records were ana-lyzed. Most pregnant women were between 21-34 years old (62.4%), were married (39.5%), and had completed high school (47.1%). Only 38.9% of pregnant women had ≥ 6 consulta-tions. 75.8% had their first consultation in the first quarter. 45.1% performed at least two ul-trasounds. Only 24.8% performed the two phases of the Mom´s Test. Less than half had ac-cess to adequate or more than adequate prenatal care (38.9%). Regarding obstetric complica-tions, 58.6% of the patients had obstetric complications, with urinary tract infection (29.9%) being the main one. There were complications and not performing the association in the tri-mester (p=0.0482), in addition to performing none or only one Mom's Test (p=0.0463). All pregnant women with a history of STIs also had complications (p=0.0172).