Evaluation of prenatal care quality identified at the time of delivery

Abstract

Objective: To evaluate the quality of prenatal care in patients assisted at the time of delivery. Methods: 169 patients attended at the time of delivery were evaluated. The IKMT (Kessner index modified by Takeda) and the IAAPN (prenatal care and access index) were used to classify prenatal care as adequate, intermediate, and inadequate. According to the IAAPN, adequate care was classified as superior, medium, and low, according to the score obtained, with ³8 being superior adequate, ³6 and <8 being moderate adequate, and <6 and ³4 being low adequate. Inadequate care was considered a score of <4 to ³2 points, and lack of care was considered when the score was <2. For statistical evaluation of the data, p<0.05 was considered. Results: 169 patients with a mean age of 28.6 ± 6.53 years were studied. The IKMT identified adequate prenatal care in 86.4% (n=146), inadequate in 5.3% (n=9), and intermediate in 8.3% (n=14). For the IAAPN, the mean score was 5.40 ± 1.13, classified as low adequate. Conclusion: The IKMT and IAAPN showed adequate prenatal care, however, for the IAAPN data there was a loss in clinical evaluation, exams and guidance, which shows that access alone does not guarantee the quality of prenatal care.