Atenção ao Pré-natal na Adolescência.

Abstract

The Humanization in Antenatal and Birth Program, intending to improve the antenatal care, establishes guidelines and principles, among which it is emphasized the early identification of the pregnant woman, routine exams offerings, educational actions during antenatal, and motivation to the realization of, at least, six consultations. When it comes to the pregnancy in adolescence, it is stressed that, although the early pregnancy has been falling in the last two years, the country still has high levels when compared to others. This study intended to describe the antenatal care during adolescence in three teaching hospitals in south region and northeast of Brazil, based on the quality criteria established by the referred program. This quantitative and descriptive study is a cutting of the Social Webs of Support to Paternity in Adolescence multicentrical research. The data collection occurred between December of 2008 and December of 2009 through a structured instrument applied to the puerperal adolescents. The sample was constituted by 559 puerperal adolescents who had their deliveries in the hospitals participant of this study and who fulfilled the inclusion criteria. The data analysis was univariable, with frequency description and stratified according to the city of occurrence. The data were hoarded and analyzed in the Software Epi-info 6.04. The results showed that 98% of the interviewed puerperal realized the antenatal, 67,2% frequented six or more consultations, 75,4% in the Basic Unity of Health and 62,5% started the assistance in the first trimester of pregnancy, according to the recommendation of Health Ministry. As regards the routine exams advocated by the program, not all of them were realized, and the anti-HIV test was the one that presented the biggest prevalence, being 90,6%. In relation to the receipt of educational information about the labor and delivery during the antenatal, 41,8% denied having received any kind of orientation. Among the ones who received this information, 15% said it did not help them during the labor and delivery. It is possible to conclude that the majority of the puerperal adolescents researched realized the antenatal according to the norms advocated by the Health Ministry Program. However, they did not receive adequate educational information and actions during the antenatal consultations, being this essential to this specific population.