Objetivou-se avaliar a resposta autopercebida da assistência odontológica no acompanhamento pré-natal do Sistema Único de Saúde (SUS) da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil. Foram entrevistadas 1032 puérperas e copiados 1006 cartões de gestantes. A autopercepção da puérpera foi medida pelo Oral Health Índex Profile-14. Quando identificado o impacto, considerou-se adequada a assistência odontológica que ofereceu atenção nos níveis educativo, preventivo e curativo. Na ausência de impacto, foi considerada adequada a assistência nos dois níveis iniciais. Testes de qui-quadrado verificaram a associação entre a assistência pré-natal e odontológica. A prevalência de impacto da saúde bucal na qualidade de vida foi 14,7%. As prevalências da assistência odontológica recebida pelas puérperas no nível educativo foi 41,3%, no nível preventivo 21,0% e no nível curativo 16,6%. A realização de seis ou mais consultas pré-natais e de atividades educativas estiveram fortemente associadas à assistência odontológica adequada (p<0,05). O acesso a serviços odontológicos é facilitado quando gestantes frequentam mais os serviços de saúde e realizam atividades educativas no pré-natal. Portanto, medidas educativas parecem sinalizar a melhoria da assistência pré-natal no SUS.
Palavras-chave:
Saúde Materno-Infantil
cuidado pré-natal
qualidade da assistência à saúde
assistência odontológica
Abstract:
This study aimed to evaluate self-perception response of dental and prenatal care in Unified Health System (SUS) from Metropolitan Region of Vitória, Espírito Santo, Brazil. 1032 postpartum women were interviewed and 1006 cards prenatal copied. Postpartum women’s self-perception was measured by Oral Health Index Profile-14. When impact was identified, assistance was considered adequate dental care that offered attention in educational, preventive and curative levels. When impact was absent, assistance was considered appropriate in two initial levels. Chi-square tested an association between prenatal care and dental care. Oral health impact on quality of life prevalence was 14.7%. Prevalence of dental care received by mothers in educational level was 41.3%, in preventive level was 21.0% and curative level was 16.6%. Performance of six or more prenatal visits and educational activities were strongly associated with appropriate dental care (p <0.05). Dental services access is facilitated when pregnant women attend health services and become involved in educational activities prenatal period. Therefore, educational measures seem to indicate improvement of prenatal care in the SUS.
Keywords:
Mother Child Health
antenatal care
quality health care
dental care.
This study aimed to evaluate self-perception response of dental and prenatal care in Unified Health System (SUS) from Metropolitan Region of Vitória, Espírito Santo, Brazil. 1032 postpartum women were interviewed and 1006 cards prenatal copied. Postpartum women’s self-perception was measured by Oral Health Index Profile-14. When impact was identified, assistance was considered adequate dental care that offered attention in educational, preventive and curative levels. When impact was absent, assistance was considered appropriate in two initial levels. Chi-square tested an association between prenatal care and dental care. Oral health impact on quality of life prevalence was 14.7%. Prevalence of dental care received by mothers in educational level was 41.3%, in preventive level was 21.0% and curative level was 16.6%. Performance of six or more prenatal visits and educational activities were strongly associated with appropriate dental care (p <0.05). Dental services access is facilitated when pregnant women attend health services and become involved in educational activities prenatal period. Therefore, educational measures seem to indicate improvement of prenatal care in the SUS.
Palavras-chave (keywords):
Mother Child Health
antenatal care
quality health care
dental care.
