0861/2009 - Perdas de oportunidades na prevenção do câncer de colo uterino durante o pré-natal Lack of opportunities for cervical cancer prevention during prenatal care
• Carla Vitola Gonçalves - Gonçalves, C.V. - Pelotas, Rio grande do Sul - Universidade Federal do Rio Grande - <carlavg@brturbo.com.br>
Área Temática:
Não Categorizado
Resumo:
Resumo: A gravidez representa uma excelente oportunidade para prevenção do carcinoma cervical, já que o exame ginecológico faz parte da rotina de pré-natal. Na prática esta oportunidade parece não estar sendo aproveitada. Objetivo: Descrever características associadas a não realização do citopatológico (CP) e avaliar a cobertura da citologia no início e no final do pré-natal. Método: Estudo transversal, onde foram entrevistadas 445 puérperas utilizando-se questionários padronizados. Resultados: A prevalência de CP atualizado era de 38,9% no inicio da gestação, chegando a 59,1% no puerpério (p>0,001). As puérperas com 19 anos ou menos, não brancas, com escolaridade inferior a onze anos, com renda familiar inferior a um salário mínimo, sexarca aos 15 anos ou menos, inicio do pré-natal após 1º trimestre e com o acompanhamento no SUS, apresentaram menor cobertura do citopatológico. Na análise ajustada, estas variáveis não mostraram significância associada à cobertura do citopatológico. Entretanto a realização do pré-natal mostrou uma tendência à melhora da cobertura do CP com razão de prevalência de 1,18 (95%CI: 0,98-1,42). Conclusão: O serviço local de saúde mostrou-se pouco efetivo e desigual. Revelando a necessidade de aumentar a cobertura do citopatológico, motivando e capacitando os profissionais quanto à importância dos procedimentos da rotina pré-natal. Pois este pode ser o único contato que uma mulher em idade reprodutiva tem com o serviço de saúde. Palavras-chaves: Assistência pré-natal, prevenção do câncer do colo uterino, avaliação da qualidade dos cuidados de saúde, desigualdades em saúde
Abstract:
Abstract: Pregnancy represents an excellent opportunity for the prevention of cervical carcinoma since gynecological examination is part of routine prenatal care. In practice, however, this opportunity does not seem to be fully explored. To describe the characteristics associated with the lack of cytology and to evaluate cytology coverage at the beginning and at the end of the prenatal period. Transverse studies with a total of 445 puerperae were interviewed using standardized questionnaires. The prevalence of an up-to-date cytopathological exam was 38.9% at the beginning of pregnancy, reaching 59.1% during the puerperium (p>0.001). Puerperae aged 19 years or less, non-white, with schooling of less than 11 years, family income of less than one minimum wage, sexarche at 15 years or less, with the beginning of prenatal care after the 1nd trimester, and receiving prenatal care at health stations of the Unified Health System had a lower prevalence of cytopathological examination. Adjusted analysis revealed that the variables under study were not significantly associated with cytopathological coverage, although the site of prenatal care .showed a prevalence ratio of 1.18 (95%CI: 0.98-1.42). The local health service proved to be poorly effective and unequal, revealing the need to increase cytopathological coverage and qualify health professionals regarding the importance of routine prenatal procedures since this may be the only contact a woman of reproductive age will have with a health service in Brazil. Key-words: Prenatal care, cervix neoplasm prevention, quality assurance health care, health inequalities.
Lack of opportunities for cervical cancer prevention during prenatal care
Resumo (abstract):
Abstract: Pregnancy represents an excellent opportunity for the prevention of cervical carcinoma since gynecological examination is part of routine prenatal care. In practice, however, this opportunity does not seem to be fully explored. To describe the characteristics associated with the lack of cytology and to evaluate cytology coverage at the beginning and at the end of the prenatal period. Transverse studies with a total of 445 puerperae were interviewed using standardized questionnaires. The prevalence of an up-to-date cytopathological exam was 38.9% at the beginning of pregnancy, reaching 59.1% during the puerperium (p>0.001). Puerperae aged 19 years or less, non-white, with schooling of less than 11 years, family income of less than one minimum wage, sexarche at 15 years or less, with the beginning of prenatal care after the 1nd trimester, and receiving prenatal care at health stations of the Unified Health System had a lower prevalence of cytopathological examination. Adjusted analysis revealed that the variables under study were not significantly associated with cytopathological coverage, although the site of prenatal care .showed a prevalence ratio of 1.18 (95%CI: 0.98-1.42). The local health service proved to be poorly effective and unequal, revealing the need to increase cytopathological coverage and qualify health professionals regarding the importance of routine prenatal procedures since this may be the only contact a woman of reproductive age will have with a health service in Brazil. Key-words: Prenatal care, cervix neoplasm prevention, quality assurance health care, health inequalities.
Gonçalves, C.V.. Perdas de oportunidades na prevenção do câncer de colo uterino durante o pré-natal. Cien Saude Colet [periódico na internet] (2009/out). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perdas-de-oportunidades-na-prevencao-do-cancer-de-colo-uterino-durante-o-prenatal/4680?id=4680&id=4680
