Prenatal and puerperium nutritional care from an integrality perspective in a city of Baixada Santista, São Paulo, Brazil

Abstract Objectives: to perform a comparative assessment of the nutritional care process in the prenatal and puerperium periods at a primary care unit in the city of Santos, SP, Brazil before and after the implantation of the Prenatal and Puerperium Nutritional Care Strategy. Methods: a cross-sectional study was composed of 58 pairs of women and their children, of whom, 30 underwent prenatal care before and 28 of them after the implantation by collecting data from perinatal registrations and children's charts. The care was evaluated by the official National guidelines. The chi-square test was used to compare variables between the pre and post intervention groups. Results: there was a significant improvement after the nutritional intervention, regarding to height (p=0.001), registration on pre-pregnancy weight (p=0.032), follow up on Body Mass Index/gestational week (p=0.001), registration on newborn’s weight at discharge (p=0.011) and daily weight gain at the first pediatric consultation (p=0.019). Conclusions: the Prenatal and Puerperal Nutritional Care Strategy contributed to improve maternal-child nutritional care and the data registration on patients’ charts, demonstrating the necessity to establish processes/flows and an integral care for this population.摘要 研究目的：针对巴西圣保罗州桑托斯市某基层医疗单位，在《产前与产褥期营养照护策略》实施前后的产前及产褥期营养照护流程开展对比评估。 研究方法：本研究为横断面研究，共纳入58对母婴研究对象，其中30对接受策略实施前的产前照护，28对接受策略实施后的照护，研究数据来源于围产期登记档案与儿童病历。本研究依据国家官方指南对照护服务进行质量评估，采用卡方检验对比干预前后两组的研究变量差异。 研究结果：营养干预后，多项指标均获得显著改善，包括身高记录（p=0.001）、孕前体质量登记（p=0.032）、体质量指数（Body Mass Index）/孕周随访（p=0.001）、出院时新生儿体质量登记（p=0.011）及首次儿科会诊时的每日体质量增长记录（p=0.019）。 研究结论：《产前与产褥期营养照护策略》有效提升了母婴营养照护质量与患者病历的数据登记完整性，结果表明该人群亟需建立标准化流程与一体化照护模式。