Cadernos de Saúde Pública
On-line version ISSN 1678-4464
Print version ISSN 0102-311X
PUCCINI, Rosana Fiorini et al. Prenatal and childbirth care in an area in Greater Metropolitan São Paulo, 1996. Cad. Saúde Pública [online]. 2003, vol.19, n.1, pp.35-45. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2003000100005.
A cross-sectional study was conducted to evaluate prenatal and childbirth care interviewing mothers of infants in the municipality of Embu (Greater Metropolitan São Paulo) in 1996, according to four socioeconomic strata. A door-to-door survey included a probabilistic sample consisting of 483 infants. In all strata more than 90% of the mothers had received prenatal care, but with late access in stratum 4 (residents of favelas, or slums). Breast examination during prenatal care, reported by only 60.8% of the mothers, was the worst single indicator of quality of prenatal care in the municipality. The outcome indicator - first prenatal consultation after the first trimester and total number of consultations less than six - was associated with maternal age (less than 20 years), low per capita family income (less than one minimum wage), and lack of private health plan. As for deliveries, 97.7% occurred in hospital, of which 32.5% by cesarean section, with the latter more frequent in private health care facilities (63.2%). No population segments were identified as being excluded from the health care system, but some indicators suggest greater deficiencies in socioeconomic stratum 4. These results have supported local health system managers in redefining health measures for the municipality.
Keywords : Equity; Local Health Systems; Prenatal Care; Cross-Sectional Studies.