Fluxograma descritor como ferramenta de qualificação da atenção ao pré-natal na atenção primária à saúde

Abstract

Prenatal care is presented as a set of multidisciplinary care aimed at pregnant women, aiming to ensure the healthy evolution of pregnancy and childbirth. Despite being initiated and conducted in primary care, prenatal care can be shared with other levels of health care depending on the risk factors identified and stratified in each service. In order for referrals to occur in order to meet the needs of pregnant women and according to the problem-solving capacity of health services, the use of tools such as flowcharts are indispensable to ensure the quality of health care. The objective of this work is to build a flowchart for the referral of pregnant women assisted in Primary Care for High-Risk Prenatal Care (PNAR) in the municipality of Caicó/RN. This is a participatory research, of the descriptive type, which will use the tool called "descriptor flowchart" for characterization and analysis of the object of study. With the construction of the descriptor flowchart, it was observed that there were no Municipal Protocols with regard to the clinical criteria for referring pregnant women to high-risk prenatal care, either at the municipal or state levels, considering the problem-solving capacity of each service. In addition, it was also found that there was no implementation of the Electronic Citizen Record (PEC) at all points of care for pregnant women, which makes counter-referral weakened. The potential lies in the fact that pregnant women have specialized outpatient care and support from the Seridó Hospital, in the territory where they live and where they have their bonds established. The construction of the descriptor flowchart provided a panoramic view of the services that work in prenatal care. Despite the potentialities, the absence of referral protocols and weakened counter-referral are elements that point to the fragmentation of health care.