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Painel 3 Ana Correia Aumento Do Parto Institucional Na Região

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Painel 3 Ana Correia Aumento Do Parto Institucional Na Região AUMENTO DE PARTO INSTITUICIONAL NA REGIÃO SANITÁRIA DE BIOMBO COM A INTERVENÇÃO DO PIMI/ IMVF Drª Ana Paula Gomes Correia Parteira Ivete Gomes Có. • Introdução • Objetivos • Metodologia • Resultados • Ações implementadas que aumentam a qualidade do CPN e do PARTO • Tabelas da evolução trimestral do CPN4 e Parto • Evolução de CPN4 e parto durante os 3 anos • Experiências usadas para aumentar o parto institucional • Grávidas transferidas em trabalho de parto para C.S Quinhamel • Discussão • Conclusões e Recomendações INTRODUÇÃO • A Região de Biombo População projetada pelo INASA: 99.295 (2020) Mulheres em idade fértil: 21.843 Grávidas esperada: 4.468 Etnia Papel é a maioritária Nº CPN1: 3767/ano • O PIMI/IMVF aposta na qualidade e na gratuitidade desde a vigilância pré-natal até ao parto • Pretendemos com este estudo Investigar a evolução do número de partos institucionais e que factor influenciou essa variação. Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau OBJETIVOS OBJETIVO GERAL OBJETIVOS ESPECÍFICOS • Identificar ações implementados Caracterizar a evolução do parto que aumentam a qualidade da institucional com a implementação consulta pré-natal (CPN) e do PIMI/IMVF na região sanitária de parto. Biombo do ano 2018 a 2020 • Analisar e comparar a evolução do CPN 4 e dos partos institucional. • Apresentar experiências usados para aumentar o parto institucional. Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau METODOLOGIA • Materiais e MétoDos Pesquisa descritiva e retrospetiva Uso de variáveis quantitativas • Critério De Inclusão: Partos institucionais nos Centros de saúde públicos das 7 áreas sanitária da região de Biombo • Critério De exclusão: Partos domiciliários e das Instituições de saúde não públicas da região . Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau RESULTADOS Ações implementados que aumentam a qualidade da CPN e do PARTO • Marquesas de CPN Materiais nas salas de parto • Doppler/pinar • Marquesa do Parto. • Fitas • kits do parto • Termómetros • Esfigmomanómetro • Materiais e caixas de parto • Estetoscópios • Medicamentos e consumíveis • Discos organizados no armário • Balanças • Mesa de reanimação • Panelas de esterilização e fitas • Insuflador manual testemunhas • Balança • Fogão ao gaz e botijas de gaz • • Testes rápidas (Hemoglobina, glicemia, Fita determine, urina e VDRL) • Baldes de descontaminação Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Numero de CPN4 e do parto em 2018 nas A.S. Biombo 80 70 69 68 70 63 60 53 56 48 50 41 40 30 20 9 6 10 3 3 5 1 2 4 0 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 1ºTrimestre 2ºTrimestre 3ºTrimestre 4Trimestr Quinhamel Bijimita Dorse Ilonde Ondame Prabis Safim Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Numero de CPN4 e do parto em 2019 nas A.S. Biombo 120 114 96 93 100 84 81 80 71 60 55 52 40 20 7 6 4 6 7 1 9 8 0 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 1ºtrimestre 2º Trimestre 3ºTrimestre 4ºTrimestre Quinhamel Bijimita Dorse Ilonde Ondame Prabis Safim Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Numero de CPN4 e do parto em 2020 nas A.S. Biombo 140 120 120 100 90 85 77 81 80 66 73 68 60 40 20 8 10 10 13 8 10 12 6 0 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 4ºCPN Parto 1º trimestre 2º trimestre 3ºtrimestre 4ºtrimestre Quinhamel Bijimita Dorse Ilonde Ondame Prabis Safim Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Evolução Trimestral do CPN 4 e dos partos institucional dos Anos 2018 a 2020 nas A.S. Biombo Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Evolução da CPN4 e do parto institucional CPN4 PARTO Evolução da CPN4 e do parto 2018 735 769 institucional 3000 2798 2019 1013 957 2000 957 1072 1000 769 2020 948 1072 0 2018 2019 2020 TOTAL TOTAL 2696 2798 4º CPN PARTO Fonte: Monitorização livro de CPN e do parto Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Experiencias usadas para aumentar o parto institucional Ações e práticas que promoveram • CPN de qualidade e o bom a CPN4: acolhimento, • Acessibilidade • Diagnostico precoce dos altos • Gratuitidade riscos obstétricos, • Divulgação do PIMI nas • CPN precoce, tabancas • Cumprimento restrito de • Sensibilização comunitária calendário do CPN, • Informação, educação e • Kits de dignidade, comunicação • Disponibilidade da ambulância Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Grávidas transferidas no trabalho de parto para C.S. Quinhamel 400 364 350 312 uso de parto 300 % 258 263 ambulância institucional 250 209 200 150 139 2018 139 263 53 100 71 53 67 50 2019 209 312 67 0 uso de Parto % 2020 258 364 71 ambulância institucional 2018 2019 2020 Fonte: Mapa do pagamento dos atos Médicos de PIMI II Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau DISCUSSÃO 1. O parto institucional tem aumentado de ano apos 6. 64% das gravidas que tiveram parto institucional ano acompanhando o CPN4 no C.S. Quinhamel foram levados pela ambulância. 2. Diminuição do numero da CPN4 e Parto 7. Ações e práticas que promoveram a CPN4 : institucional nos 2º trimestres, devido/ i. Acessibilidade e gratuitidade, possivelmente Campanha de Caju ii. divulgação do PIMI, 3. Diminuição numero da CPN4 e Parto institucional iii. informação, educação e comunicação, no 4º trimestre 2020, devido/ possivelmente as iv. CPN de qualidade e o bom acolhimento, medidas de restrição por COVID-19 e sucessivas v. diagnostico precoce dos altos riscos greves da função pública. obstétricos, 4. Total de CPN4 durante os 3 anos são 2696, C.S. vi. CPN precoce, cumprimento restrito de Quinhamel com 835 e Ondame com 84. calendário do CPN, 5. Total de parto institucional é 2798 de igual modo vii. kits de dignidade, C.S. de Quinhamel com maior numero 939 e viii. disponibilidade da ambulância Ondame com menor numero 87. Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau 1. Incentivar a continuação de politica da Durante o período de gratuitidade. implementação do PIMI II na 2. Estratégia avançada com pacotes alargada região de Biombo, verificou- (CPN), se um aumento da CPN4 e do 3. Incentivar os maridos à acompanharem as número de partos gravidas pelo menos na CPN1, institucionais, sendo que a 4. Dar melhor atenção às gravidas na CPN, primeira parece influenciar 5. Felicitar as gravidas que atingirem a CPN4, diretamente a segunda. 6. Dar kits de dignidade a todas que tiverem o parto institucional 7. Investir em casa das Mães para gravidas de zonas difíceis e ou com complicações se for necessário. Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau Obrigada Fórum Nacional A Saúde Materna e Infantil na Guiné-Bissau .
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