The nutritional care during the prenatal and postpartum: Perceptions of managers of Primary Health Care

卷:29

de Campos Laporte-Pinfildi, Anna Sylvia ; Oikawa Zangirolani, Lia Thieme ; Spina, Natalia ; Martins, Paula Andrea ; Tavares de Medeiros, Maria Angelica

Univ Fed Sao Paulo

关键词: Health evaluation;    Nutrition programs and policies;    Postpartum period;    Prenatal care;    Primary Health Care;   

DOI  :  10.1590/1678-98652016000100011

学科分类：食品科学和技术

【 摘 要 】

Objective To evaluate the perception of managers regarding the nutritional care to prenatal and postpartum in Primary Health Units in Southern, Sao Paulo, Brazil. Methods It was conducted a census of 28 Primary Health Units from the insular area, using interviews with managers. The nutritional care was assessed according to infrastructure, work process and food and nutrition surveillance. Results The insertion of dietitians was the main insufficient component of dimension structure, interfering negatively on nutritional care for 60% of managers. It was founded low compliance for the following variables of theprocess dimension: calculate the body mass index (35%), monitoring of nutritional status in body mass index/gestational week curve (46%) and conducting individualized nutritional counseling in antenatal (14%). Conclusion Prenatal and postpartum nutritional care is unsatisfactory to achieve comprehensive care. It is necessary to sensitize local manager's awareness and qualify the health teams to ensure the effectiveness of such actions in Santos, Sao Paulo.