Maternal mortality and delivery care under the sentinel model. Case study
Objective: Evaluate the coverage of eutocic delivery care in the Sentinel Unit
(UC), of the first level of care, verify compliance with what is established in the
model and identify the factors that prevent or favor its use, from the perspective
of the providers of health and users.
Materials and methods: Qualitative and quantitative study, retrospective with
information on the primary and secondary bases. Main variable: care of eutocic
delivery. Analysis: Descriptive, percentages for categorical variables and δ
means for continuous variables, statistical differences between two categorical
variables, Pearson Chi2. Multivariate: logistic regression of factors associated
with delivery care. Twelve semi-structured interviews were conducted with users
and 8 service providers, the analysis was carried out based on Grounded Theory
through Ethnograph v.5.
Results: Sample: 218 users, average age was 24.7 years. The UC provided
prenatal control, 61% more than 5 consultations; however, the care of eutocic
deliveries was only 17 deliveries (33.4%). The most important barriers referred
to by the users and health providers were: lack of personnel, training, supplies and
insufficient support and institutional legal protection in case of complications.
Conclusions: UC is a strategy to return delivery care to the first level of care, but
it is necessary to implement a plan to improve and strengthen providers.
Keywords: Maternal mortality; Normal delivery; Access to health care; Health
personnel; Prenatal care.
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