O acesso à assistência ao parto para gestantes adolescentes nas maternidades da rede SUS - RJ

Abstract

The present study had as general objective to analyze, considering the principle of equity, the accessibility for pregnant teenagers looking for assistance to childbirth in Brazilian Public Health System (SUS) in Rio de Janeiro, Brazil. The specific objectives were: to describe how occur the access and the reference of pregnant teenagers for the attendance to the childbirth in SUS s Units; to identify the factors that interfere with the accessibility of pregnant teenagers for attendance to childbirth in SUS s Units. This is a quantitative study, with observational and cross-sectional design, accomplished from April to July 2008 in SUS s Units at Rio de Janeiro. Data were obtained by structured interviews. The sample consisted of 328 adolescent mothers, and the limit was characterized by the informed consent of the teenagers and the authorization of their companion. Data were organized in a database for later analysis, to which was used the software EPI INFO version 6.03 and the reason for prevalence as statistical test. The results showed that 40.5% of the teenagers were black, 54.9% had only primary school, 91.5% had had prenatal care, 57.6% had from 5 to 7 prenatal consultants. The access was considered unsatisfactory in 36.6% of cases where 20.7% of the women went through more than one health unit to give birth. It was concluded that the assistance to pregnant teenagers needs adjustments in order to facilitate the access of these women to the childbirth assistance services. The net SUS-RJ doesn't get to assure to those pregnant teenagers the access to the attendance for childbirth considering the principle of equity.