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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A assist\u00eancia ao pr\u00e9-natal prestada de forma inadequada est\u00e1 relacionada \u00e0 ocorr\u00eancia de desfechos negativos para m\u00e3es e rec\u00e9m-nascidos, sendo fundamental seguir as diretrizes do Minist\u00e9rio da Sa\u00fade para garantir a qualidade do cuidado. O objetivo deste estudo foi analisar indicadores relacionados ao pr\u00e9-natal utilizando as informa\u00e7\u00f5es das edi\u00e7\u00f5es da Pesquisa Nacional de Sa\u00fade (PNS) de 2013 e 2019. A popula\u00e7\u00e3o-alvo do estudo incluiu mulheres que tiveram filhos nos dois anos anteriores \u00e0s pesquisas. Foram elaborados indicadores relacionados ao atendimento pr\u00e9-natal, tais como n\u00famero de consultas, exames realizados, monitoramento cl\u00ednico-obst\u00e9trico e orienta\u00e7\u00f5es recebidas. As preval\u00eancias dos indicadores e seus respectivos intervalos de 95% de confian\u00e7a foram estimados e comparados entre 2013 e 2019, por meio do teste de qui-quadrado de Pearson, ajustado pela corre\u00e7\u00e3o de Rao-Scott - que leva em considera\u00e7\u00e3o o desenho amostral. Houve aumento significativo no n\u00famero de consultas de pr\u00e9-natal realizadas (p &lt; 0,05), bem como na realiza\u00e7\u00e3o de exames cl\u00ednico-obst\u00e9tricos (p &lt; 0,05). Em rela\u00e7\u00e3o \u00e0 propor\u00e7\u00e3o de mulheres que receberam orienta\u00e7\u00f5es sobre o servi\u00e7o de refer\u00eancia para o parto, houve aumento significativo de 75% para 83% (p &lt; 0,001), assim como a realiza\u00e7\u00e3o de testes para s\u00edfilis, de 66% para 79% (p &lt; 0,001), e HIV, de 95% para 99% (p &lt; 0,001). A an\u00e1lise da assist\u00eancia ao pr\u00e9-natal revela avan\u00e7os importantes na cobertura e na qualidade do atendimento \u00e0s gestantes no Brasil. No entanto, desafios persistem, como o in\u00edcio tardio do pr\u00e9-natal e a insuficiente orienta\u00e7\u00e3o sobre os servi\u00e7os de refer\u00eancia para o parto.<\/jats:p>","DOI":"10.1590\/0102-311xpt143424","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T20:38:22Z","timestamp":1749501502000},"source":"Crossref","is-referenced-by-count":8,"title":["Assist\u00eancia pr\u00e9-natal: uma an\u00e1lise temporal utilizando as informa\u00e7\u00f5es da Pesquisa Nacional de Sa\u00fade de 2013 e 2019"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6943-0194","authenticated-orcid":false,"given":"Narayani Martins","family":"Rocha","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5164-8603","authenticated-orcid":false,"given":"Wanessa da Silva de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8142-4790","authenticated-orcid":false,"given":"Paulo Roberto Borges de","family":"Souza J\u00fanior","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7798-2095","authenticated-orcid":false,"given":"C\u00e9lia Landmann","family":"Szwarcwald","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","article-title":"Portaria n\u00ba 569, de 1\u00ba de junho de 2000. 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