The regulation on the coordination of maternity care - analysis of requests for prenatal high risk

Introduction: The “Rede Cegonha”, established under the National Health System (SUS), consists of a health policy which aims to ensure quality care, safe and humane for all women. The program area 3.1 (AP 3.1) corresponds to an approximate area of 1200,000 inhabitants with 32 primary care units in Health Care (PHC). All these units perform prenatal care with referral and shared care to secondary and tertiary care for cases of high maternal and fetal risk. Reducing maternal mortality is a priority for the Coordination Area 3.1 (CAP 3.1) and for this it is necessary to joint actions between levels of care. Objective: To identify and analyze the main demands for high-risk prenatal in AP 3.1 based on the year 2015. Method: qualitative analysis and quantitative sampling of requests for prenatal high risk regulated via SISREG, from January 2015 to December 2015. It will considered the requests for consultation in obstetrics high risk, multiple pregnancy and infectious diseases obstetrics. Results: It is expected to show the major health conditions associated with the referral to secondary health care and suggest ways to improve quality of prenatal care in AP 3.1. Conclusions: PHC can ensure the surveillance of the itinerary of people at different levels of health care. CAP 3.1 and the municipal administration can intervene together to get better comprehensiveness in the primary care units. These results will be able to suggest the network qualification possibilities for better coordination of care of women in the AP 3.1.