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2030-12-31
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- IFF - Artigos de Periódicos [1296]
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POSTNATAL AND POSTABORTION CARE DURING ADOLESCENCE IN THE NATIONAL HEALTH SYSTEM IN RIO DE JANEIRO, BRAZIL
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Objective:To study postnatal and postabortion outpatient care for adolescents in relation to the guidelines of the Brazilian Ministry of Health.Methods:The present cross-sectional study was conducted between 2011 and 2012 via interviews with coordinators from 147 of 148 (99.3%) National Health System facilities providing sexual and reproductive healthcare for adolescents in the city of Rio de Janeiro, Brazil. Theχ 2 test or Fisher exact test was used to compare ratios, andttest to compare means, with a significance level of 5% (Pb0.05).Results:Postnatal care was provided by 141 (95.9%) facilities; however, only 95 (67.4%) facilities complied with the guidelines of the Ministry of Health by providing two consultations: one in thefirst week and one between the 30th and 42nd day postpartum. In 32 (22.7%) facilities, a consultation was not scheduled in thefirst week; and in 25 (17.7%), a consultation between the 30th and 42nd day postpartum was not scheduled. Furthermore, only 11 (7.8%) facilities provided care in the age bracket recommended by WHO and the Brazilian Ministry of Health. Conclusion:The provision of puerperal care in the Brazilian National Health System is currently far from the recommendations in government guidelines
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