Fatores associados ao abandono do serviço pré-natal e abrigo social para gestantes usuárias de substâncias psicoativas em maternidade pública de São Paulo, Brasil

• Ano de defesa: 2017
• Autor(a) principal: Avilla, Rosa Marina [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Prenatal care; Attrition rate; Drug addiction; Pregnancy; Retention; Cuidado pré-natal; Taxa de atrito; Transtornos relacionados ao uso de substâncias; Gravidez; Retenção
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5061280; http://repositorio.unifesp.br/handle/11600/50094

Objectives: To investigate the factors associated with dropout from a social shelter and prenatal care by pregnant women who consume alcohol and other psychoactive substances and who are receiving specialized assistance at a public maternity in the city of São Paulo, Brazil. Method: Records of 166 women who use drugs admitted to a social shelter were analysed. All of them were assisted and interviewed by an obstetrician and psychiatrist during a prenatal care, as part of a Program specially tailored to assist these growing population, by the time that they remained voluntarily living there. Results: Attrition rate was high (75/166, 45.2%). Univariate analysis (Table 1) revealed that the odds of dropping out antenatalcare were over three times greater for those who had no family contact (OR 3.28 95%CI 1.73- 6.21), 2.60 times greater among those with no or primary schoolling only (95%CI 1.27-5.34), 2.38 times greater among those with child(ren) (95CI% 1.11-5.10), 1.70 times greater among those who has also drug problems with the expected child’s father (CI 0.89- 3.22), 2.09 times greater for those who had used crack-cocaine daily (95%CI 1.10- 3.95) and 2.79 times greater among those who reported poly drug use daily (95%CI 1.05-7.75). In multivariate analysis, had no family contact, child’s father had substance use problems, and poly drug use daily remained significant in the model to dertermine factors associated with attrition rates. Conclusion: Attrition rate may be the outcome of issues not fully addressed in prenatal interventions. Identification of who are at risk for dropping out affords services to an opportunity to prevent its occurrence.