Abstract
Objectives
to identify the prevalence of adherence and non-adherence to postpartum consultation, as well as facilitators and barriers, among postpartum women assisted in a teaching hospital.
Method
a prospective cohort study, conducted with 121 postpartum women, from August to December 2019, assisted in a teaching hospital in the inland of Minas Gerais.
Results
the prevalence of adherence to postpartum consultation was 34.7%. The reception of the health team during the prenatal and/or birth was observed as a facilitator. The mentioned barriers were the following: forgetfulness, complications with themselves and/or the newborn, transportation difficulty and distance between the service and residence. The factors associated with adherence were the following: postpartum women with higher education, who performed all or part of the prenatal care at the institution, who had pregnancy classified as high risk, who had previous diseases during pregnancy, primigravidae, and who had cesarean delivery.
Conclusions and implications for the practice
the submitted data made it possible to delineate a profile of the postpartum women who adhered or not to the postpartum return, identifying facilitators and barriers as well as factors associated with greater adherence. It is necessary to rethink assistance to the postpartum period, since consultation is the one of the strategies to prevent maternal death.
Keywords:
Postpartum Period; Prevalence; Disease Prevention; Maternal Death; Patient Discharge