Conformity between immunization records in prenatal charts and vaccine conditions of pregnant women seen in public health services of Jundiaí-SP / Conformidade entre registros de imunização em cartões de pré-natal e a condição vacinal de gestantes atendidas nos serviços públicos de saúde de Jundiaí-SP

RESUMO

The records of the vaccine situation in the prenatal charts are an important source of information to be shared among the health teams responsible for maternity assistance. The objective of this study was to evaluate the conformity between the records regarding immunization in the prenatal chart and the information kept in the archives of the Primary Health Center/Family Health Center in which the pregnant woman underwent prenatal care. The 306-woman sample was calculated from the 4017 childbirths that happened in 2013, taking into account the 54% of pregnant women who were cared for in the Unified Health System (SUS). The inclusion of women in the sample was random and stratified, aiming to work with 15% of the births performed in each month. The results have shown that only 12.4% (41/306) of the prenatal charts presented any recorded vaccines; in the health units the record was verified in 49.6% (152/306) of the pregnant women, which meant it was 3.7 times greater in the PHC/FHC. The underreporting of the records increases with the number of pregnant women. Only two types of vaccine were recorded in the charts analyzed the MMR, in 36 charts (11.7%) and the Influenza, in six charts (1.9%). In the health units four types were registered, the most frequent of which were the Tetanus 45.7% (140/306) and the Hepatitis B 44.4% (136/306). The study has shown that there is not a conformity between the information on the vaccination status of the women contained in the prenatal charts and that in the records archived in the health care units where the prenatal assistance was conducted. The situation deserves much more attention on the part of the health professionals who offer assistance to pregnant women, because underreporting of vaccines in prenatal charts reaches more than 80%, and the vaccines of just a little more than half of the pregnant women studied are correctly recorded in the health.