ANALYSIS OF PRENATAL FOLLOW UP OF HIGH-RISK PREGNANCIES IN A SPECIALIZED OUTPATIENT CLINIC IN WESTERN PARANÁ

Abstract

Introduction: Prenatal care is essential for monitoring gestational risk factors, promoting maternal and fetal health, and reducing maternal and infant morbidity and mortality. Objective: To characterize the profile of pregnant women attending a specialized clinic, identifying health determinants and socioeconomic factors associated with high-risk pregnancies in the Western Paraná. Methodology: Study based on the application of sociodemographic and obstetric questionnaires to pregnant women followed up in a high-risk pregnancy clinic. Results: The sample consisted of 113 pregnant women, predominantly within a favorable reproductive age, with a secondary education, and had a family income of up to three times the minimum wage. Among the risk factors obesity (32.47%), hypertension (22.12%), and smoking (11.5%) stood out. Most participants were primiparous (39.82%) and had an interpregnancy interval of more than two years (62.83%). Gestational diabetes was the leading reason for referral to the clinic (39.82%). Most women initiated prenatal care early and attended the recommended number of visits (more than 6). Conclusion: Although the quality of prenatal care was satisfactory, there are still areas identified that require improvements to optimize care for high-risk pregnant women.