Toxoplasmose: assistência pré-natal sob a abordagem da rede cegonha em Itaparica-Bahia-Brasil entre 2013 a 2016

Abstract

Introduction: Toxoplasmosis is an infectious disease of great clinical importance for pregnant women due to the possibility of congenital transmission. The “rede cegonha” is a strategy used for prenatal care inserted in the basic health care system, aiming to reduce rates of maternal and neonatal mortality. Objective: To establish the relationship between the serological diagnosis process for toxoplasmosis in pregnant women and the performance of “rede cegonha”. Materials and Methods: This is retrospective descriptive study with a documental basis, consisting of 461 records of pregnant women assisted in the city of Itaparica/BA, Brazil, from 2013 to 2016. The research shows clinical and epidemiological data of pregnant women inserted in the “rede cegonha”, which is related to one of the family health units of Itaparica. Results: 302 (65.5%) pregnant women who underwent serology for toxoplasmosis were identified, with 3.65% considered as susceptible, 11.6% immune, 1.3% with a possible acute infection and 83.45% with an inconclusive clinical profile for toxoplasmosis. Conclusion: The “rede cegonha” strategy facilitates access to prenatal monitoring and serological diagnosis. However, there are difficulties regarding the performance of medical exams that help finding a diagnostic conclusion.