Name: LIDIANE DIAS FREIRE AMORIM
Publication date: 10/12/2025
Examining board:
Name |
Role |
|---|---|
| CANDIDA CANICALI PRIMO | Presidente |
| ELIANE DE FATIMA ALMEIDA LIMA | Examinador Interno |
| NAYARA GONÇALVES BARBOSA | Examinador Externo |
Summary: Pregnancy, a period of intense change, requires continuous monitoring
and qualified guidance. Prenatal care, a right guaranteed to all pregnant women, aims
to monitor maternal and fetal health, prevent complications, and provide essential care
during pregnancy, childbirth, and the postpartum period. However, challenges related
to maternal and neonatal mortality persist, as well as difficulties in understanding the
guidance received during consultations. In this context, the use of educational
technologies is an effective strategy for improving health literacy, facilitating access to
information, and promoting greater autonomy. The Pregnancy Almanac stands out as
a promising technology for offering accessible and interactive content, promoting
learning and self-care. Objectives: Assess the effects of using the Pregnancy
Almanac on health literacy among pregnant women during prenatal care. Develop a
tool to assess health literacy among pregnant women regarding prenatal care based
on the content of the Pregnancy Almanac. Materials and Methods: Quasiexperimental
study with a single group and pre- and post-test application, conducted
at a maternal and child health clinic at a public hospital in Vitória, Espírito Santo.
Ninety-eight pregnant women aged 18 years or older and up to 30 weeks of gestation
participated in the study, selected for convenience. Data collection took place in two
stages, before and after the pregnant women had contact with the Pregnancy
Almanac, with an interval of 30 to 60 days. The knowledge assessment tool contained
40 true or false statements based on the content of the almanac. The data were
entered into a Microsoft Excel® spreadsheet and analyzed using statistical tests, using
Jamovi® and Jasp® software. Results: The results indicated a significant increase in
the number of correct answers in the post-test compared to the pre-test, demonstrating
the effectiveness of using the Pregnancy Almanac in promoting health knowledge
among pregnant women during prenatal care. The average number of correct answers
increased from 34.6 (SD=3.25) in the pre-test to 37.5 (SD=2.41) in the post-test, a
statistically significant difference (p<0.001), with a large effect (Rank-Biserial
Correlation=0.983). Most pregnant women (85.7%) showed improvement in
performance, while 11.2% had the same results and only 3.1% showed a decline.
Learning gains were collected on broader topics related to toxoplasmosis, syphilis,
vaccination, and mucus discharge, while topics on signs of labor, the appropriate time
to go to the maternity ward, labor management, and heartburn were identified as points
of greater difficulty. The evaluation of the material declared it highly accessible, with
95.9% of pregnant women reporting being satisfied or very satisfied with the
Pregnancy Almanac. Product: An instrument was developed to assess pregnant
women's health literacy regarding prenatal care before and after contact with the
Pregnant Woman's Almanac. Conclusion: The Pregnant Women's Almanac proved
to be effective as an educational technology for promoting health literacy in prenatal
care, expanding the knowledge of pregnant women. The results confirm its potential
as a complementary resource to consultations and reinforce the strategic role of
nursing in mediating the educational process. This research has the potential to be
applied at the regional and national levels, as it systematically describes the actions
and instruments for applying the Almanac in nursing consultations. The study
contributes to scientific advancement and healthcare practice by strengthening
women's autonomy and improving prenatal care.
