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Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 01

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Ginecol Obstet Mex 2024; 92 (01)

Characteristics of prenatal care and its association with the place and type of delivery of peruvian women

Palacios VDP, Moquillaza AVH, Barja OJ

Language: Spanish
References: 25
Page: 17-26
PDF size: 247.14 Kb.


ABSTRACT

Objective: To determine the association between the characteristics of prenatal care and the place and type of abortion in Peruvian women.
Materials and Methods: Retrospective, observational, analytical and cross-sectional study, with a quantitative approach, carried out from the analysis of a secondary database of the Demographic and Family Health Survey (ENDES) of the year 2021, in which Peruvian women who met the selection criteria participated. The association was assessed using Poisson regression.
Results: Data from 17,371 Peruvian women were analyzed. A total of 5.55% of deliveries were home births and 33.75% were caesarean sections. The odds of home delivery were increased by lack of prenatal care (p ‹ 0.001; adjusted prevalence ratio (aPR): 5.23), having received information about their rights (p ‹ 0.001; aPR: 1.27), and having received care from nurses (p ‹ 0.001; aPR: 5.06) or community health workers (p ‹ 0.001; aPR: 1.39). Termination of pregnancy by cesarean section was higher when the first prenatal care visit was initiated during the first trimester (p ‹ 0.001; RPA: 1.22), with blood testing (p = 0.004; RPA: 1.19), fetal heart rate monitoring (p = 0.001; RPA: 1. 48), testing for syphilis (p ‹ 0.001; RPa:1.09) and HIV (p ‹ 0.001; RPa:1.45), prescription of iron (p ‹ 0.001; RPa:1.18), information on nutrition (p ‹ 0.001; RPa:1.21), monitoring by physician (p ‹ 0.001; RPa:1.37) or nurse.
Conclusion: Characteristics of care that determined the type and location of pregnancy termination were identified.


REFERENCES

  1. Mortalidad materna. https://www.who.int/es/news-room/fact-sheets/detail/maternal-mortality

  2. Naciones Unidas. Objetivos y metas de desarrollo sostenible.Desarrollo Sostenible. 2015. https://www.un.org/sustainabledevelopment/es/objetivos-de-desarrollosostenible/

  3. La OMS señala que las embarazadas deben poder teneracceso a una atención adecuada en el momento adecuado.https://www.who.int/es/news/item/07-11-2016-pregnant-women-must-be-able-to-access-the-right-care-atthe-right-time-says-who

  4. Banco de datos regional para el seguimiento de los ODSen América Latina y el Caribe. https://agenda2030lac.org/estadisticas/banco-datos-regional-seguimiento-ods.html?lang=es

  5. Hernández A, Vargas R, Bendezu G. Factores asociados ala calidad de la atención prenatal en Perú. Rev Peru MedExp Salud Publica 2019; 36: 178-87. https://www.scielosp.org/article/rpmesp/2019.v36n2/178-187/es/

  6. Barros L, Velasco E. Factores asociados a la falta decontrol prenatal en América Latina y su relación con lascomplicaciones obstétricas. Enferm investig 2022; 7 (1):58. https://revistas.uta.edu.ec/erevista/index.php/enfi/article/view/1480

  7. Najarro K. Asociación entre el control prenatal y complicacionesobstétricas en el periparto según ENDES 2020.Universidad Ricardo Palma, 2022. http://repositorio.urp.edu.pe/handle/URP/5277

  8. Huapaya J, Santos Y, Moquillaza V. Factores asociados conel parto domiciliario en el Perú: un análisis de la EncuestaDemográfica y de Salud 2019. Ginecol Obstet Mex 2022;

  9. 90 (5). https://doi.org/10.24245/gom.v90i5.74179. Milcent C, Zbiri S. Prenatal care and socioeconomicstatus: effect on cesarean delivery. Health Econ Rev2018; 8: 7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845483/

  10. Munabi-Babigumira S, Glenton C, Lewin S, Fretheim A, NabudereH. Factors that influence the provision of intrapartumand postnatal care by skilled birth attendants in low- andmiddle-income countries: a qualitative evidence synthesis.Cochrane Database Syst Rev 2017; 11(11): CD011558.https://doi.org/10.1002/14651858.CD011558.pub2

  11. Quattrocchi P. Policies and Practices on Out-of-HospitalBirth: a Review of Qualitative Studies in the Time of Coronavirus.Curr Sex Health Rep 2023; 15 (1): 36-48. https://doi.org/10.1007/s11930-022-00354-7

  12. Hernández-Vásquez A, Chacón-Torrico H, Bendezu-QuispeG. Prevalence of home birth among 880,345 women in67 low- and middle-income countries: A meta-analysis ofDemographic and Health Surveys. SSM Popul Health 2021;16: 100955. https://doi.org/10.1016/j.ssmph.2021.100955

  13. Regassa LD, Tola A, Weldesenbet AB, Tusa BS. Prevalenceand associated factors of home delivery inEastern Africa: Further analysis of data from the recentDemographic and Health Survey data. SAGE OpenMed 2022; 10: 20503121221088083. https://doi.org/10.1177/20503121221088083

  14. Alemu SS, Ketema TG, Tessema KF, Feyisa JW, Yimer AA,Kebede BN. Preference of homebirth and associated factorsamong pregnant women in Arba Minch health anddemographic surveillance site, Southern Ethiopia. PLoSOne 2022; 17 (10): e0276682. https://doi.org/10.1371/journal.pone.0276682

  15. Michel A, Fontenot H. Adequate Prenatal Care: An IntegrativeReview. J Midwifery Womens Health 2023; 68 (2):233-247. https://doi.org/10.1111/jmwh.13459

  16. Budu E. Predictors of home births among rural women inGhana: analysis of data from the 2014 Ghana Demographicand Health Survey. BMC Pregnancy Childbirth 2020; 20 (1):523. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-03211-4

  17. Appiah F, Owusu BA, Ackah JA, Ayerakwah PA, BediakoVB, Ameyaw EK. Individual and community-level factorsassociated with home birth: a mixed effects regressionanalysis of 2017-2018 Benin demographic and health survey.BMC Pregnancy Childbirth 2021; 21 (1): 547. https://doi.org/10.1186/s12884-021-04014-x

  18. Boah M, Mahama AB, Ayamga EA. They receive antenatalcare in health facilities, yet do not deliver there: predictorsof health facility delivery by women in rural Ghana.BMC Pregnancy Childbirth 2018; 18 (1): 125. https://doi.org/10.1186/s12884-018-1749-6

  19. Siyoum M, Astatkie A, Mekonnen S, Bekele G, Taye K, TenawZ, Yohannes Z, Kassaye Z. Home birth and its determinantsamong antenatal care-booked women in public hospitals inWolayta Zone, southern Ethiopia. PLoS One 2018; 13 (9):e0203609. https://doi.org/10.1371/journal.pone.0203609

  20. Combellick JL, Telfer ML, Ibrahim BB, Novick G, Morelli EM,James-Conterelli S, Kennedy HP. Midwifery care duringlabor and birth in the United States. Am J Obstet Gynecol2023; 228 (5S): S983-S993. https://doi.org/10.1016/j.ajog.2022.09.044

  21. Liu Y, Li T, Guo N, Jiang H, Li Y, Xu C, Yao X. Women's experienceand satisfaction with midwife-led maternity care: a crosssectionalsurvey in China. BMC Pregnancy Childbirth 2021;21 (1): 151. https://doi.org/10.1186/s12884-021-03638-3

  22. Dusabe J, Akuze J, Kisakye AN, Kwesiga B, Nsubuga P,Ekirapa E. A case-control study of factors associated withcaesarean sections at health facilities in Kabarole District,Western Uganda, 2016. Pan Afr Med J 2018; 29: 179.https://doi.org/10.11604/pamj.2018.29.179.14870

  23. Fabbro MRC, Wernet M, Baraldi NG, de Castro BussadoriJC, Salim NR, Souto BGA, Dos Reis Fermiano A. Antenatalcare as a risk factor for caesarean section: a case study inBrazil. BMC Pregnancy Childbirth 2022; 22 (1): 731. https://doi.org/10.1186/s12884-022-05008-z

  24. Gedefaw G, Waltengus F, Demis A. Does Timing of AntenatalCare Initiation and the Contents of Care Have Effecton Caesarean Delivery in Ethiopia? Findings from Demographicand Health Survey. J Environ Public Health 2021;2021: 7756185. https://doi.org/10.1155/2021/7756185

  25. Ali Y, Khan MW, Mumtaz U, Salman A, Muhammad N, SabirM. Identification of factors influencing the rise of cesareansections rates in Pakistan, using MCDM. Int J Health CareQual Assur 2018; 31 (8): 1058-69. https://doi.org/10.1108/ijhcqa-04-2018-0087




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