Factors associated with lack of prenatal care in a large municipality

Abstract

OBJECTIVETo analyze the factors associated with a lack of prenatal care in a large municipality in southern Brazil.METHODSIn this case-control age-matched study, 716 women were evaluated; of these, 179 did not receive prenatal care and 537 received prenatal care (controls). These women were identified using the Sistema Nacional de Informação sobre Nascidos Vivos (Live Birth Information System) of Pelotas, RS, Southern Brazil, between 2009 and 2010. Multivariate analysis was performed using conditional logistic regression to estimate the odds ratios (OR).RESULTSIn the final model, the variables associated with a lack of prenatal care were the level of education, particularly when it was lesser than four years [OR 4.46; 95% confidence interval (CI) 1.92;10.36], being single (OR 3.61; 95%CI 1.85;7.04), and multiparity (OR 2.89; 95%CI 1.72;4.85). The prevalence of a lack of prenatal care among administrative regions varied between 0.7% and 3.9%.CONCLUSIONSThe risk factors identified must be considered when planning actions for the inclusion of women in prenatal care by both the central management and healthcare teams. These indicated the municipal areas with greater deficits in prenatal care. The reorganization of the actions to identify women with risk factors in the community can be considered to be a starting point of this process. In addition, the integration of the activities of local programs that target the mother and child is essential to constantly identify pregnant women without prenatal care.

Retrospective review of maternal deaths and maternal near misses due to major obstetric haemorrhage at a tertiary care centre in India

“…Many studies in the past have evaluated the causes for lack of prenatal care and most suggest that socioeconomic factors, educational status, access to healthcare facility and quality of healthcare are independent risk factors. 9 Improving awareness regarding the importance of family welfare services and strengthening the quality of services is the only way forward.…”

Effects of irregular antenatal care attendance in primiparas on the perinatal outcomes: a cross sectional study

“…The deprivation of ANC can be a contributing factor for development of preterm labor, intrauterine growth retardation, low birth weight, maternal and neonatal mortality as a result of infections in the perinatal and postnatal periods. 8 Thus, the present study aimed to identify the factors causing lack of attendance at antenatal clinics in primiparas and to determine the effects of lack of ANC on perinatal outcomes.…”

Determinantes da qualidade do pré-natal na Atenção Básica: o papel do Apoio Matricial em Saúde da Mulher

“…A qualidade da assistência pré-natal nos níveis 1 e 2 de análise deste estudo, definidos, respectivamente, pelo acesso e pelo processo, foi considerada adequada e sofreu influência do número de gestações anteriores e da presença do Apoio Matricial nas unidades de saúde. Mesmo sendo um princípio garantido na Política Nacional de Atenção Obstétrica e Neonatal 19 , o risco relativo de as gestantes com um ou dois filhos anteriores terem pré-natal inadequado por questões relacionadas ao acesso e, de forma reflexa, com menor realização dos procedimentos clínico-obstétricos foi maior se comparado às primigestas, confirmando fato descrito por Rosa et al 20 e justificado por um contexto social materno adverso ou por experiências anteriores negativas em relação ao serviço de saúde. Embora o modelo de serviço de saúde não tenha determinado diretamente a qualidade da assistência pré-natal, a presença do Apoio Matricial mostrou ser um fator de proteção contra a inadequação da assistência prestada.…”