2014
DOI: 10.1590/s0034-8910.2014048005283
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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… Show more

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Cited by 28 publications
(24 citation statements)
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References 19 publications
(46 reference statements)
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“…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.…”
Section: Discussionmentioning
confidence: 99%
“…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.…”
Section: Discussionmentioning
confidence: 99%
“…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.…”
Section: ▄ Resultadosunclassified
“…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.…”
Section: Discussionmentioning
confidence: 99%