2003
DOI: 10.1016/s0277-9536(03)00140-0
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Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter?

Abstract: This study examines factors associated with the use of biomedical care during pregnancy in Guatemala, focusing on the extent to which complications in an ongoing or previous pregnancy affect a woman's decisions to seek care. The findings, based on multilevel models, suggest that obstetrical need, as well as demographic, social, and cultural factors, are important predictors of pregnancy care. In contrast, measures of availability and access to health services have modest effects. The results also suggest the i… Show more

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Cited by 144 publications
(123 citation statements)
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References 29 publications
(43 reference statements)
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“…Agreement of partners and male involvement are important in various aspects of reproductive health, including abortion, family planning, sexually transmitted diseases, and breastfeeding (18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Spousal communication about reproductive health is important in decisions about accessing maternal health services in both developed and developing countries (7,9,(27)(28)(29)(30)(31).…”
Section: Discussionmentioning
confidence: 99%
“…Agreement of partners and male involvement are important in various aspects of reproductive health, including abortion, family planning, sexually transmitted diseases, and breastfeeding (18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Spousal communication about reproductive health is important in decisions about accessing maternal health services in both developed and developing countries (7,9,(27)(28)(29)(30)(31).…”
Section: Discussionmentioning
confidence: 99%
“…Women who had a prior foetal loss or neonatal death are more likely to receive ANC [12,38,42]. In India, pregnant women without previous obstetric problems were more likely to attend late [20].…”
Section: Survey Of Literaturementioning
confidence: 99%
“…These factors include women's age, 10,11 ethnicity, 12 education, 7,10,13 religion, 13,14 culture, 15 clinical need for care 15 and decision-making power. 16 The costs, 17 location 7,18 and quality of health services are also important.…”
Section: Introductionmentioning
confidence: 99%