Factors Affecting on Adequacy of Prenatal Care Utilization Index

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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PNMED07_015

تاریخ نمایه سازی: 18 تیر 1398

Abstract:

The adequacy of prenatal care can play an important role in reducing maternal and neonatal mortality. The adequacy of prenatal care is determined using various indicators, and it can be related to several factors. This research assessed the adequacy of prenatal care and determined the factors affecting it in Shiraz, Iran. Methods: The research population comprised 413 women who referred to Shiraz Medical Sciences Hospitals in 2017; data was collected from information available in the patients’ prenatal care and maternity records. Descriptive statistics, one-way ANOVA, and the chi-square test were used to analyze the data. Results: The results of this research showed 94.4% of pregnant women received prenatal care for the first time in the first four months of pregnancy, while prenatal care was initiated in the third trimester of pregnancy for 0.7% of women. According to the Kotelchuck Index, 70.94% of pregnant women received adequate-plus care. Data analysis indicated is a significant relationship between adequacy of prenatal care and prenatal care provider (p<0.001). In addition, there was a significant relationship between adequacy of prenatal care and sector of prenatal care (p=0.003). There was also a significant relationship between adequacy of prenatal care and pregnancy intention status from both the women’s (p=0.004) and their husbands’ (p<0.001) perspectives. Conclusion: Making the decision to use prenatal health services is a complicated process affected by individual, family, and health system factors. Therefore, it is important that prenatal care providers pay attention to factors affecting the receipt of such care

Keywords:

Adequacy of prenatal care utilization index , Kotelchuck Index , Prenatal care , Pregnant women , Iran

Authors

Zahra Yazdanpanahi

Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Mahboubeh Hajifoghaha

Student Research Committee, Department of Midwifery, School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences, Tehran, Iran

Amir Hossein Babaei

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran