Opportunity and Continuity of Prenatal Care in Low-Risk Pregnant Women and Cesarean Frequency

Noé Alfaro Alfaro; Romelia Maldonado Alvarado; Arnoldo Guzmán Sánchez; Patricia Mendoza Roaf; Nidia Balcazar Partida; Isabel Valadez Figueroa

2002, Number 5

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Rev Med Inst Mex Seguro Soc 2002; 40 (5)

Opportunity and Continuity of Prenatal Care in Low-Risk Pregnant Women and Cesarean Frequency

Alfaro AN, Maldonado AR, Guzmán SA, Mendoza RP, Balcazar PN, Valadez FI

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Language: Spanish
References: 17
Page: 415-420
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ABSTRACT

Goal: To determine opportunity and continuity of prenatal care in low-risk pregnant women and frequency of cesarean section. Material and Methods: A descriptive cross-sectional study was carried out in 222 woman of low obstetric risk in immediate puerperium stage. They were conventionally selected from a regional general hospital of the Instituto Mexicano del Seguro Social (IMSS). Information on socio-demographic characteristics of the mother, prenatal care, cesarean section, birth weight, and newborn conditions was collected. Results: Pregnant women had their initial opportune prenatal visit, 41.9 %; 92.5 % had minimal obstetric intervention, 129 (58.1 %) pregnant woman had subsequent visits; of these, 90.5 % had minimal intervention care, although we studied low-risk pregnant women, 12.6 % (OR = 0.34; IC 95 % = 0.16 to 0.63) who had opportune initial visits, and 19.3 % (OR = 0.23; IC 95 % = 0.07 to .070) continued subsequent visits had cesarean section. Conclusions: Pregnancies with opportune initial visits and subsequent visits had more cesarean sections. We must have a monitoring program for prenatal care and delivery through a special committee to decrease unnecessary cesarean section.

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