Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019
Introduction: Peru is the fifth country in Latin America with the highest maternal mortality. In Peru, immediate puerperal control (IPC) was established in 2013 as a measure to improve postnatal control, with a view in reducing maternal mortality. This study aimed to evaluate the frequency and socio...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | European Journal of Obstetrics & Gynecology and Reproductive Biology: X |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590161323000789 |
| _version_ | 1797394804381843456 |
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| author | Alonso Díaz-Canales Juan Pablo Noel-Meza Brenda Caira-Chuquineyra Daniel Fernandez-Guzman Leslie Salazar-Talla Diego Urrunaga-Pastor Guido Bendezu-Quispe |
| author_facet | Alonso Díaz-Canales Juan Pablo Noel-Meza Brenda Caira-Chuquineyra Daniel Fernandez-Guzman Leslie Salazar-Talla Diego Urrunaga-Pastor Guido Bendezu-Quispe |
| author_sort | Alonso Díaz-Canales |
| collection | DOAJ |
| description | Introduction: Peru is the fifth country in Latin America with the highest maternal mortality. In Peru, immediate puerperal control (IPC) was established in 2013 as a measure to improve postnatal control, with a view in reducing maternal mortality. This study aimed to evaluate the frequency and sociodemographic factors associated with compliance with IPC in Peru, 2019. Methods: We conducted an analytical cross-sectional study based on the Demographic and Family Health Survey (ENDES, for its acronym in Spanish) of Peru, 2019. The dependent variable was compliance with IPC (control in the first 2 h) in women aged 15–49 years who had delivered within the last five years preceding the survey. To evaluate the associated factors, Poisson family generalized linear models were used to calculate crude (cPR) and adjusted (aPR) prevalence ratios, with their respective 95% confidence intervals (95%CI). Results: Data from 11,854 women were analyzed. The frequency of IPC was 59.6% (95%CI: 58.3–60.9). We found a lower proportion of IPC in urban areas (58.8%) and in the highlands (57%) and jungle (57.2%) of Peru. Residing in rural areas (aPR:1.13; 95%CI:1.08–1.19), having undergone appropriate antenatal care (ANC) (aPR:1.05; 95%CI:1.01–1.10) and having delivered a low-birth-weight newborn (aPR:1.20; 95%CI:1.12–1.29) were associated with a higher frequency of IPC, while living in the highlands (aPR:0.86; 95%CI:0.80–0.92) or jungle (aPR:0.86; 95%CI:0.80–0.92) was associated with a lower frequency of IPC. Conclusions: Approximately four out of ten women did not have IPC. There was a lower proportion of IPC in urban areas and in the highland and jungle regions. |
| first_indexed | 2024-03-09T00:25:02Z |
| format | Article |
| id | doaj.art-2cdf96e3fcd24d3ca2f6a326487e41f7 |
| institution | Directory Open Access Journal |
| issn | 2590-1613 |
| language | English |
| last_indexed | 2024-03-09T00:25:02Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Journal of Obstetrics & Gynecology and Reproductive Biology: X |
| spelling | doaj.art-2cdf96e3fcd24d3ca2f6a326487e41f72023-12-12T04:35:44ZengElsevierEuropean Journal of Obstetrics & Gynecology and Reproductive Biology: X2590-16132023-12-0120100253Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019Alonso Díaz-Canales0Juan Pablo Noel-Meza1Brenda Caira-Chuquineyra2Daniel Fernandez-Guzman3Leslie Salazar-Talla4Diego Urrunaga-Pastor5Guido Bendezu-Quispe6Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, PeruEscuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, PeruFacultad de Medicina, Universidad Nacional de San Agustín, Arequipa, PeruUniversidad Científica del Sur, Lima, PeruGrupo Estudiantil de Investigación en Salud Mental (GISAM), Sociedad Científica de Estudiantes de Medicina de la Universidad de San Martin de Porres, Lima, PeruUniversidad Científica del Sur, Lima, Peru; Correspondence to: Universidad Científica del Sur, Carr. Panamericana Sur 19, Villa 15067, EL Salvador.Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, PeruIntroduction: Peru is the fifth country in Latin America with the highest maternal mortality. In Peru, immediate puerperal control (IPC) was established in 2013 as a measure to improve postnatal control, with a view in reducing maternal mortality. This study aimed to evaluate the frequency and sociodemographic factors associated with compliance with IPC in Peru, 2019. Methods: We conducted an analytical cross-sectional study based on the Demographic and Family Health Survey (ENDES, for its acronym in Spanish) of Peru, 2019. The dependent variable was compliance with IPC (control in the first 2 h) in women aged 15–49 years who had delivered within the last five years preceding the survey. To evaluate the associated factors, Poisson family generalized linear models were used to calculate crude (cPR) and adjusted (aPR) prevalence ratios, with their respective 95% confidence intervals (95%CI). Results: Data from 11,854 women were analyzed. The frequency of IPC was 59.6% (95%CI: 58.3–60.9). We found a lower proportion of IPC in urban areas (58.8%) and in the highlands (57%) and jungle (57.2%) of Peru. Residing in rural areas (aPR:1.13; 95%CI:1.08–1.19), having undergone appropriate antenatal care (ANC) (aPR:1.05; 95%CI:1.01–1.10) and having delivered a low-birth-weight newborn (aPR:1.20; 95%CI:1.12–1.29) were associated with a higher frequency of IPC, while living in the highlands (aPR:0.86; 95%CI:0.80–0.92) or jungle (aPR:0.86; 95%CI:0.80–0.92) was associated with a lower frequency of IPC. Conclusions: Approximately four out of ten women did not have IPC. There was a lower proportion of IPC in urban areas and in the highland and jungle regions.http://www.sciencedirect.com/science/article/pii/S2590161323000789Postnatal careMaternal healthPostpartum periodPeru (Source: MeSH) |
| spellingShingle | Alonso Díaz-Canales Juan Pablo Noel-Meza Brenda Caira-Chuquineyra Daniel Fernandez-Guzman Leslie Salazar-Talla Diego Urrunaga-Pastor Guido Bendezu-Quispe Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 European Journal of Obstetrics & Gynecology and Reproductive Biology: X Postnatal care Maternal health Postpartum period Peru (Source: MeSH) |
| title | Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 |
| title_full | Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 |
| title_fullStr | Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 |
| title_full_unstemmed | Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 |
| title_short | Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019 |
| title_sort | sociodemographic factors associated with immediate puerperal control a cross sectional study based on the peruvian demographic and health survey 2019 |
| topic | Postnatal care Maternal health Postpartum period Peru (Source: MeSH) |
| url | http://www.sciencedirect.com/science/article/pii/S2590161323000789 |
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