Maternal characteristics and type of prenatal care associated with peregrination before childbirth

ABSTRACT OBJECTIVE To analyze the maternal characteristics and type of prenatal care associated with peregrination before childbirth among pregnant women in a northeastern Brazilian state. METHODS Quantitative and transversal study, with descriptive and analytical approaches, part of the Nascer...

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Main Authors: Rosemar Barbosa Mendes, José Marcos de Jesus Santos, Daniela Siqueira Prado, Rosana Queiroz Gurgel, Felipa Daiana Bezerra, Ricardo Queiroz Gurgel
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100258&lng=en&tlng=en
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author Rosemar Barbosa Mendes
José Marcos de Jesus Santos
Daniela Siqueira Prado
Rosana Queiroz Gurgel
Felipa Daiana Bezerra
Ricardo Queiroz Gurgel
author_facet Rosemar Barbosa Mendes
José Marcos de Jesus Santos
Daniela Siqueira Prado
Rosana Queiroz Gurgel
Felipa Daiana Bezerra
Ricardo Queiroz Gurgel
author_sort Rosemar Barbosa Mendes
collection DOAJ
description ABSTRACT OBJECTIVE To analyze the maternal characteristics and type of prenatal care associated with peregrination before childbirth among pregnant women in a northeastern Brazilian state. METHODS Quantitative and transversal study, with descriptive and analytical approaches, part of the Nascer em Sergipe research held between June 2015 and April 2016. A total of 768 puerperal women proportionally distributed across all maternities of the state (n = 11) were evaluated. Data were collected in interviews and from prenatal records. The associations between antepartum peregrination and the exposure variables were described in absolute and relative frequencies, crude and adjusted odds ratios and their respective confidence intervals. RESULTS Antepartum peregrination was reported by 29.4% (n = 226) of the interviewees, most of whom sought care in a single service before the current one (87.6%; n = 198). It should be noted that antepartum peregrination was less frequent among women aged ≥ 20 years old (OR = 0.50; 95%CI 0.34–0.71), with high education level (OR = 0.42; 95%CI 0.31–0.59) and a paid job (adjusted OR = 0.59; 95%CI 0.41–0.82), who had been instructed during prenatal care about the referral maternity for childbirth (adjusted OR = 0.88; 95%CI 0.42–0.92), and who used the private service to receive prenatal (adjusted OR = 0.44; 95%CI 0.18–0.86) or childbirth (adjusted OR = 0.96; 95%CI 0.66–0.98) care. No statistical evidence of associations between gestational characteristics and the occurrence of peregrination was observed. CONCLUSIONS Antepartum peregrination suffers interference from the mother’s socioeconomic characteristics, the type of prenatal care received and the source of funding for childbirth.
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spelling doaj.art-9740a4cb5cd1467389c8d48749e07a412022-12-22T00:21:01ZengUniversidade de São PauloRevista de Saúde Pública1518-87875310.11606/s1518-8787.2019053001087S0034-89102019000100258Maternal characteristics and type of prenatal care associated with peregrination before childbirthRosemar Barbosa MendesJosé Marcos de Jesus SantosDaniela Siqueira PradoRosana Queiroz GurgelFelipa Daiana BezerraRicardo Queiroz GurgelABSTRACT OBJECTIVE To analyze the maternal characteristics and type of prenatal care associated with peregrination before childbirth among pregnant women in a northeastern Brazilian state. METHODS Quantitative and transversal study, with descriptive and analytical approaches, part of the Nascer em Sergipe research held between June 2015 and April 2016. A total of 768 puerperal women proportionally distributed across all maternities of the state (n = 11) were evaluated. Data were collected in interviews and from prenatal records. The associations between antepartum peregrination and the exposure variables were described in absolute and relative frequencies, crude and adjusted odds ratios and their respective confidence intervals. RESULTS Antepartum peregrination was reported by 29.4% (n = 226) of the interviewees, most of whom sought care in a single service before the current one (87.6%; n = 198). It should be noted that antepartum peregrination was less frequent among women aged ≥ 20 years old (OR = 0.50; 95%CI 0.34–0.71), with high education level (OR = 0.42; 95%CI 0.31–0.59) and a paid job (adjusted OR = 0.59; 95%CI 0.41–0.82), who had been instructed during prenatal care about the referral maternity for childbirth (adjusted OR = 0.88; 95%CI 0.42–0.92), and who used the private service to receive prenatal (adjusted OR = 0.44; 95%CI 0.18–0.86) or childbirth (adjusted OR = 0.96; 95%CI 0.66–0.98) care. No statistical evidence of associations between gestational characteristics and the occurrence of peregrination was observed. CONCLUSIONS Antepartum peregrination suffers interference from the mother’s socioeconomic characteristics, the type of prenatal care received and the source of funding for childbirth.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100258&lng=en&tlng=enPregnant WomenMidwiferyMaternal-Child Health Services, supply & distributionHealth Services AccessibilityEquity in Access to Health Services
spellingShingle Rosemar Barbosa Mendes
José Marcos de Jesus Santos
Daniela Siqueira Prado
Rosana Queiroz Gurgel
Felipa Daiana Bezerra
Ricardo Queiroz Gurgel
Maternal characteristics and type of prenatal care associated with peregrination before childbirth
Revista de Saúde Pública
Pregnant Women
Midwifery
Maternal-Child Health Services, supply & distribution
Health Services Accessibility
Equity in Access to Health Services
title Maternal characteristics and type of prenatal care associated with peregrination before childbirth
title_full Maternal characteristics and type of prenatal care associated with peregrination before childbirth
title_fullStr Maternal characteristics and type of prenatal care associated with peregrination before childbirth
title_full_unstemmed Maternal characteristics and type of prenatal care associated with peregrination before childbirth
title_short Maternal characteristics and type of prenatal care associated with peregrination before childbirth
title_sort maternal characteristics and type of prenatal care associated with peregrination before childbirth
topic Pregnant Women
Midwifery
Maternal-Child Health Services, supply & distribution
Health Services Accessibility
Equity in Access to Health Services
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100258&lng=en&tlng=en
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