Abstract
This study characterizes the women receiving precarious prenatal care according to socio-demographic variables, mother's reproductive history, family support, satisfaction with pregnancy, and risk behavior during pregnancy. A total of 1,967 adolescents were interviewed in the immediate post-partum in public and outsourced maternity hospitals in the City of Rio de Janeiro. The dependent variable was the number of prenatal appointments (0-3; 4-6; 7 or more). The statistical analysis aimed to test the hypothesis of homogeneity of proportions, including bi- and multivariate analysis, using multinomial logistic regression, in which the reference category for the response variable was 7 or more prenatal visits. Higher (and statistically significant) proportions of insufficient number of prenatal visits (0-3) were associated with: precarious sanitation conditions; not living with the child's father; attempted abortion; and smoking, drinking, and/or drug use during pregnancy. The results strongly indicate that mothers with worse living conditions and risk behavior during pregnancy were the same who lacked access to prenatal care.
Highlights
This study characterizes the women receiving precarious prenatal care according to socio-demographic variables, mother’s reproductive history, family support, satisfaction with pregnancy, and risk behavior during pregnancy
The statistical analysis aimed to test the hypothesis of homogeneity of proportions, including biand multivariate analysis, using multinomial logistic regression, in which the reference category for the response variable was 7 or more prenatal visits
The results strongly indicate that mothers with worse living conditions and risk behavior during pregnancy were the same who lacked access to prenatal care
Summary
Este estudo faz parte de um subprojeto do “Estudo da Morbi-mortalidade e da Atenção Peri e Neonatal no Município do Rio de Janeiro”, desenvolvido a partir de uma amostra de puérperas que se hospitalizaram em maternidades localizadas no município por ocasião do parto. Foi selecionada uma amostra de, aproximadamente, 10% de parturientes do número previsto de partos em todos os hospitais de cada estrato, exceto naqueles com menos de duzentos partos por ano. O tamanho da amostra em cada estrato foi estabelecido com o objetivo de comparar proporções em amostras iguais no nível de significância de 5% e detectar diferenças de pelo menos 3% com poder do teste de 90% 14, baseando-se na proporção de baixo peso ao nascer (< 2.500g). Serão consideradas nesta análise apenas as mães adolescentes, entrevistadas em maternidades dos estratos 1 e 2, com idade até 19 anos
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