Abstract
To determine the adequacy of compliance with antenatal care (ANC) by pregnant women in Peru and to identify the associated factors. An analytical cross-sectional study of data from the 2019 Peruvian Demographic and Family Health Survey (Encuesta Demográfica y de Salud Familiar, ENDES, in Spanish) was conducted. The dependent variable was adequate compliance with ANC (provided by skilled health care professionals; first ANC visit during the first trimester of pregnancy; six or more ANC visits during pregnancy; ANC visits with appropriate content) by women aged 15 to 49 years in their last delivery within the five years prior to the survey. Crude and adjusted prevalence ratios and their 95% confidence intervals were calculated using a log-binomial regression model. A total of 18,386 women were analyzed, 35.0% of whom adequately complied with ANC. The lowest proportion of compliance was found with the content of ANC (42.6%). Sociodemographic factors and those related to pregnancy, such as being in the age groups of 20 to 34 years and 35 to 49 years, having secondary or higher education, belonging to a wealth quintile of the population other than the poorest, being from the Amazon region, not being of native ethnicity, having a second or third pregnancy, and having a desired pregnancy, increased the probability of presenting adequate compliance with ANC. Only 3 out of 10 women in Peru showed adequate compliance with ANC. Compliance with the content of ANC must be improved, and strategies must be developed to increase the proportion of adequate compliance with ANC.
Highlights
Maternal mortality still occurs in different parts of the world, despite a marked reduction from 385 to 216 deaths per 100 thousand births between 1990 and 2015.1 the United Nations (UN) Sustainable Development Goals (SDGs) are a blueprint established with the aim of reducing global maternal mortality to a figure lower than 70 per 100 thousand births, especially in low and middle-income countries, which account for almost all deaths.[2]
In relation to the analysis of the association between sociodemographic variables and adequate compliance with Antenatal care (ANC) (►Table 3), we found that women in the age groups of 20 to years and from to 49 years had a higher probability of presenting adequate compliance with ANC compared with adolescent pregnant women
These increases are consistent with the global panorama, which reveals an increase in the number of ANC visits, as well as in the proportion of women who start ANC early, and in the care provided by skilled health care personnel.[15]
Summary
Maternal mortality still occurs in different parts of the world, despite a marked reduction from 385 to 216 deaths per 100 thousand births between 1990 and 2015.1 the United Nations (UN) Sustainable Development Goals (SDGs) are a blueprint established with the aim of reducing global maternal mortality to a figure lower than 70 per 100 thousand births, especially in low and middle-income countries, which account for almost all deaths.[2]Antenatal care (ANC) is considered vital to reduce maternal and neonatal morbidity and mortality.[3,4] According to the World Health Organization (WHO), ANC includes the treatment of pregnancy symptoms, nutritional consultations, evaluations of the mother and fetus, and improvement in health care services directed to the mother and the fetus.[3]. Maternal mortality still occurs in different parts of the world, despite a marked reduction from 385 to 216 deaths per 100 thousand births between 1990 and 2015.1 the United Nations (UN) Sustainable Development Goals (SDGs) are a blueprint established with the aim of reducing global maternal mortality to a figure lower than 70 per 100 thousand births, especially in low and middle-income countries, which account for almost all deaths.[2]. Latin America and the Caribbean are among the regions with the highest maternal mortality.[1] the number of deaths in these regions has decreased in recent decades (from 124 to 69 per 100 thousand live births in Latin America, and from 276 to 175 per 100 thousand births in the Caribbean).[1] no country in this region has reached the goal of reducing maternal mortality by 75%.1. No country in this region has reached the goal of reducing maternal mortality by 75%.1 In the case of Peru, maternal mortality has decreased from 265 to 68 per 100 thousand live births between 1990 and 2015.1 Despite this clear reduction, in 2019, the maternal mortality rate in Peru was 56.1 per 100 thousand births,[8] indicating a scenario in which pregnancy-related deaths remain a public health problem
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
