Factors associated with non-attendance at prenatal care in the first and second trimesters of pregnancy in a tertiary-level hospital in Lima, Peru, 2023
Factores asociados a la inasistencia al control prenatal en el primer y segundo trimestre del embarazo en un hospital de tercer nivel de Lima, Perú, 2023
Keywords:
prenatal care, social determinant, pregnancy, trimester.Abstract
Objective: To compare the factors associated with inadequate prenatal care in the first and second trimesters of pregnancy in women attending the outpatient clinic of the National Maternal Perinatal Institute, a referral hospital in Lima, Peru.
Methodology:
A retrospective analytical cross-sectional study was designed with pregnant women attended at the National Maternal Perinatal Institute in Lima, Peru. The study included 256 pregnant women with more than 26 weeks and 6 days of gestation. Demographic factors, gynecological history, social aspects, and institutional factors related to prenatal care attendance were collected through a questionnaire. Inadequate prenatal care was defined as fewer than 1 visit in the first trimester and fewer than 2 in the second. The strength of association was estimated using a Poisson regression model with a 95% confidence interval and a significance p-value of 0.05.
Results: Multivariate analysis revealed that in the first trimester, single women and those with primary and secondary education had a higher risk of inadequate attendance, as did those attended by midwives and those living far from the hospital. Women with high-risk pregnancies had a lower risk. In the second trimester, the higher risk persisted for single women and those with lower education, but women born in provinces had a lower risk, while those with three or more children had a higher risk of inadequate attendance.
Conclusions: These findings highlight key differences between trimesters in the factors associated with inadequate prenatal attendance.
Keywords: Risk, prenatal care, education, pregnancy, trimester.
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