Barreras de acceso y calidad en el control prenatal

Introduction: Prenatal care (PC) is a cost-effective strategy that prevents maternal and perinatal mortality and morbidity. Although PC in Colombian pregnant women shows an enrollment rate of 94%, this condition does not impact the decline of maternal perinatal mortality. Objective: To describe the obstacles to access to PC and the perceived quality of care for pregnant women in Meta. Materials and methods: A cross-sectional, observational and descriptive study was designed and a survey was applied to inquire about aspects such as perception of quality of care, obstacles to access and comprehensiveness of care. Results: 306 pregnant women were included in the study, whose average age was 24 years. 66% had one or two pregnancies, 15% had abortions and 25% had a cesarean section. 74.17% of them had four or more prenatal controls. Risk factors were associated with attending less than four controls, while perception of quality had an odds ratio (OR) of 22.7; additionally, beginning PC during the second trimester had an OR of 5.64, low income level an OR of 5.12, and low maternal schooling an OR of 3.62. Conclusion: Improving the quality and integrity of PC by health providers is a complementary strategy to ensure its effect on the reduction of maternal and perinatal morbidity and mortality. © 2017, Universidad Nacional de Colombia. All rights reserved.

• Autores: García Balaguera, César
• Tipo de recurso: Article of journal
• Fecha de publicación: 2017
• Institución: Universidad Cooperativa de Colombia
• Repositorio: Repositorio UCC
• OAI Identifier: oai:repository.ucc.edu.co:20.500.12494/42222
• Acceso en línea: https://doi.org/10.25057/21452776.361; https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983379827&doi=10.1590%2fES0101-73302016148243&partnerID=40&md5=e03b0a59db5e8df2119169eb2b3c8957; https://hdl.handle.net/20.500.12494/42222
• Rights: closedAccess
• License: http://purl.org/coar/access_right/c_14cb