Ciceklioglu Meltem, Soyer Meral Türk, Ocek Zeliha Asli
Ege University, Public Health, Izmir, Turkey.
Int J Qual Health Care. 2005 Dec;17(6):533-9. doi: 10.1093/intqhc/mzi076. Epub 2005 Oct 3.
To define the prenatal care utilization pattern in Bornova and determine the factors affecting the amount and content of prenatal care.
Follow-up study.
Bornova is an urban district in western Turkey.
Two hundred and forty-five pregnant women registered with primary care settings in Bornova during the year 2000. Response rate was 83.7%. Main outcome measure. We determined the amount of prenatal care using Adequacy of Prenatal Care Utilization Index. Criteria used to assess the content of services include number of checks for maternal weight gain, blood pressure and foetal heart-beat measurements, advice about healthy lifestyles, laboratory examinations, and tetanus immunization.
Rates of the women who visited public primary health care settings, private care sources, and public hospitals at least once were 76.0, 57.1, and 54.6%, respectively. As to prenatal care, 64.9% of the participants received an adequate amount and 25.9% an adequate content. Parity (P = 0.00), insurance coverage (P = 0.00), abortion history (P = 0.03), husband's occupation (P = 0.00), maternal age (P = 0.04), and level of educational attainment (P = 0.03) were related to the amount of care. Employment status (P = 0.03), continuous use of private sources (P = 0.00) and public hospitals (P =0.01) were associated with the content.
This study has highlighted considerable associations between the amount of prenatal care and individual features in addition to those among the content of care, individual features and type of care sources. Causes of variations in prenatal care delivered in urban and relatively wealthy populations of developing countries must be explored using the appropriate criteria.
确定博尔诺瓦地区的产前保健利用模式，并确定影响产前保健数量和内容的因素。
随访研究。
博尔诺瓦是土耳其西部的一个市区。
2000年在博尔诺瓦初级保健机构登记的245名孕妇。应答率为83.7%。主要结局指标。我们使用产前保健利用充分性指数来确定产前保健的数量。用于评估服务内容的标准包括检查孕妇体重增加、血压和胎儿心跳测量的次数、关于健康生活方式的建议、实验室检查以及破伤风免疫接种。
至少去过一次公共初级卫生保健机构、私人保健机构和公立医院的女性比例分别为76.0%、57.1%和54.6%。关于产前保健，64.9%的参与者接受了足够的数量，25.9%的参与者接受了足够的内容。产次（P = 0.00）、保险覆盖情况（P = 0.00）、流产史（P = 0.03）、丈夫职业（P = 0.00）、产妇年龄（P = 0.04）和教育程度（P = 0.03）与保健数量有关。就业状况（P = 0.03）、持续使用私人保健机构（P = 0.00）和公立医院（P = 0.01）与保健内容有关。
本研究突出了产前保健数量与个体特征之间的显著关联，以及保健内容、个体特征和保健机构类型之间的关联。必须使用适当的标准来探究发展中国家城市和相对富裕人群中产前保健差异的原因。
