Barber Sarah
Institute of Business and Economic Research, F502 Haas School of Business, University of California, Berkeley 94720-1922, USA.
Matern Child Health J. 2006 Sep;10(5):419-25. doi: 10.1007/s10995-006-0079-x.
To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality.
The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of maternal retrospective reports about prenatal care services received in 1997-2003.
Women who received most prenatal care procedures were more likely to have a skilled institutional delivery (OR 2.29, 95% CI 1.18, 4.44). Women who received less than the 75th percentile of prenatal care procedures were not significantly different from those who received no prenatal care.
Policies promoting increased access to prenatal services should be linked to the promotion of practice standards to impact health and behavioral outcomes.
确定产前护理质量是否能预测熟练的机构分娩，这是降低孕产妇死亡率的主要手段。
在墨西哥七个州的4173名农村低收入育龄妇女中，根据她们对1997 - 2003年期间接受的产前护理服务的回顾性报告，预测熟练的机构分娩概率。
接受了大多数产前护理程序的妇女更有可能进行熟练的机构分娩（比值比2.29，95%置信区间1.18，4.44）。接受产前护理程序少于第75百分位数的妇女与未接受产前护理的妇女没有显著差异。
促进增加获得产前服务机会的政策应与促进实践标准相联系，以影响健康和行为结果。
