Buekens P, Hernández P, Infante C
Université Libre de Bruxelles, Ecole de Santé Publique, Bruselas, Bélgica.
Salud Publica Mex. 1990 Nov-Dec;32(6):673-84.
Available data on the coverage of prenatal care in Latin America were reviewed. In recent years, only Bolivia had a coverage of prenatal care of less than 50 per cent. More than 90 per cent of pregnant women received prenatal care in Chile, Cuba, the Dominican Republic, and Puerto Rico. Prenatal care increased between the 1970 and 1980 in the Dominican Republic, Ecuador, Guatemala, Honduras, Mexico, and Peru. The coverage of prenatal care decreased in Bolivia and Colombia. The mean number of visits increased in Cuba and Puerto Rico. The increase of prenatal care in Guatemala and Honduras is due to increased care by traditional birth attendants, compared to the role of health care institutions. We compared the more recent data on tetanus immunization of pregnant women to the more recent data on prenatal care. The rates of tetanus immunization are always lower than the rates of prenatal care attendance, except in Costa Rica. The rates of tetanus immunization was less than half as compared to the rates of prenatal care in Bolivia, Guatemala, and Peru. To improve the content of prenatal care should be an objective complementary to the increase of the number of attending women.
对拉丁美洲产前护理覆盖范围的现有数据进行了审查。近年来，只有玻利维亚的产前护理覆盖率低于50%。在智利、古巴、多米尼加共和国和波多黎各，超过90%的孕妇接受了产前护理。在多米尼加共和国、厄瓜多尔、危地马拉、洪都拉斯、墨西哥和秘鲁，1970年至1980年间产前护理有所增加。玻利维亚和哥伦比亚的产前护理覆盖率下降。古巴和波多黎各的平均就诊次数增加。与医疗机构的作用相比，危地马拉和洪都拉斯产前护理的增加是由于传统助产士提供的护理增加。我们将孕妇破伤风免疫的最新数据与产前护理的最新数据进行了比较。除了在哥斯达黎加，破伤风免疫率总是低于产前护理就诊率。在玻利维亚、危地马拉和秘鲁，破伤风免疫率不到产前护理率的一半。改善产前护理的内容应该是增加就诊妇女数量这一目标的补充。
