Medical School, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Liverpool Reviews and Implementation Group, University of Liverpool, Liverpool, United Kingdom.
PLoS One. 2020 Mar 5;15(3):e0229852. doi: 10.1371/journal.pone.0229852. eCollection 2020.
Maternal mortality is high in Loreto, Peru, but can be reduced by high quality antenatal care. Indicators for the quality of antenatal care received include the timing (with respect to gestational age) and number of antenatal appointments attended, the delivery of antenatal services and health information, and women's perceptions about their care. This study investigated these indicators amongst women receiving antenatal care in predominantly the San Juan Bautista district of Iquitos, Loreto. This was to identify areas for improvement through comparison with antenatal guidelines published by the Ministry of Health, Peru, and the World Health Organization.
A total of 134 women were recruited at the Centro de Salud, San Juan-a primary care centre in Iquitos. Information about the delivery of antenatal services and the number of and gestational ages at appointments attended was collected from 121/134 women's hand-held antenatal cards. The delivery of health information and women's perceptions about their antenatal care were investigated through questionnaires (133/134 completed). Descriptive statistics, such as frequencies and valid percentages, were determined.
Hand-held antenatal cards revealed that 52.9% of participants began their antenatal care in the first trimester. Compared to national guidelines, 42.1% attended appointments at recommended gestational ages and no women received all recommended antenatal services. Most women received information about identifying complications in pregnancy and health and lifestyle topics. Over 85% of women reported satisfaction with their antenatal care.
Timely antenatal attendance and delivery of services should be encouraged to meet national and global standards. Although all services were not delivered in a combined manner according to national guidelines, individual services were mostly delivered to a high standard and therefore a high proportion of women were satisfied with their antenatal care.
秘鲁洛雷托的孕产妇死亡率很高，但高质量的产前护理可以降低这一死亡率。衡量产前护理质量的指标包括接受产前护理的时间（相对于胎龄）和次数、提供产前服务和健康信息的情况，以及妇女对其护理的看法。本研究调查了在伊基托斯圣胡安包蒂斯塔区主要接受产前护理的妇女的这些指标，以便通过与秘鲁卫生部和世界卫生组织发布的产前指南进行比较，找出需要改进的领域。
在圣胡安卫生中心共招募了 134 名妇女，这是伊基托斯的一个初级保健中心。从 121/134 名妇女的手持产前卡中收集了关于提供产前服务的信息和接受产前护理的预约次数和胎龄。通过问卷调查（133/134 人完成）了解健康信息的提供情况和妇女对其产前护理的看法。采用描述性统计方法，如频率和有效百分比。
手持产前卡显示，52.9%的参与者在孕早期开始接受产前护理。与国家指南相比，42.1%的参与者在推荐的胎龄时接受预约，但没有妇女接受所有推荐的产前服务。大多数妇女接受了关于识别妊娠并发症和健康生活方式主题的信息。超过 85%的妇女报告对其产前护理感到满意。
应鼓励及时进行产前护理并提供服务，以达到国家和全球标准。尽管没有按照国家指南以综合方式提供所有服务，但大多数服务都以高标准提供，因此大多数妇女对其产前护理感到满意。
