与塞阿拉州一家参考妇产医院产前朝圣相关的因素。
Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará.
机构信息
Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brazil.
Universidade Federal do Maranhão, Departamento de Medicina I, São Luís, MA, Brazil.
出版信息
Rev Esc Enferm USP. 2024 Apr 12;58:e20230012. doi: 10.1590/1980-220X-REEUSP-2023-0012en. eCollection 2024.
OBJECTIVE
To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil.
METHOD
A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson's chi-square test selected variables for adjusted Poisson regression.
RESULTS
The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04-1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03-1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated.
CONCLUSION
There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.
目的
在巴西塞阿拉州福塔莱萨的孕妇中确定与产前朝圣相关的因素。
方法
这是一项横断面研究，共纳入了 300 名来自州立参考妇产医院的产后妇女，研究时间为 2020 年 3 月至 2021 年 1 月。根据社会经济特征和产前保健来估计朝圣的频率。采用 Pearson's chi-square 检验对变量进行选择，以进行调整后的泊松回归分析。
结果
产前前往多个卫生服务机构的朝圣频率为 34.3%。不了解参考妇产医院（1.16；95%CI：1.04-1.30）和居住在参考妇产医院附近（1.16；95%CI：1.03-1.31）与妇女的朝圣发生有关。个人特征和产前保健与朝圣无关。
结论
产前朝圣与缺乏对参考妇产医院的了解以及居住地远离该妇产医院有关，这需要更好的团队沟通，并通过有效实施孕产妇保健的区域化，保障更容易获得产科保健服务。
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