Drexel University College of Medicine, Philadelphia, PA 19104, USA.
Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Medicina (Kaunas). 2024 Jun 27;60(7):1055. doi: 10.3390/medicina60071055.
: The primary objective of this study was to assess the adherence of Ngäbe-Buglé women to WHO-recommended prenatal practices. The secondary objective was to compare adherence levels between women who received prenatal education from official medical providers and those educated through traditional or community-based sources within Ngäbe-Buglé communities. : An eight-question survey was verbally administered to 137 Ngäbe-Buglé women at clinics set up by the non-profit NGO Floating Doctors in eight communities. A two-sided Fisher's Exact test with a = 0.05 was used to compare the results of mothers who received prenatal education from evidence-based sources to other groups. : Out of the 137 surveyed women, 65 reported taking prenatal vitamins, 21 had prenatal check-ups, 136 avoided alcohol, 31 increased caloric intake, and 102 maintained their activity levels. Significant differences were observed in prenatal vitamin adherence between those educated by official sources versus unofficial sources ( = 0.0029) and official sources compared to those with no prenatal education ( < 0.0001). The difference was also significant for education from an unofficial source versus no education ( = 0.0056). However, no significant differences were found in other prenatal practices based on education sources. : Our findings highlight deficiencies in both prenatal education and adherence to recommended practices among Ngäbe-Buglé women. Prenatal education significantly improved adherence to taking prenatal vitamins, suggesting its effectiveness as an intervention. Future interventions should prioritize culturally competent prenatal education and address barriers to accessing prenatal healthcare in Ngäbe-Buglé communities.
: 本研究的主要目的是评估恩格贝-布格勒妇女对世界卫生组织推荐的产前实践的遵守情况。次要目的是比较从官方医疗提供者那里接受产前教育的妇女与从恩格贝-布格勒社区的传统或社区来源接受教育的妇女之间的遵守水平。: 在由非营利组织 Floating Doctors 在八个社区设立的诊所中，对 137 名恩格贝-布格勒妇女进行了口头调查。使用双侧 Fisher's Exact 检验（双侧检验，显著水平 = 0.05）比较了从循证来源接受产前教育的母亲与其他组的结果。: 在接受调查的 137 名妇女中，有 65 名报告服用了产前维生素，21 名进行了产前检查，136 名避免饮酒，31 名增加了热量摄入，102 名保持了活动水平。在从官方来源接受教育与从非官方来源接受教育的妇女之间（ = 0.0029）以及与未接受产前教育的妇女之间（ < 0.0001），在服用产前维生素的遵守情况方面观察到显著差异。从非官方来源接受教育与未接受教育之间的差异也具有统计学意义（ = 0.0056）。然而，根据教育来源，在其他产前实践方面没有发现显著差异。: 我们的研究结果突出了恩格贝-布格勒妇女在产前教育和遵守推荐实践方面的不足。产前教育显著提高了服用产前维生素的依从性，表明其作为一种干预措施的有效性。未来的干预措施应优先考虑文化上合适的产前教育，并解决恩格贝-布格勒社区获得产前保健的障碍。
