The Frequency and Content of Prenatal Care Determine Birth Place: A Community Based Case-Control Study
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Abstract
Background: High-quality prenatal care services could decrease maternal-neonatal mortality and morbidities. The aim of this study was to compare institutional and unplanned home deliveries with regard to the use and content of prenatal care services.
Methods: The study was conducted in 2011 with two hundred and twenty-nine mothers with unplanned deliveries at home as study group and 458 mothers having institutional deliveries as controls living in Istanbul. The content of prenatal care was evaluated in accordance with the national ministry of health prenatal care management guidelines and the data was collected by a questionnaire with face to face interview.
Results: Women with unplanned deliveries at home use prenatal care services less frequently. Percentage of mothers that had home deliveries and did not use prenatal care services was 16.2% while this was only 3.4% in women having institutional deliveries (P=0.001). Moreover, all parameters of prenatal care were poor in content compared to women with institutional deliveries.
Conclusion: Adequate prenatal care services in terms of quantity and quality can promote institutional deliveries.
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22. Gerbert B (1984). Perceived likability and com-petence of simulated patients: influence on physicians' management plans. Soc Sci Med, 18(12): 1053-1059.
delivery service use. BMC Pregnancy Childbirth, 9: 34.
2. Hacettepe University Institute of Population Studies, Ministry of Health General Direc-torate of Mother and Child Health and Fami-ly Planning, State Planning Organization and TUBITAK (2009). Turkey Demographic and Health Survey, 2008. 1st ed. Hacettepe Üniversi-tesi Hastaneleri Basım evi, Ankara, pp.:143-154.
3. Hacettepe University Institute of Population Studies, T.R. Ministry of Development and TUBITAK (2014). Turkey Demographic and Health Survey, 2013. 1st ed .Elma Teknik Basım Matbaacılık Ltd Sti, Ankara, pp:141-156.
4. Carroli G, Villar J, Piaggio G et al (2001). WHO systematic review of randomized controlled trials of routine antenatal care. Lancet, 357 (9268): 1565–1570.
5. Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, Sebastian MS (2013). Determi-nants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. Int J Equity Health, 12: 30.
6. EBCOG Scientific Committee (2015). The pub-lic health importance of antenatal care. Facts Views Vis Obgyn, 7 (1): 5-6.
7. Anastasi E, Borchert M, Campbell OMR et al (2015). Losing women along the path to safe motherhood: why is there such a gap between women’s use of antenatal care and skilled birth attendance? A mixed methods study in northern Uganda. BMC Pregnancy Childbirth, 15: 287.
8. Inam SNB, Khan S (2002). Importance of ante-natal care in reduction of maternal morbidity and mortality. J Pak Med Assoc, 52 (4): 137-138.
9. Declercq E, Macdorman MF, Menacker F, Stot-land N (2010). Characteristics of Planned and Unplanned Home Births in 19 States. Obstet Gynecol, 116 (1): 93-99.
10. Das S, Bapat U, Shah N, Chordhekar L, Joshi W, Osrin D (2010). Prospective study of deter-minants and costs of home births in Mumbai slums. BMC Pregnancy Childbirth, 10: 38.
11. Mishra V, Retherford RD (2008). The effect of antenatal care on professional assistance at delivery in rural India. Popul Res Policy Rev, 27 (3): 307-320.
12. Flores G (2000). Culture and the patient-physician relationship: Achieving cultural competency in health care. J Pediatr, 136 (1): 14-23.
13. Adler NE, Newman K (2002). Socioeconomic disparities in health: Pathways and policies. Health Aff (Millwood), 21(2): 270-276.
14. Catak B, Oner C (2015). Sociocultural Factors Affecting Unplanned Deliveries at Home: A Community-Based Case Control Study. Soc Work Public Health, 30(7): 535-544.
15. World Health Organization (WHO) (2012). World Health Statistics 2012. Available from: https://www.who.int/gho/publications/world_health_statistics/2012/en/
16. Tekelab T, Yadecha B, Melka AS (2015). Ante-natal care and woman’s decision making power as determinants of intuitional delivery in rural area of Western Ethiopia. BMC Res Notes, 8: 879.
17. Ensor T, Quigley P, Green C, Badru AR, Kaluba D, Siziya S (2014). Knowledgeable antenatal care as a pathway to skilled delivery: modeling the interactions between use of services and
knowledge in Zambia. Health Policy Plan, 29 (5): 580-588.
18. Barber S (2006). Does the Quality of prenatal care matter in promoting skilled instutional delivery ? A study in rural Mexico. Matern Child Health J, 10 (5): 419-425.
19. Abebe F, Berhane Y, Girma B (2012). Factors associated with home delivery in Bahirdar, Etopia: A case control study. BMC Res Notes, 24 (5): 653.
20. Jasanoff S (1987). Cultural aspects of risk as-sessment in Britain and the United States. In: The social and cultural construction of risk: Essays on risk selection and perception. Eds, Johnson BB, Covello VT. 1st ed, D Reidel Publishing Company. Dordrecht, pp.359-397.
21. van Ryn M, Burke J (2000). The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med, 50(6): 813-828.
22. Gerbert B (1984). Perceived likability and com-petence of simulated patients: influence on physicians' management plans. Soc Sci Med, 18(12): 1053-1059.
| Files | ||
| Issue | Vol 48 No 1 (2019) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v48i1.790 | |
| Keywords | ||
| Prenatal care Home delivery Homebirth Institutional delivery Birthplace | ||
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How to Cite
1.
ONER C, CATAK B. The Frequency and Content of Prenatal Care Determine Birth Place: A Community Based Case-Control Study. Iran J Public Health. 2019;48(1):120-125.
