Factors associated with late prenatal care initiation in pregnant women who discontinued visits

Guillen-Calle B.E.; Rosales Y.R.S.; Correa K.E.C. · Revista Cubana de Medicina Militar (2024)

Resumen

Introduction: Early prenatal care is crucial to prevent complications that imply a higher risk of maternal-fetal or neonatal morbidity and mortality. Objective: To determine the sociodemographic, personal, and institutional factors associated with late initiation of prenatal care in pregnant women with less than six visits. Methods: Analytical, cross-sectional study. The population consisted of 252 records of women who had less than six prenatal visits during their pregnancy at a Peruvian public hospital, excluding those with zero visits. The Chi-square and Fisher's exact tests were applied to include those with p< 0.2 in the multivariate model. Poisson regression with robust variance with p< 0.05 was used to obtain the model. Results: 78.9% of the pregnant women had late antenatal care. In the multivariate analysis, maternal age over 35 years (PRa: 1.260; CI: 1.099-1.444), inflexible employment (PRa: 1.169; CI: 1.024-1.334), lack of partner support (PRa: 2.068; CI: 1.556-2.749), and a negative relationship with the family (PRa: 1.384; CI: 1.165-1.644) were identified as factors associated with late initiation. Conclusions: Being over 35 years old, having inflexible employment, lack of partner support, and having a negative relationship with the family significantly increase the prevalence of late prenatal care initiation in this population.

Instituciones: Universidad Nacional Mayor de San Marcos