The aim of this study was to quantitatively investigate the antenatal care provided by healthcare physicians in a rural area of North East Anatolia, Turkey, and the effective factors. Patients who applied to a Second-tier health institution for delivery were asked how many times they went for a check-up during their pregnancy. In addition, the sociodemographic characteristics of the responding patients were recorded. In this study, the rate of pregnant women who received inadequate antenatal care was 41.0%. Examining the risk factors for inadequate antenatal care in pregnant women who attended fewer than four antenatal care visits revealed that the risk was 2,115 (confidence interval [CI] = 1.328–3.368) times higher for those receiving spousal education for <5. Longer years than those with ≥6 years of partner training. Pregnant women who received inadequate antenatal care in the North East Anatolia region preferred to visit Secondary and Tertiary healthcare institutions instead of visiting primary care physicians. In conclusion, it is necessary to establish a referral chain through health plans and expand Primary antenatal care services to reduce both maternal and neonatal mortality and morbidity.
Purpose: It was aimed to evaluate coronavirus disease-2019 (COVID-19) vaccine hesitancy among pregnant women after the vaccine has been approved for use. Material and Method: This study was a hospital-oriented cross-sectional study. The study universe consisted of 8972 pregnant women. The number of pregnant women included in the study sample was 368. The dependent variable was vaccine hesitancy, whereas the independent variables consisted of the socio-demographic, bio-demographic, and socio-economic characteristics of pregnant women. Chi-square analysis was used for paired comparisons, and logistic regression analysis was used to determine risk factors. Results: The rate of pregnant women who had vaccine hesitancy was 59.5% in this study. Vaccine hesitancy was 2,470-fold (CI: 1,319-4,625) higher in pregnant women who did not have a formal education than those who had a formal education, 8,136-fold (CI: 3,461-19,122) higher in pregnant women who had a living child in the household than those who did not, 1,776-fold (CI: 1,039-3,035) higher in pregnant women who had a wanted pregnancy than those who had an unwanted one and 7,485-fold (CI: 2,894-19,360), 35 age 4,212 (CI:0,436-1,438) higher in pregnant women who were influenced by the social media than those who were not. In addition, it is 0.626 (CI: -0.469 - -0.445) times protective for women under 19 years of age. Conclusion: Low education level, first pregnancy, desire for pregnancy, and being influenced by social media were the risk factors for COVID-19 vaccine hesitancy among pregnant women.
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