A 10-Year Retrospective Analysis of the New American College of Obstetricians and Gynecologists' Pap Testing Guidelines on Adolescents

Abstract

METHODS: Peripartum patients at Monduli District Hospital were interviewed using a standardized questionnaire while hospitalized; transcripts were coded for recurrent themes. RESULTS:One hundred four interviews were conducted with peripartum women. Most (76%) had primary school education or less and were married (91%). Antenatal clinic attendance at least once during the most recent pregnancy was high (97%). In this population, 41% delivered their first neonate before age 19 years; and 5% before age 16 years. One or more cesarean deliveries were performed in 25%. At least one home delivery occurred in 27% and 38% had used a traditional birth attendant. Transportation and money were top barriers to access to hospitals. Half (50%) of women reported being involved in the decision to go to the hospital. Nearly all expressed interest in and desire for future access to maternity home services.