Cumplimiento de las Actividades de Promoción y Prevención en el Control Prenatal en una Entidad de 1° Nivel, Manizales , años 2005-2007

OBJECTIVETo analyze the factors associated with a lack of prenatal care in a large municipality in southern Brazil.METHODSIn this case-control age-matched study, 716 women were evaluated; of these, 179 did not receive prenatal care and 537 received prenatal care (controls). These women were identified using the Sistema Nacional de Informação sobre Nascidos Vivos (Live Birth Information System) of Pelotas, RS, Southern Brazil, between 2009 and 2010. Multivariate analysis was performed using conditional logistic regression to estimate the odds ratios (OR).RESULTSIn the final model, the variables associated with a lack of prenatal care were the level of education, particularly when it was lesser than four years [OR 4.46; 95% confidence interval (CI) 1.92;10.36], being single (OR 3.61; 95%CI 1.85;7.04), and multiparity (OR 2.89; 95%CI 1.72;4.85). The prevalence of a lack of prenatal care among administrative regions varied between 0.7% and 3.9%.CONCLUSIONSThe risk factors identified must be considered when planning actions for the inclusion of women in prenatal care by both the central management and healthcare teams. These indicated the municipal areas with greater deficits in prenatal care. The reorganization of the actions to identify women with risk factors in the community can be considered to be a starting point of this process. In addition, the integration of the activities of local programs that target the mother and child is essential to constantly identify pregnant women without prenatal care.

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“…In emerging countries such as Colombia and South Africa, this indicator is at 62.0% and 69.0%, respectively. 3 , 11 , 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

Factors associated with lack of prenatal care in a large municipality

2014

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“…The objective of this secondary analysis was to establish the frequency and possible factors associated with the registry of PA and rest recommendations in the clinical record of PNCP pregnant women in a Colombian city. Its importance lies in the fact that it is the first time that data are presented from the pregnant women’s medical records, unlike other studies, which were based on interviews with women 19 , 20 . Although the information from clinical records has limitations, these are less than those that are derived from studies from surveys with long-term reminders, given their potential information bias.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature reviewed in Colombia, only two studies evaluated compliance with the activities carried out in the PCPN 19 , 20 ; Arias et al 19 found that more than 50% of the pregnant women interviewed received PA recommendations from the nursing staff; and Álvarez et al 20 , although they evaluated that the health team agreed with the PNCP protocol by reviewing medical records and interviewing users, they did not measure how much they agreed with the provision of PA and rest recommendations from the clinical record. To know the frequency of PA and rest recommendations registry will contribute to the decision making by the directors of the PNCP aimed at reinforcing the PA counseling, identifying the areas that require interventions; therefore, this work aimed to determine the frequency of the PA and rest recommendations registry in the pregnant women’s medical records and to explore their associated factors in a primary care level PNCP in Bucaramanga, Colombia.…”

Section: Introductionmentioning

confidence: 99%

Recommendations of physical activity and rest in a Colombian prenatal control program

et al. 2019

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OBJECTIVE: To determine the frequency of the registry of physical activity and rest recommendations made to pregnant women and to explore their associated factors in a prenatal care program of primary care public institutions in Bucaramanga, Colombia. METHODS: An observational study was conducted. The sampling frame consisted of the medical records of the pregnant women who attended at least one prenatal care program between January 1 and December 31, 2012 (n = 2.932), in 21 primary care health centers. We analyzed sociodemographic variables, prenatal and clinical antecedents, and information related to health personnel and the organization of health centers as possible factors associated with the recommendations of physical activity and rest recorded in the clinical history. Logistic regression models were applied to explore associations with α = 0.10. RESULTS: There was a frequency of 26.1% of PA recommendations and 3.6% of rest recommendation on record, issued by nutrition (97.3%) and medical (86.7%) professionals, respectively. The factors associated with the registration of physical activity recommendations were: being nulliparous pregnant (OR = 1.7), attending more than four Prenatal Care Attention Programs (OR = 2.2), having high or medium obstetric risk in the first prenatal care program (OR = 0.6), and being attended in the western (OR = 0.5) and eastern (OR = 0.2) administrative areas health centers. CONCLUSIONS: The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.

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“…La Fecha de la Última Mestruación (FUM), es indispensable para estimar la Fecha Probable de Parto (FPP), para lograrlo, la fórmula de Naegele es la más empleada 1,2,16,17 . Se encontró una FUM confiable para el presente estudio en el 43.6% de las gestantes, menor que el 55% reportado en el estudio de Campbell et al 18 .…”

Section: Discussionunclassified

Comparación de la confiabilidad de la ecografía obstétrica del primer trimestre y la fecha de la última menstruacion en la prediccion de la fecha de parto vaginal espontáneo en pacientes admitidas en un centro de atención de I nivel en Manizales (Colombia

González

Serna²,

González

et al. 2015

archmed

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Objetivo: Comparar el grado de aciertos de la fecha real del parto con los pronósticos de la fecha probable de parto por métodos clínicos y ecográficos. Materiales y métodos: Estudio transversal, en 647 partos atendidos en ASSBASALUD (Manizales-Colombia) años 2012-2013. Las variables más importantes fueron: Fecha de la última mestruación (FUM) confiable o no, escolaridad, ecografía del primer trimestre, Índice Masa Corporal (IMC). Test de Capurro. Resultados: Se validaron 344 (53.2%). 56.4% de las mujeres tenían FUM no confiable. El IMC inicial tuvo un promedio de 22.2. La ganancia de peso fue de 11kg en promedio y el de la gestacional al nacer fue de 39 semanas más 3 días. El perímetro abdominal tuvo como promedio 101.8cm y el de la altura uterina fue de 34cm. Conclusiones: Los partos a término son obtenidos en al menos el 90.7% de los casos de acuerdo a la ecografía, la FUM y el test de Capurro. Palabras clave: Ultrasonografía, edad gestacional, nacimiento a término, Índice de Masa Corporal, peso fetal.

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Cumplimiento de las Actividades de Promoción y Prevención en el Control Prenatal en una Entidad de 1° Nivel, Manizales , años 2005-2007

Cited by 3 publications

References 12 publications

Factors associated with lack of prenatal care in a large municipality

Factors associated with lack of prenatal care in a large municipality

Recommendations of physical activity and rest in a Colombian prenatal control program

Comparación de la confiabilidad de la ecografía obstétrica del primer trimestre y la fecha de la última menstruacion en la prediccion de la fecha de parto vaginal espontáneo en pacientes admitidas en un centro de atención de I nivel en Manizales (Colombia

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