Characteristics, Activities, and Counseling during Prenatal Care: A Descriptive Study
Vivian Zapata Andrade, Emma Salazar-Salvatierra, Juan Fajardo-Benavides
Keywords :
Antenatal care, Pregnant women, Prenatal care
Citation Information :
Andrade VZ, Salazar-Salvatierra E, Fajardo-Benavides J. Characteristics, Activities, and Counseling during Prenatal Care: A Descriptive Study. J South Asian Feder Obs Gynae 2023; 15 (5):556-559.
Objective: To describe the characteristics, activities, and counseling performed during prenatal care in Peruvian women.
Materials and methods: A descriptive study was conducted on 17,244 women registered in the Peruvian Demographic and Family Health Survey. The variables corresponding to the activities, characteristics, and counseling performed during prenatal care were analyzed. The information was processed after weighting, stratification, and grouping by clusters of the database. Frequencies and percentages were calculated with 95% confidence intervals.
Results: Around 82% of women had their first prenatal care before 14 weeks, and 91.2% attended 6 or more visits. The obstetrician (81.9%) provided this service the most, followed by the physician (39.9%) and the nurse (8.2%). Fetal heartbeat auscultation (99.9%) and weight measurement (99.7%) of the women were frequent. In addition, counseling on obstetric complications (100%) and where to receive professional assistance (98.6%) were the topics reported by the highest proportion of women, while women's rights were less frequently addressed (80.5%).
Conclusion: Most of the women had early, sufficient prenatal care performed by the obstetrician, and the measurement of the woman's weight and the topic of obstetric complications were the most frequent procedure and counseling, respectively.
Clinical significance: Prenatal care is a relevant maternal health service for the prevention, diagnosis, and timely treatment of maternal–fetal complications.
Bjelica A, Cetkovic N, Trninic-Pjevic A, et al. The phenomenon of pregnancy – A psychological view. Ginekol Pol 2018;89(2):102–106. DOI: 10.5603/GP.a2018.0017.
Kassaw A, Debie A, Geberu DM. Quality of prenatal care and associated factors among pregnant women at Public Health Facilities of Wogera District, Northwest Ethiopia. J Pregnancy 2020;2020:9592124. DOI: 10.1155/2020/9592124.
Konje ET, Magoma MTN, Hatfield J, et al. Missed opportunities in antenatal care for improving the health of pregnant women and newborns in Geita district, Northwest Tanzania. BMC Pregnancy Childbirth 2018;18(1):394. DOI: 10.1186/s12884-018-2014-8.
Tunçalp Ö, Pena-Rosas JP, Lawrie T, et al. WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival. BJOG 2017;124(6):860–862. DOI: 10.1111/1471-0528.14599.
World Health Organization. Tracking universal health coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development/The World Bank; 2017.
Tafere TE, Afework MF, Yalew AW. Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: A prospective follow up study. Reprod Health 2018;15(1):163. DOI: 10.1186/s12978-018-0610-8.
Morón-Duarte LS, Varela AR, Bertoldi AD, et al. Quality of antenatal care and its sociodemographic determinants: Results of the 2015 Pelotas birth cohort, Brazil. BMC Health Serv Res 2021;21(1):1070. DOI: 10.1186/s12913-021-07053-4.
Tadele A, Teka B. Adequacy of prenatal care services and associated factors in Southern Ethiopia. Arch Public Health 2021;79(1):94. DOI: 10.1186/s13690-021-00614-3.
Rustagi R, Basu S, Garg S, et al. Utilization of antenatal care services and its sociodemographic correlates in urban and rural areas in Delhi, India. Eur J Midwifery 2021;5:40. DOI: 10.18332/ejm/140459.
Instituto Nacional de Estadística e Informática. Encuesta Demográfica y de Salud Familia, 2018. Available at: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1656/index1.html.
McCauley H, Lowe K, Furtado N, et al. What are the essential components of antenatal care? A systematic review of the literature and development of signal functions to guide monitoring and evaluation. BJOG 2022;129(6):855–867. DOI: 10.1111/1471-0528.17029.
Sserwanja Q, Nuwabaine L, Gatasi G, et al. Factors associated with utilization of quality antenatal care: A secondary data analysis of Rwandan Demographic Health Survey 2020. BMC Health Serv Res 2022;22(1):812. DOI: 10.1186/s12913-022-08169-x.
Krukowski RA, Jacobson LT, John J, et al. Correlates of early prenatal care access among U.S. women: Data from the Pregnancy Risk Assessment Monitoring System (PRAMS). Matern Child Health J 2022;26(2):328–341. DOI: 10.1007/s10995-021-03232-1.
Roldán JC, Acuña C, Ríos P. Active community case-finding for uptake of pregnant and postpartum women in Ecuador. Rev Panam Salud Publica 2017;41:e53. DOI: 10.26633/RPSP.2017.53.
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva, Switzerland, 2016. Available at: http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1.
Islam MM, Masud MS. Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations. PLoS One 2018; 13(9):e0204752. DOI: 10.1371/journal.pone.0204752.
Benova L, Tunçalp Ö, Moran AC, et al. Not just a number: Examining coverage and content of antenatal care in low-income and middle-income countries. BMJ Glob Health 2018;3(2):e000779. DOI: 10.1136/bmjgh-2018-000779.
Woldeamanuel BT. Factors associated with inadequate prenatal care service utilization in Ethiopia according to the WHO recommended standard guidelines. Front Public Health 2022;10:998055. DOI: 10.3389/fpubh.2022.998055.
Freitas CHSM, Forte FDS, Roncalli AG, et al. Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care. Rev Saude Publica 2019;53:76. DOI: 10.11606/s1518-8787.2019053001205.
Chowdhury M, Raynes-Greenow C, Kelly P, et al. The impact of antenatal balanced plate nutrition education for pregnant women on birth weight: A cluster randomised controlled trial in rural Bangladesh. Nutrients 2022;14(21):4687. DOI: 10.3390/nu14214687.
Liese KL, Kapito E, Chirwa E, et al. Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania. Int J Gynaecol Obstet 2021;153(1):154–159. DOI: 10.1002/ijgo.13432.
Vanderlaan J, Gatlin T, Shen J. Outcomes of childbirth education in PRAMS, phase 8. Matern Child Health J 2022;27(1):82–91. DOI: 10.1007/s10995-022-03494-3.