Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran

BACKGROUND AND OBJECTIVE: Prenatal care is an important strategy for achieving reproductive health. Despite the importance of maternity care in maternal health, some mothers are not adequately cared for. The aim of this study was to determine the factors affecting the Adequacy of Prenatal Care Utili...

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Autores principales: ME Motlagh, F Torkestani, H Ashrafian Amiri, M Agajani Delavar, L Radpooyan, SD Nasrollahpour Shirvani
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Publicado: Babol University of Medical Sciences 2021
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Acceso en línea:https://doaj.org/article/4eb464af6e1042d5acc6562828632e3d
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spelling oai:doaj.org-article:4eb464af6e1042d5acc6562828632e3d2021-11-29T07:40:49ZFactors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran1561-41072251-7170https://doaj.org/article/4eb464af6e1042d5acc6562828632e3d2021-03-01T00:00:00Zhttp://jbums.org/article-1-9189-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Prenatal care is an important strategy for achieving reproductive health. Despite the importance of maternity care in maternal health, some mothers are not adequately cared for. The aim of this study was to determine the factors affecting the Adequacy of Prenatal Care Utilization (APNCU) Index in the first level of network system in Iran. METHODS: This cross-sectional study was conducted in six provinces of Iran in 2016. Mothers whose date of delivery was 2-6 months before the study were randomly selected. Data were collected using a researcher-made checklist and questionnaire containing 34 personal, family-related and environmental questions and 23 prenatal care-related questions based on health records and interviews with mothers and samples were divided into four groups according to the Adequacy of Prenatal Care Utilization index: 1: inadequate (less than 50% of expected care), 2: intermediate (50-79%), 3: adequate (80-109%), 4: adequate plus (110% and more), and the results were analyzed. FINDINGS: Among 2655 studied mothers, the mean of total care during pregnancy was 6.43±1.7 times and according to the Adequacy of Prenatal Care Utilization index, 121 (4.6%) mothers had inadequate care, 603 (22.7%) mothers had intermediate, 1648 (62.1%) mothers had adequate and 283 (10.7%) mothers had adequate plus care. There was a significant relationship between the risk of maternal mortality in each province, urban population, prenatal care, time of first pregnancy care, maternal age, spouse s participation and education level, and adequacy of prenatal care (p<0.05). CONCLUSION: This study showed that the adequacy of prenatal care, although influenced by social and personal factors, is at an appropriate level.ME MotlaghF TorkestaniH Ashrafian AmiriM Agajani DelavarL RadpooyanSD Nasrollahpour ShirvaniBabol University of Medical Sciencesarticlepregnancyprenatal careadequacy of careiran network system.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 23, Iss 1, Pp 76-83 (2021)
institution DOAJ
collection DOAJ
language EN
FA
topic pregnancy
prenatal care
adequacy of care
iran network system.
Medicine
R
Medicine (General)
R5-920
spellingShingle pregnancy
prenatal care
adequacy of care
iran network system.
Medicine
R
Medicine (General)
R5-920
ME Motlagh
F Torkestani
H Ashrafian Amiri
M Agajani Delavar
L Radpooyan
SD Nasrollahpour Shirvani
Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
description BACKGROUND AND OBJECTIVE: Prenatal care is an important strategy for achieving reproductive health. Despite the importance of maternity care in maternal health, some mothers are not adequately cared for. The aim of this study was to determine the factors affecting the Adequacy of Prenatal Care Utilization (APNCU) Index in the first level of network system in Iran. METHODS: This cross-sectional study was conducted in six provinces of Iran in 2016. Mothers whose date of delivery was 2-6 months before the study were randomly selected. Data were collected using a researcher-made checklist and questionnaire containing 34 personal, family-related and environmental questions and 23 prenatal care-related questions based on health records and interviews with mothers and samples were divided into four groups according to the Adequacy of Prenatal Care Utilization index: 1: inadequate (less than 50% of expected care), 2: intermediate (50-79%), 3: adequate (80-109%), 4: adequate plus (110% and more), and the results were analyzed. FINDINGS: Among 2655 studied mothers, the mean of total care during pregnancy was 6.43±1.7 times and according to the Adequacy of Prenatal Care Utilization index, 121 (4.6%) mothers had inadequate care, 603 (22.7%) mothers had intermediate, 1648 (62.1%) mothers had adequate and 283 (10.7%) mothers had adequate plus care. There was a significant relationship between the risk of maternal mortality in each province, urban population, prenatal care, time of first pregnancy care, maternal age, spouse s participation and education level, and adequacy of prenatal care (p<0.05). CONCLUSION: This study showed that the adequacy of prenatal care, although influenced by social and personal factors, is at an appropriate level.
format article
author ME Motlagh
F Torkestani
H Ashrafian Amiri
M Agajani Delavar
L Radpooyan
SD Nasrollahpour Shirvani
author_facet ME Motlagh
F Torkestani
H Ashrafian Amiri
M Agajani Delavar
L Radpooyan
SD Nasrollahpour Shirvani
author_sort ME Motlagh
title Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
title_short Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
title_full Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
title_fullStr Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
title_full_unstemmed Factors Affecting the Adequacy of Prenatal Care Utilization Index in the First Level of Network System in Iran
title_sort factors affecting the adequacy of prenatal care utilization index in the first level of network system in iran
publisher Babol University of Medical Sciences
publishDate 2021
url https://doaj.org/article/4eb464af6e1042d5acc6562828632e3d
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