SciELO - Scientific Electronic Library Online

 
vol.69 issue1Prevalence and characterisation of sexual dysfunctions in women, in 12 colombian cities, 2009-2016Association between socio-environmental factors and the practice of physical activity in pregnant women: a cross-sectional study author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434On-line version ISSN 2463-0225

Abstract

CACERES-MANRIQUE, Flor de María  and  RUIZ-RODRIGUEZ, Myriam. Prevalence of late initiation of prenatal care. Association with the socioeconomic level of the pregnant woman. Cross-sectional study. Bucaramanga, Colombia, 2014-2015. Rev Colomb Obstet Ginecol [online]. 2018, vol.69, n.1, pp.22-31. ISSN 0034-7434.  https://doi.org/10.18597/rcog.3034.

Objective:

To describe the prevalence of late initiation of prenatal care and assess its association with the socioeconomic level of the pregnant woman.

Materials and methods:

Cross-sectional study. Pregnant women from the urban area of Bucaramanga were included using sampling based on proportional affixation quotas according to the socioeconomic classification of the neighbourhood where they lived. Late initiation was considered to occur when prenatal care was started at 12 weeks or more of gestation. The association between late initiation and socioeconomic bracket was assessed, controlling by sociodemographic and clinical variables of the pregnant woman, and a multivariate log-binomial regression model was developed to estimate prevalence ratios and their 95% confidence intervals (95% CI).

Results:

Overall, 391 pregnant women between 18 and 43 years of age (median 23) were included. Median for schooling was 11 years, with a range between 0 and 25 years. Late initiation was found in 29.7% (95% CI: 25.2-34.5) of the women. Association was found with low income brackets (prevalence ratio [PR] = 1.57; 95% CI: 1.082.56), no affiliation to social security at the start of pregnancy (PR = 2.73; 95% CI: 2.04-3.67), and low schooling (PR = 1.46; 95% CI: 1.02-2.16), and age between 18 and 24 years (PR = 1.53; 95% CI: 1.12-1.70). Remembering the date of the last menstruation (PR = 0.48; 95% CI: 0.32-0.71) and being in a stable relationship (PR = 0.82; 95% CI: 0.64-0.98) were protective factors.

Conclusions:

Late initiation of prenatal care is found to occur in approximately one out of every three pregnant women. Late initiation is associated with living in a low socioeconomic bracket. Early identification of pregnant women in this population affected by health inequity must be improved.

Keywords : prenatal care; pregnant women; gestational age; healthcare; socioeconomic factors; social security; Colombia.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )