Abstract

SEGURA, Omar. DID THE PRECONCEPTION COUNSELING AND PRENATAL CONTROL FAIL? A LOOK FROM THE VITAL STATISTICS IN BOGOTA (COLOMBIA), 2009 - 2010. Investig. andina [online]. 2011, vol.13, n.22, pp.136-149. ISSN 0124-8146.

Introduction: the policy for Sexual and Reproductive Health has been questioned by the communication media and by diverse government organizations in three ways: the preconception counseling, prenatal control and the number of births by cesarean section. An analytical theoretical exercise is proposed through the usage of the module of Born Alive and Deaths from the Exclusive Registry ofHealth affiliation in order to corroborate these facts. Methods: a quantitative study of the sole cohort type, with the registry of the born alive in Bogota between 2009 and 2010 available in the electronic portal of records compiled in Microsoft Excel® 2007, filtered with inclusion criteria and analyzed by EpiINFO 3.5.2 Results: a total of 123,068 records of born alive children of which 82.5% were included in the analysis. Births: 37% were through cesarean section in 2009 and 38.6% in 2010. 21.3% of the births in 2009 and 17.7% in 2010 were from adolescent mothers. The OR for dystocia birth in adolescents was 1.69 (X2 = 944.96% p = 0, 0); the OR for low Apgar after one minute in neonate babies from adolescents was 1.31 (X2=31.27, p=0.001) Conclusion: from the records we can form an interesting reality of a specific fault and the need to evaluate it and reformulate it, in the framework of a future Decennial Health Plan.

Keywords : Health Policy; Sexual and Reproductive Health Policy; Reproductive History; Prenatal Care; Vital Statistics; Population Watch.

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