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Published on: January 12, 2018
Relationship between adequacy of prenatal care utilization index and pregnancy outcomes
Tahereh Tayebi1, Shahnaz Turk Zahrani2, Rezaali Mohammadpour3
1Department of Midwifery, faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Insights
Adequate prenatal care significantly reduces the risk of preterm labor and low birth weight. Inadequate prenatal care utilization increases these risks, highlighting the importance of comprehensive antepartum support for better maternal and infant outcomes.
Area of Science:
- Maternal and Child Health
- Public Health
- Obstetrics
Background:
- Prenatal care is crucial for positive pregnancy outcomes, preventing complications like preterm labor and low birth weight.
- Inadequate prenatal care utilization is a significant concern, necessitating accurate measurement and assessment.
- The adequacy of prenatal care utilization index offers a comprehensive measure for evaluating care.
Purpose of the Study:
- To assess the adequacy of prenatal care utilization among mothers in Sari.
- To investigate the relationship between the adequacy of prenatal care and the incidence of preterm labor and low birth weight.
Main Methods:
- An analytic historical cohort study involving 420 mothers in Sari during 2010.
- Data collected via interviews and questionnaires, categorizing prenatal care into intensive, adequate, intermediate, and inadequate.
- Statistical analysis included chi-square, ANOVA, Spearman correlation, and relative risk (RR).
Main Results:
- Inadequate prenatal care was observed in 36% of cases, representing the highest percentage.
- A significant association was found between the adequacy of prenatal care utilization and both preterm labor and low birth weight (P < 0.05).
- Inadequate care increased the relative risk of preterm labor by 1.36 times and low birth weight by 1.08 times compared to adequate and intensive care.
Conclusions:
- The study confirms the effectiveness of adequate prenatal care in reducing preterm labor and low birth weight.
- Emphasis is placed on minimum care standards and the need for further research into the quantity of care and its impact on outcomes.
- Findings support the efficacy of prenatal care programs in improving maternal and infant health, aligning with national protocols.
Background:
Prenatal care is a comprehensive antepartum care program involving a coordinated approach to medical care and psychosocial support that is optimally offered before conception. Inadequate care during pregnancy can lead to undesirable outcomes, including preterm labor and low birth weight. One of these new, accurate, and comprehensive indicator measurements is adequacy of prenatal care utilization index. This study aimed to assess the adequacy of care and its relationship with preterm labor and low birth weight.
Materials And Methods:
This analytic historical cohort study was performed on 420 mothers who referred to health centers in Sari during 2010. Data were collected by interviews and questionnaires. Based on the adequacy of prenatal care utilization, this care was classified into four groups: intensive, adequate, intermediate, and inadequate. Data were analyzed using chi-square test, analysis of variance (ANOVA), Spearman correlation coefficient, and relative risk (RR).
Results:
Of the 420 mothers who were studied, inadequate care was observed in 151 (36%) cases, which was the highest percentage of care. There was a significant relationship between the adequacy of prenatal care utilization and preterm labor and low birth weight (for both P < 0.05). Performing inadequate care, the rate of preterm labor was RR = 1.36 times and the rate of low birth weight was RR = 1.08 times more than in adequate and intensive care.
Conclusion:
According to the programs that reduced the number of referrals of pregnant mothers (standardization protocol for mothers in Iran), this study confirms the efficacy of adequacy of prenatal care on reducing preterm labor and low birth weight. This study emphasizes on minimum care performance and the importance of conducting further studies to assess the relationship between quantities of care and other outcomes.
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