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.
Abstract

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