Determinants of the number of antenatal visits in a metropolitan region.
Summary of "Determinants of the number of antenatal visits in a metropolitan region."
ABSTRACT:
BACKGROUND:
Antenatal care has a positive effect on pregnancy, both clinically and psychologically, but consensus about the optimal number of antenatal visits is lacking. This study aims to provide insight into the dynamics of the number of antenatal visits a woman receives. Independent effects of predisposing, enabling and pregnancy-related determinants are examined.
METHODS:
Women were recruited in nine clinical centres in the Brussels Metropolitan region. Antenatal care use was measured prospectively. A Poisson regression model was applied to measure the independent effect of individual determinants on the number of antenatal visits.
RESULTS:
Data on antenatal care trajectories in 333 women were collected. The multivariate analyses showed that women with a Maghreb or Turkish origin had 14% fewer visits compared with European (EU15) women. More highly educated women had 22% more visits compared with those with a low education. Women with a high income had 14% more antenatal visits compared with those with a low income. Fewer antenatal visits were observed in multiparae (15%), women initiating care after 14 weeks of gestation (31%), women without medical risks during the pregnancy (12%) and in women with a continuity of care index of 50% or more (12%). More visits were observed in delivering after week 37 (22% increase).
CONCLUSIONS:
Predisposing and enabling factors have to be considered when antenatal care programmes are evaluated in a metropolitan area. Variations in the number of antenatal visits show that socially vulnerable women are more at risk of having fewer visits.
Affiliation
Journal Details
This article was published in the following journal.
Name: BMC public health
ISSN: 1471-2458
Pages: 527
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20809951
- DOI: http://dx.doi.org/10.1186/1471-2458-10-527
Medical and Biotech [MESH] Definitions
Office Visits
Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.
Immunoglobulin Idiotypes
Unique, genetically controlled determinants present on ANTIBODIES whose specificity is limited to a single group of proteins (e.g., another antibody molecule or an individual myeloma protein). The idiotype appears to represent the antigenicity of the antigen-binding site of the antibody and to be genetically codetermined with it. The idiotypic determinants have been precisely located to the IMMUNOGLOBULIN VARIABLE REGION of both immunoglobin polypeptide chains.
Antibodies, Anti-idiotypic
Antibodies which react with the individual structural determinants (idiotopes) on the variable region of other antibodies.
Cities
A large or important municipality of a country, usually a major metropolitan center.
Dna Probes, Hla
DNA probes specific for the human leukocyte antigen genes, which represent the major histocompatibility determinants in humans. The four known loci are designated as A, B, C, and D. Specific antigens are identified by a locus notation and number, e.g., HLA-A11. The inheritance of certain HLA alleles is associated with increased risk for certain diseases (e.g., insulin-dependent diabetes mellitus).
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