Factores asociados a la falta de control posnatal materno / Factors associated with a lack of postnatal care
Rev. Méd. Inst. Mex. Seguro Soc
; 60(1): 4-11, 2022. tab
Article
in Spanish
| LILACS
| ID: biblio-1359718
Responsible library:
MX346.1
RESUMEN
Introducción:
el control posnatal es esencial para identificar y tratar oportunamente las afecciones de salud de la mujer en el puerperio. En México no se han documentado los factores que limitan la atención posnatal.Objetivo:
identificar los factores asociados a la falta de control posnatal. Material ymétodos:
estudio transversal con 202 mujeres en edad reproductiva adscritas a seis clínicas de atención primaria del Instituto Mexicano del Seguro Social. Analizamos los siguientes factores (1) sociodemográficos edad, escolaridad, distancia entre domicilio y clínica de atención; (2) psicosociales apoyo social; (3) ginecoobstétricos número de embarazos, tipo de parto, presencia de comorbilidad y sospecha de depresión; (4) servicios de salud control prenatal deficiente y atención hospitalaria posparto incompleta. El análisis incluyó regresión múltiple de Poisson con varianza robusta.Resultados:
49.5% de las mujeres acudieron a control posnatal. Los factores asociados con mayor probabilidad de falta de control prenatal fueron distancia ≥ 5 km entre domicilio y clínica de atención (razones de prevalencia ajustadas [RPa] 1.48, intervalo de confianza del 95% [IC 95%] 1.16-1.88, p = 0.001), control prenatal deficiente (RPa 1.21, IC 95% 1.001-1.46, p = 0.049) y atención posparto incompleta (RPa 1.42, IC 95% 1.23-1.63, p < 0.001).Conclusiones:
la baja asistencia a control posnatal en las clínicas de atención primaria destaca la necesidad de buscar e implementar alternativas factibles, como teleasistencia y consultas a domicilio, para facilitar que las mujeres que viven lejos de su clínica de atención primaria reciban atención posnatalABSTRACT
Background:
Postnatal care is essential to identify and treat at the appropriate time adverse health events in the puerperium. In Mexico, the factors that affect postnatal care have not been documented.Objective:
To identify the factors associated with the lack of postnatal care. Material andmethods:
Cross-sectional study of 202 women of reproductive age affiliated with six primary care clinics of the Mexican Institute for Social Security. We analyzed these factors (1) sociodemographic age, education, schooling, distance between home and clinic; (2) psychosocial social support; (3) obstetric and gynecologic number of pregnancies, type of delivery, presence of comorbidity and suspected depression, and (4) health services deficient prenatal control and incomplete postpartum hospital care. We performed multiple Poisson regression with a robust variance.Results:
49.5% of women had postnatal control. Factors associated with a higher probability of lack of postnatal control were distance ≥ 5 km between home and clinic (adjusted prevalence ratio [aPR] 1.48, 95% confidence interval [95% CI] 1.16-1.88, p = 0.001), poor prenatal care (aPR 1.21, 95% CI 1.001-1.46, p = 0.049), and incomplete postpartum care (aPR 1.42, 95% CI 1.23-1.63, p < 0.001).Conclusions:
The low attendance of postnatal care in primary care clinics highlights the need to seek and implement feasible healthcare alternatives, such as home care or telemedicine, to women who cannot attend to postnatal consultations
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
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SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Adolescent Pregnancy
/
Safe Abortion Services
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Multisectoral Coordination
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Goal 11: Inequalities and inequities in health
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Maternal Care
Database:
LILACS
Main subject:
Postnatal Care
/
Socioeconomic Factors
/
Social Factors
Type of study:
Observational study
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Prevalence study
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Prognostic study
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Risk factors
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Rev. Méd. Inst. Mex. Seguro Soc
Journal subject:
Medicine
/
Social Medicine
Year:
2022
Document type:
Article
Affiliation country:
Jamaica
/
Mexico
Institution/Affiliation country:
Banco Interamericano de Desarrollo/JM
/
Instituto Mexicano del Seguro Social/MX
/
Universidad Nacional Autónoma de México/MX