ArticleBMC health services research2021
Quality of antenatal care and its sociodemographic determinants: results of the 2015 Pelotas birth cohort, Brazil.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 28 citations in OpenAlex.
- Identifying individual, community and country-level determinants of poor knowledge of mother-to-child transmission of HIV among women in sub-Saharan Africa: spatial and multilevel analysis.SAGE open medicine · 2026Article
- Consanguineous marriages and low birth weight mediating role of antenatal care visits.Scientific reports · 2025Article
- Antenatal care quality and pregnancy outcomes in the northern region of Ghana: a mixed-methods analysis.BMC pregnancy and childbirth · 2025Article
- Post-term births as a risk factor for small for gestational age births and infant mortality in Brazil, Mexico, and Palestinian refugees: An analysis of electronic birth records.Paediatric and perinatal epidemiology · 2025Article
- [Prenatal care: a temporal analysis using data from the 2013 and 2019 Brazilian National Health Survey].Cadernos de saude publica · 2025Article
- Quality of antenatal care services received by women of reproductive age prior to delivery in selected public health facilities in the northern zone of Ghana.BMC health services research · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Knowledge about sudden infant death syndrome prevention among postpartum women in Southern Brazil, 2019: a cross-sectional survey.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- Assessment of quality of antenatal care services and associated factors in Malawi: Insights from a nationwide household survey.PloS one · 2024Article
- Adequacy of Antenatal Care during the COVID-19 Pandemic: Observational Study with Postpartum Women.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Observational
- Factors associated with inadequate prenatal care service utilization in Ethiopia according to the WHO recommended standard guidelines.Frontiers in public health · 2022Article
- Network care: relationship between prenatal care adequacy and hospital obstetric care in a cross-sectional study.Revista da Escola de Enfermagem da U S P · 2022Article
- Trends in sociodemographic inequalities in prenatal care in Baixada Litorânea, a region of the state of Rio de Janeiro, Brazil, 2000-2020: an ecological study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022Article
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6 authors at 2 institutions in 2 countries.
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Abstract
backgroundInadequate antenatal care (ANC) has been associated with adverse pregnancy outcomes. ANC quality is considered a key component of the right to health and a route to equity and dignity for women and their children. Although ANC coverage is relatively high in Brazil, there are revealed some health disparities when coverage is examined by socio-demographic determinants. In this study we evaluated ANC quality and its socio-demographic determinants using data from the 2015 Pelotas birth cohort, Rio Grande do Sul, Brazil.
methodsThis study is part of the 2015 Pelotas population-based birth cohort (n = 3923 pregnant women) conducted in southern Brazil. ANC quality was assessed through 19 content and service utilization indicators recommended by the Brazilian Ministry of Health. Descriptive analyses and associations of each of the ANC indicators and independent variables were performed using the chi-square and linear trend test. ANC indicators were analyzed individually and aggregated as a score. Associations between ANC score quality and socio-demographic variables were assessed with ordinal regressions. Mediation analysis with G-computation was performed to estimate direct and indirect effect of mother's level of education on ANC quality mediated by the number of consultations and timing of ANC initiation. Base and post confounders were included.
resultsThe results showed that except for breast examination, height measurement, tetanus toxoid vaccination and ANC starting at the first trimester, all ANC indicators showed more than 80% coverage during ANC visits. In the adjusted analysis, inadequate quality ANC was associated with lower maternal education level, not having a partner, being multiparous, being attended by a private provider and by the same professional in all consultations. In the mediation analyses, 6.8% of the association between ANC quality and mother's education was mediated by the trimester in which ANC started, while 12.8% was mediated by the number of ANC visits.
conclusionsANC quality is associated with pregnant women's socio-demographic characteristics. Significant efforts are needed to improve the quality of facility-based maternity care.
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