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Kadınların Yeterli Antenatal Bakım Hizmeti Almasına Etki Eden Faktörler

Year 2022, Volume: 39 Issue: 3, 863 - 867, 30.08.2022

Abstract

Amaç: Bu çalışmanın amacı, Türkiye'de Kuzey Doğu Anadolu'nun kırsal bir bölgesinde sağlık hekimleri tarafından verilen doğum öncesi bakımı ve etkileyen faktörleri nicel olarak araştırmaktı.
Gereç ve yöntem: Doğum için ikinci basamak sağlık kuruluşuna başvuran hastalara gebelikleri boyunca kaç kez kontrole gittikleri soruldu. Ayrıca yanıt veren hastaların sosyodemografik özellikleri kaydedildi.
Bulgular: Bu çalışmada yetersiz doğum öncesi bakım alan gebelerin oranı %41.0 idi. Dörtten daha az sayıda doğum öncesi bakım ziyaretine katılan gebelerde yetersiz doğum öncesi bakım için risk faktörleri incelendiğinde, <5 için eş eğitimi alanlar için riskin 2.115 (güven aralığı [CI] = 1.328–3.368) kat daha yüksek olduğu ortaya çıktı. ≥6 yıl partner eğitimi almış olanlardan daha uzun yıllar.
Sonuç: Kuzey Doğu Anadolu bölgesinde yetersiz doğum öncesi bakım alan gebeler birinci basamak hekimlerine gitmek yerine İkinci ve Üçüncü basamak sağlık kuruluşlarına gitmeyi tercih etmişlerdir. Sonuç olarak, hem anne hem de yenidoğan mortalite ve morbiditesini azaltmak için sağlık planları aracılığıyla bir sevk zincirinin oluşturulması ve Birincil doğum öncesi bakım hizmetlerinin yaygınlaştırılması gerekmektedir.

Supporting Institution

DESTEKLEYEN KURUM VE KURULUŞ YOKTUR

References

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  • 2. Milcent C, Zbiri S. Prenatal care and socioeconomic status: effect on cesarean delivery. Health Econ Rev. 2018;8:7.
  • 3. Nussey L, Hunter A, Krueger S, Malhi R, Giglia L, Seigel S,et al. Sociodemographic characteristics and clinical outcomes of people receiving inadequate prenatal care: A retrospective cohort study. J Obstet Gynaecol Can. 2020;42:591-600.
  • 4. Prenatal care and afterpartum care guide circular [Internet]. 2022 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from: https://ilkoordinasyonweb.saglik.gov.tr/TR,5327/dogum-oncesi-bakim-dogum-sonrasi-bakim-rehberi-genelgesi.html.
  • 5. Kotelchuck M. An evaluation of the Kessner Adequacy of prenatal Care Index and a proposed Adequacy of prenatal Care Utilization Index. Am J Public Health. 1994;84:1414-20.
  • 6. Turkey population and health survey. [Internet]. 2022 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from: http://www.sck.gov.tr/wp-content/uploads/2020/02/Turkiye-Nufus-ve-Sa%C4%9Flik-Arastirmasi-2013.pdf.
  • 7. Sangrajrang S, Laowahutanont P, Wongsena M, Muwonge R, Karalak A, Imsamran W, et al. Comparative accuracy of Pap smear and HPV screening in Ubon Ratchathani in Thailand. Papillomavirus Res. 2017;3:30-5.
  • 8. Antenatal Care. London, United Kingdom: National Institute for Health and Care Excellence (NICE); 2021. [Internet]. 2021 [updated 2022 June 25; cited 2022 June 25]. Available from: https://www.nice.org.uk/guidance/ng201
  • 9. Turkey population and health survey [Internet]. 2018 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from:http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • 10. Yilmaz L, Koruk F, Koruk I. The status of women who gave birth in a state hospital in Sanliurfa to receive prenatal care services, the quality of these services and the factors affecting them. Mersin Univ J Health Sci. 2018;11:209-218.
  • 11. World Health Organization. The Partnership for Maternal, Newborn and Child Health. Strategic Framework. 2012-2015. Geneva, Switzerland: WHO; 2011.
  • 12. Aksu S. Prenatal care receiving status of pregnant women in Balikesir city center and affecting factors. Balıkesir J Health Sci. 2020;9(3):179-188.
  • 13. Sutlu S, Çatak B, Kilic S. Where are we in prenatal care? community-based research. STED. Contin Med Educ. 2012;21(5):264-270.
  • 14. Çatak B. Prenatal care services in bursa. Turkish Journal of Family Practice;2014,18(2):63-69.
  • 15. Erdoğan A, Çetinkaya F. Antenatal Care Receiving Status of Women Giving Birth in Kayseri City Center and Affecting Factors. Journal of Kahramanmaraş Sütçü İmam University Faculty of Medicine. 2019;14:135-41.
  • 16. Çatak B, Davas AA, Chain M. Quantity and quality of prenatal care services in Karabuk community health center region. TSK Preventive Medicine Bulletin. 2012;11:153-62.

Factors Affecting Women's Access to Antenatal Care Services

Year 2022, Volume: 39 Issue: 3, 863 - 867, 30.08.2022

Abstract

Aim: The aim of this study was to quantitatively investigate the antenatal care provided by healthcare physicians in a rural area of North East Anatolia, Turkey, and the effective factors.
Materials and methods: Patients who applied to a Second-tier health institution for delivery were asked how many times they went for a check-up during their pregnancy. In addition, the sociodemographic characteristics of the responding patients were recorded.
Results: In this study, the rate of pregnant women who received inadequate antenatal care was 41.0%. Examining the risk factors for inadequate antenatal care in pregnant women who attended fewer than four antenatal care visits revealed that the risk was 2,115 (confidence interval [CI] = 1.328–3.368) times higher for those receiving spousal education for <5. Longer years than those with ≥6 years of partner training.
Conclusion: Pregnant women who received inadequate antenatal care in the North East Anatolia region preferred to visit Secondary and Tertiary healthcare institutions instead of visiting primary care physicians. In conclusion, it is necessary to establish a referral chain through health plans and expand Primary antenatal care services to reduce both maternal and neonatal mortality and morbidity.

References

  • 1. Rowe S, Karkhaneh Z, MacDonald I, Chambers T, Amjad S, Osornio-Vargas A, et al. Systematic review of the measurement properties of indices of prenatal care utilization. BMC Pregnancy Childbirth. 2020; 20:171.
  • 2. Milcent C, Zbiri S. Prenatal care and socioeconomic status: effect on cesarean delivery. Health Econ Rev. 2018;8:7.
  • 3. Nussey L, Hunter A, Krueger S, Malhi R, Giglia L, Seigel S,et al. Sociodemographic characteristics and clinical outcomes of people receiving inadequate prenatal care: A retrospective cohort study. J Obstet Gynaecol Can. 2020;42:591-600.
  • 4. Prenatal care and afterpartum care guide circular [Internet]. 2022 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from: https://ilkoordinasyonweb.saglik.gov.tr/TR,5327/dogum-oncesi-bakim-dogum-sonrasi-bakim-rehberi-genelgesi.html.
  • 5. Kotelchuck M. An evaluation of the Kessner Adequacy of prenatal Care Index and a proposed Adequacy of prenatal Care Utilization Index. Am J Public Health. 1994;84:1414-20.
  • 6. Turkey population and health survey. [Internet]. 2022 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from: http://www.sck.gov.tr/wp-content/uploads/2020/02/Turkiye-Nufus-ve-Sa%C4%9Flik-Arastirmasi-2013.pdf.
  • 7. Sangrajrang S, Laowahutanont P, Wongsena M, Muwonge R, Karalak A, Imsamran W, et al. Comparative accuracy of Pap smear and HPV screening in Ubon Ratchathani in Thailand. Papillomavirus Res. 2017;3:30-5.
  • 8. Antenatal Care. London, United Kingdom: National Institute for Health and Care Excellence (NICE); 2021. [Internet]. 2021 [updated 2022 June 25; cited 2022 June 25]. Available from: https://www.nice.org.uk/guidance/ng201
  • 9. Turkey population and health survey [Internet]. 2018 [updated 2022 Apr 25; cited 2022 Apr 25]. Available from:http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • 10. Yilmaz L, Koruk F, Koruk I. The status of women who gave birth in a state hospital in Sanliurfa to receive prenatal care services, the quality of these services and the factors affecting them. Mersin Univ J Health Sci. 2018;11:209-218.
  • 11. World Health Organization. The Partnership for Maternal, Newborn and Child Health. Strategic Framework. 2012-2015. Geneva, Switzerland: WHO; 2011.
  • 12. Aksu S. Prenatal care receiving status of pregnant women in Balikesir city center and affecting factors. Balıkesir J Health Sci. 2020;9(3):179-188.
  • 13. Sutlu S, Çatak B, Kilic S. Where are we in prenatal care? community-based research. STED. Contin Med Educ. 2012;21(5):264-270.
  • 14. Çatak B. Prenatal care services in bursa. Turkish Journal of Family Practice;2014,18(2):63-69.
  • 15. Erdoğan A, Çetinkaya F. Antenatal Care Receiving Status of Women Giving Birth in Kayseri City Center and Affecting Factors. Journal of Kahramanmaraş Sütçü İmam University Faculty of Medicine. 2019;14:135-41.
  • 16. Çatak B, Davas AA, Chain M. Quantity and quality of prenatal care services in Karabuk community health center region. TSK Preventive Medicine Bulletin. 2012;11:153-62.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Ülkü Ayşe Türker Aras 0000-0002-3393-6310

Samet Kırat 0000-0001-7262-4320

Engin Korkmazer 0000-0001-8318-2329

Early Pub Date August 30, 2022
Publication Date August 30, 2022
Submission Date June 30, 2022
Acceptance Date July 1, 2022
Published in Issue Year 2022 Volume: 39 Issue: 3

Cite

APA Türker Aras, Ü. A., Kırat, S., & Korkmazer, E. (2022). Factors Affecting Women’s Access to Antenatal Care Services. Journal of Experimental and Clinical Medicine, 39(3), 863-867.
AMA Türker Aras ÜA, Kırat S, Korkmazer E. Factors Affecting Women’s Access to Antenatal Care Services. J. Exp. Clin. Med. August 2022;39(3):863-867.
Chicago Türker Aras, Ülkü Ayşe, Samet Kırat, and Engin Korkmazer. “Factors Affecting Women’s Access to Antenatal Care Services”. Journal of Experimental and Clinical Medicine 39, no. 3 (August 2022): 863-67.
EndNote Türker Aras ÜA, Kırat S, Korkmazer E (August 1, 2022) Factors Affecting Women’s Access to Antenatal Care Services. Journal of Experimental and Clinical Medicine 39 3 863–867.
IEEE Ü. A. Türker Aras, S. Kırat, and E. Korkmazer, “Factors Affecting Women’s Access to Antenatal Care Services”, J. Exp. Clin. Med., vol. 39, no. 3, pp. 863–867, 2022.
ISNAD Türker Aras, Ülkü Ayşe et al. “Factors Affecting Women’s Access to Antenatal Care Services”. Journal of Experimental and Clinical Medicine 39/3 (August 2022), 863-867.
JAMA Türker Aras ÜA, Kırat S, Korkmazer E. Factors Affecting Women’s Access to Antenatal Care Services. J. Exp. Clin. Med. 2022;39:863–867.
MLA Türker Aras, Ülkü Ayşe et al. “Factors Affecting Women’s Access to Antenatal Care Services”. Journal of Experimental and Clinical Medicine, vol. 39, no. 3, 2022, pp. 863-7.
Vancouver Türker Aras ÜA, Kırat S, Korkmazer E. Factors Affecting Women’s Access to Antenatal Care Services. J. Exp. Clin. Med. 2022;39(3):863-7.