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Women Birth. 2018 Jun;31(3):e147-e151. doi: 10.1016/j.wombi.2017.09.013. Epub 2017 Sep 28.

Pattern of prenatal care utilization in Tehran: A population based longitudinal study.

Author information

1
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: a.kolahi@sbmu.ac.ir.
2
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

AIM:

To assess the pattern of prenatal care utilization in Tehran in 2015.

METHODS:

A total of 2005 pregnant women who lived in the catchment area of the study participated. Participants were followed from the sixth week of pregnancy until birth. Data were collected either through interviews or from written medical records.

FINDINGS:

More than 95% of mothers completed all eight prenatal care visits. Some 99% of mothers completed at least four visits. The prenatal care utilization was equal among all different socio-economic regions in Tehran. Gynecologists were the main healthcare providers in prenatal care visits. In addition, 75% of mothers went to gynecologists at their office or in hospitals for ordering first-trimester screening tests.

CONCLUSIONS:

Prenatal care utilization complied with both national guidelines and recommendations of World Health Organization regarding the number of conducted visits. Equal accessibility and availability of prenatal care service despite the socio-economical differences of families is suggestive of equity and social justice in terms of providing health services in both public and private sectors. Among healthcare providers, gynecologists were the main healthcare provider for prenatal care visits.

KEYWORDS:

Antenatal care; Maternal health services; Pregnancy; Prenatal diagnosis

PMID:
28966128
DOI:
10.1016/j.wombi.2017.09.013
[Indexed for MEDLINE]

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