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Ginecología y obstetricia de México

Print version ISSN 0300-9041

Abstract

GUILLEN CALLE, Brandon E; ZAGACETA GUEVARA, Zaida  and  SANTOS ROSALES, Yuly. Reasons for abandonment and absence from prenatal care in postpartum women at a public hospital in Peru. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.10, pp.715-722.  Epub Mar 08, 2024. ISSN 0300-9041.  https://doi.org/10.24245/gom.v91i10.8914.

OBJECTIVE:

To determine the reasons for abandonment and absence of antenatal care in postpartum patients in a public hospital in Peru.

MATERIALS AND METHODS:

Observational, descriptive, prospective and cross-sectional study of a series of cases of postpartum patients (delivery or caesarean section) who attended the Hospital San Juan de Lurigancho (level II-2) between 1 August and 7 November 2022, with at least six antenatal visits. The descriptive analysis was processed in Excel version 2019, where we obtained: mean, minimum and maximum for quantitative variables, frequencies and percentages for qualitative variables.

RESULTS:

270 patients were studied, with a mean age of 27 years, standard deviation of 7.2. 93.3% had 1 to 5 antenatal care visits (dropouts) and 6.7% had no antenatal care; 57% started antenatal care in the second trimester and 19.6% in the first trimester. 27.03% had only completed primary school and 70.03% reported not knowing about the availability of antenatal care.

CONCLUSIONS:

The main personal reasons for not attending antenatal care were: fear of COVID-19 infection, physical health problems, not knowing about the availability of antenatal care and not planning the pregnancy. Institutional reasons: appointments when they could not attend, long waiting times, inadequate materials, inadequate admission, previous mistreatment by staff and difficulty in finding the clinic. Social reasons: inflexible working hours, living far from the facility, domestic violence and negative relationship with family.

Keywords : Prenatal care; Pregnancy; Pospartum; Caesarean section; COVID-19; Peru; Domestic violence.

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