Influence in the reproductive planning and the women's satisfaction with the discovery of being pregnant in the quality of prenatal care in Brazil

Santos, José Marcos de Jesus; Matos, Thais Santos de; Mendes, Rosemar Barbosa; Freitas, Carla Kalline Alves Cartaxo; Leite, Adriana Moraes; Rodrigues, Iellen Dantas Campos Verdes

doi:10.1590/1806-93042019000300003

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Brasil

Revista Brasileira de Saúde Materno Infantil

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ORIGINAL ARTICLES • Rev. Bras. Saude Mater. Infant. 19 (3) • Jul-Sep 2019 • https://doi.org/10.1590/1806-93042019000300003 copy

Influence in the reproductive planning and the women's satisfaction with the discovery of being pregnant in the quality of prenatal care in Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

to analyze the influence on reproductive planning and the women's satisfaction with the discovery of being pregnant in prenatal care characteristics.

Methods:

a cross-sectional and quantitative study was carried out between March and July 2018 at a low-risk maternity hospital in the Brazilian Northeast region. A total of 652 puerperal women were evaluated in an interview and by their prenatal care card. The Chi-square test and the Odds Ratio were used for statistical analysis.

Results:

the pregnancy planning was reported by 42% (n=274), and the women's satisfaction of being pregnant was 64.1% (n=418) of the interviewees. Reproductive planning was associated with early initiation of prenatal care (OR=2.48, CI95%=1.61-3.82) and the women received information about the referral maternity for childbirth (OR=1.44, CI95%=1.05-1.99). The women's satisfaction with their pregnancy was also associated with early initiation of prenatal care (OR=2.18; CI95%=1.47-3.25). It should be noted that the performance of six or more prenatal care consultations was less frequent among pregnant women who had not planned their pregnancy (OR=0.43, CI95%=0.27-0.66) and they felt unsatisfied with the discovery of being pregnant (OR=0.56; CI95%=0.37-0.84).

Conclusions:

Pregnancy planning and women's satisfaction with the discovery of being pregnant favors the performance of prenatal care with better indicators.

Key words
Family planning; Sexual and reproductive health; Prenatal care; Contraception

Reproductive planning-related issues	N	%
1. Has the current pregnancy been planned?
Yes	274	42
No	376	57.7
Did not answer	2	0.3
2. How did you feel when you discovered you were pregnant?
Satisfied	418	64.1
More or less satisfied	164	25.2
Unsatisfied	61	9.4
Did not answer	9	1.3
3. What was your perception of the timing when you knew you were pregnant?
I really wanted to get pregnant now.	285	43.7
I wanted to get pregnant a little later	214	32.8
I did not want to get pregnant	149	22.9
Did not answer	4	0.6

Variables related to the quality in prenatal care	Reproductive planning				OR (CI95%)	p (χ²)
Variables related to the quality in prenatal care	Yes (n= 274)		No (n= 376)
	n	%	n	%
Early onset
Yes	237	86.5	275	73.1	2.48 (1.61-3.82)	<0.001
No	33	13.5	95	26.9
Number of consultations
6 or more	239	87.2	283	75.3	0.43 (0.27-0.66)	<0.001
≤ 5	32	12.8	88	24.7
Follow-up by the same professional
Yes	175	64.3	235	63.0	1.05 (0.76-1.46)	0.728
No	97	35.7	138	37.0
Guidance on the referred maternity for childbirth
Yes	164	61.4	189	52.4	1.44 (1.05-1.99)	0.024
No	103	38.6	172	47.6

Variables related to the in quality prenatal care	Maternal satisfaction with the discovery of being pregnant				OR (CI95%)	p (χ²)
Variables related to the in quality prenatal care	Yes (n= 418)		^* * The responses "more or less satisfied" and "unsatisfied" were included. No (n= 225)
	n	%	n	%
Early onset
Yes	348	83.3	159	70.7	2.18 (1.47-3.25)	< 0.001
No	63	16.7	63	29.3
Number of consultations
6 or more	350	83.7	168	74.7	0.56 (0.37-0.84)	0.005
≤ 5	63	16.3	54	25.3
Follow-up by the same professional
Yes	258	62.3	149	66.5	0.83 (0.59-1.17)	0.292
No	156	37.7	75	33.5
Guidance on the referred maternity for childbirth
Yes	233	57.5	115	53.2	1.19 (0.85-1.65)	0.305
No	172	42.5	101	46.8

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[1] Authors' contribution

The study design and planning: JMJS, TSM, RBM, IDCVR. Data collection, analysis, and interpretation: JMJS, TSM, RBM. Elaboration or review of the manuscript: JMJS, TSM, RBM, CKACF, AML, IDCVR. Approval of the final version of the manuscript: JMJS, TSM, RBM, CKACF, AML, IDCVR. Public responsibility for the content: JMJS, TSM, RBM, IDCVR.