Sarah Barber1. 1. Institute of Business and Economic Research, F502 Haas School of Business, University of California, Berkeley 94720-1922, USA. barber@haas.berkeley.edu
Abstract
OBJECTIVES: To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. METHODS: The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of maternal retrospective reports about prenatal care services received in 1997-2003. RESULTS: Women who received most prenatal care procedures were more likely to have a skilled institutional delivery (OR 2.29, 95% CI 1.18, 4.44). Women who received less than the 75th percentile of prenatal care procedures were not significantly different from those who received no prenatal care. CONCLUSIONS: Policies promoting increased access to prenatal services should be linked to the promotion of practice standards to impact health and behavioral outcomes.
OBJECTIVES: To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. METHODS: The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of maternal retrospective reports about prenatal care services received in 1997-2003. RESULTS:Women who received most prenatal care procedures were more likely to have a skilled institutional delivery (OR 2.29, 95% CI 1.18, 4.44). Women who received less than the 75th percentile of prenatal care procedures were not significantly different from those who received no prenatal care. CONCLUSIONS: Policies promoting increased access to prenatal services should be linked to the promotion of practice standards to impact health and behavioral outcomes.
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