Eligibility and discontinuation of prenatal care in a freestanding birth center: a cross-sectional study.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0015

Franciely Schermak, Maria Luiza Gonzalez Riesco

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引用次数: 0

Abstract

Objectives: to analyze the factors related to eligibility and discontinuation of prenatal care in a freestanding birth center (FBC).

Methods: a cross-sectional study, conducted at the Casa Angela FBC, SP, Brazil, involving 9,954 women registered between 2020-2022. Descriptive analysis was performed, including odds ratios.

Results: 43.6% were eligible for prenatal care and 62.9% had their care discontinued. A higher level of education, higher income, Asian/Indigenous ethnicity, and living with a partner increased the chance of eligibility; older maternal age, a higher number of pregnancies, brown/black skin, and private health insurance decreased this chance. Brown/black skin and Indigenous ethnicity increased the chance of prenatal care discontinuation; older maternal age, a higher number of pregnancies, higher education, higher income, Asian ethnicity, living with a partner, and private health insurance decreased this chance.

Conclusions: sociodemographic factors and clinical and obstetric history influence both the ineligibility and discontinuation of prenatal care in CPN.

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独立分娩中心产前护理的资格和中止：一项横断面研究。

目的：分析独立分娩中心（FBC）产前护理资格及终止的相关因素。方法：一项横断面研究，在巴西SP的Casa Angela FBC进行，涉及2020-2022年期间登记的9,954名妇女。进行描述性分析，包括比值比。结果：43.6%的孕妇符合产前护理要求，62.9%的孕妇终止产前护理。较高的教育水平、较高的收入、亚洲/土著民族以及与伴侣同居增加了获得资格的机会；母亲年龄较大、怀孕次数较多、棕色/黑色皮肤和私人健康保险降低了这种可能性。棕色/黑色皮肤和土著种族增加了产前护理中断的机会；母亲年龄较大、怀孕次数较多、受教育程度较高、收入较高、亚裔、与伴侣同居以及拥有私人健康保险都会降低这一几率。结论：社会人口学因素、临床和产科史影响CPN患者产前护理的不合格和中止。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.