Adequacy of Prenatal Care in Northeast Brazil: Pilot Data Comparing Attainment of Standard Care Criteria for First-Time Adolescent and Adult Pregnant Women

Figures & data

Table 1 Sample Characteristics of First-Time Pregnant Adolescent and Adult Women (N=76)

Characteristics	Adolescents (13–18 y)	Adults (23–28 y)	Total N=76	p-value
	N=39	N=37
	N (%) or Median (IQR)
Marital status
Married/in union	28 (71.8%)	33 (89.2%)	61 (80.3%)	0.06^a
Single	11 (28.2%)	4 (10.8%)	15 (19.7%)
Years of schooling	9.00 (3.00)	11.00 (3.00)	11.00 (3.00)	<0.01^b
Income sufficiency
Very good	6 (15.4%)	7 (19.4%)	13 (17.3%)	0.87^a
Suitable	23 (59%)	21 (58.3%)	44 (58.7%)
Not very good/not at all	10 (25.6%)	8 (22.2%)	18 (24.0%)
Race/ethnicity
Black	1 (2.6%)	4 (11.1%)	5 (6.7%)	0.15^a
Brown	29 (74.4%)	20 (55.6%)	49 (65.3%)
White	9 (23.1%)	12 (33.3%)	21 (28.0%)
Pregnancy planning
Planned	16 (41%)	18 (48.6%)	34 (44.7%)	0.80^a
Somewhat planned	6 (15.4%)	5 (13.5%)	11 (14.5%)
Not at all planned	17 (43.6%)	14 (37.8%)	31 (40.8%)

Notes: ^ap-value for Chi-square test. ^bp-value for Mann–Whitney test.

Abbreviation: IQR, Interquartile range.

Table 2 Proportion of Participants Whose Prenatal Cards Recorded the Indicators of Rede Cegonha for Adequate Care (N=76)

Strategic Indicators	Adolescents (13–18y) N=39	Adults (23–28y) N=37	Total N=76	p-valueª
	N (%)
Prenatal consultation
First prenatal consultation up to 12 weeks of pregnancy	33 (84.6%)	34 (91.9%)	67 (88.2%)	0.33
At least 6 prenatal consultations	33 (84.6%)	37 (100%)	70 (92.1%)	0.01
Participation in 3 educational activities*	0 (0.0%)	1 (2.9%)	1 (1.5%)	1.00
Laboratory tests
1 ABO/Rh exam	37 (94.9%)	37 (100%)	74 (97.4%)	0.16
2 fasting glycaemia	18 (46.2%)	29 (78.4%)	47 (61.8%)	0.01
Fasting glycaemia (up to the 20th week of pregnancy)	35 (89.7%)	32 (86.5%)	67 (88.2%)	0.66
Fasting glycaemia (between the 28th and 36th week of pregnancy)	10 (25.6%)	18 (48.6%)	28 (36.8%)	0.04
2 VDRL exams	12 (30.8%)	20 (54.1%)	32 (42.1%)	0.04
VDRL (up to the 20th week of pregnancy)	29 (74.4%)	27 (73.0%)	56 (73.7%)	0.89
VDRL (between the 28th and 36th week of pregnancy)	8 (20.5%)	14 (37.8%)	22 (28.9%)	0.10
2 HIV tests	16 (41.0%)	18 (48.6%)	34 (44.7%)	0.50
HIV test (up to the 20th week of pregnancy)	31 (79.5%)	29 (78.4%)	60 (78.9%)	0.91
HIV test (between the 28th and 36th week of pregnancy)	11 (28.2%)	12 (32.4%)	23 (30.3%)	0.69
2 Hb/Ht exams	14 (35.9%)	31 (83.8%)	45 (59.2%)	<0.01
Hb/Ht (up to the 20th week of pregnancy)	33 (84.6%)	33 (89.2%)	66 (86.8%)	0.56
Hb/Ht (between the 28th and 36th week of pregnancy)	8 (20.5%)	23 (62.2%)	31 (40.8%)	<0.01
1 urine culture	15 (38.5%)	20 (54.1%)	35 (46.1%)	0.17
Urine test (up to the 20^th week of pregnancy)	31 (79.5%)	29 (78.4%)	60 (78.9%)	0.91
Urine culture (between the 28th and 36th week of pregnancy)	8 (20.5%)	10 (27.0%)	18 (23.7%)	0.50
1 Toxoplasmosis serology (IgM)	20 (51.3%)	27 (73.0%)	47 (61.8%)	0.05
1 HBsAg exam	34 (87.2%)	34 (91.9%)	68 (89.5%)	0.50
1 hemoglobin electrophoresis	0 (0.0%)	0 (0.0%)	0 (0.0%)	1.00
1 obstetric ultrasonography	38 (97.4%)	37 (100.0%)	75 (98.7%)	0.33
1 cervico-vaginal cytopathology	1 (2.6%)	0 (0.0%)	1 (1.3%)	1.00

Notes: *Nine cards had no place for this item. ªp-value for Chi-square test.

Abbreviations: VDRL, Venereal Disease Research Laboratory; Hb/Ht, hemoglobin and hematocrit; HIV, human immunodeficiency virus; IgM, immunoglobulin M; HBsAg, hepatitis B surface antigen.