Asociación de los factores sociodemográficos y culturales al cumplimiento del control prenatal en gestantes indígenas de la comunidad de Salasaca

Abstract

Inadequate compliance with prenatal controls carries several risks for the mother-child binomial. Social, demographic and cultural factors determine an adequate adherence to these check-ups; and therefore they represent a key point in the structuring of the maternal and child care service. Material and method: mixed methodology. We worked with 42 pregnant women selected based on the inclusion criteria. A survey, a semi-structured interview and a review of the perinatal MSP sheet 0.51 were carried out to obtain the data. Results: The average age of the participants is 24 years old. More than half of the pregnant women studied (57%) inadequately comply with prenatal control. The factors associated with inadequate compliance with prenatal care were: pregnant adolescent 61.5% (p = 0.018), married marital status 53.3% (p = 0.006), low level of education 38.9% (p = 0.022), live more than 5km from the health center 47.1% (p = 0.016), have a job 50% (p = 0.016), low socioeconomic level 60.0% (p = 0.019). In addition, it is narrated that the customs and traditions that intervene in the fulfillment of the prenatal control are: assistance to the midwife, the performance of the mantle and the maintenance and care of body temperature. Conclusions: The data obtained are a clear reflection of the persistence of marked inequalities in the use and access to pregnancy care services due to demographic, social and cultural determinants and the urgent need to strengthen strategies and policies to address them with the objective of achieve universal coverage in prenatal care