Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará

Annita De Lima Mesquita, Hillary Bastos Vasconcelos Rodrigues, Uly Reis Ferreira, Maria Aparecida Ferreira Domingos, Bruno Luciano Carneiro Alves de Oliveira, Alexandrina Maria Ramos Cardoso, Camila Biazus-Dalcin, Priscila De Souza Aquino (Lead / Corresponding author)

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Abstract

Objective: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceara, Brazil. 

Method: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson’s chi-square test selected variables for adjusted Poisson regression. 

Results: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04-1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03-1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. 

Conclusion: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.

Original languageEnglish
Article numbere20230012
JournalRevista da Escola de Enfermagem
Volume58
DOIs
Publication statusPublished - 12 Apr 2024

Keywords

  • Health Services Accessibility
  • Birthing Centers
  • Parturition
  • Barriers to Access of Health Services
  • Women’s Health

ASJC Scopus subject areas

  • General Nursing

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