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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2015

Open Access 01-12-2015 | Research Article

The relationship between socioeconomic indicators during pregnancy and gynecological appointment at any time after childbirth

Authors: Alexandre Faisal-Cury, Julieta Quayle, Tatiana Marques, Paulo Rossi Menezes, Alicia Matijasevich

Published in: International Journal for Equity in Health | Issue 1/2015

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Abstract

Background

The rates of receipt of postnatal care vary widely between high and low-middle income countries. This study aimed to examine the association between indicators of socioeconomic status during pregnancy and gynecological appointment at any time after childbirth (GA).

Methods

a prospective cohort study with pregnant women recruited from 10 primary care clinics of the public sector in the city of São Paulo, Brazil. Socioeconomic characteristics and obstetric information were obtained through a questionnaire administered during pregnancy and in the postpartum period. Adjusted risk ratios (RR) with 95 % confidence intervals (CI) were calculated using Poisson regression.

Results

Eight hundred and thirty one pregnant women were included in the study during the antenatal period and 701 were re-assessed during the postnatal period. Among them, 283 (59.6) attended a gynecological consultation. After adjusting for covariates, higher socioeconomic status during pregnancy was associated with greater risk of having a GA (RR:1.23, CI 95 %:1.05:1.45 for family per capita monthly income; RR:1.19, CI 95 % 1.01:1.40 for asset score).

Conclusion

In this sample, the attendance for GA was above average and women with higher socio-economic status were more likely to have receipt of such care. Special efforts should be made to improve the attendance and frequency of gynecological consultations after childbirth among poorer women.
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Metadata
Title
The relationship between socioeconomic indicators during pregnancy and gynecological appointment at any time after childbirth
Authors
Alexandre Faisal-Cury
Julieta Quayle
Tatiana Marques
Paulo Rossi Menezes
Alicia Matijasevich
Publication date
01-12-2015
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2015
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-015-0191-x

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