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

• Grant number: 15/16578-7
• Support Opportunities: Regular Research Grants - Publications - Scientific article
• Start date: October 01, 2015
• End date: March 31, 2016
• Field of knowledge: Health Sciences - Medicine - Maternal and Child Health
• Principal Investigator: Alexandre Faisal Cury
• Grantee: Alexandre Faisal Cury
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

Background: The rates of receipt of postnatal care vary widely between high and lowmiddleincome countries. This study aimed to examine the association betweenindicators of socioeconomic status during pregnancy and gynecological appointment atany time after childbirth (GA)Methods: a prospective cohort study with pregnant women recruited from 10 primarycare clinics of the public sector in the city of São Paulo, Brazil. Socioeconomiccharacteristics and obstetric information were obtained through a questionnaireadministered 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 studyduring the antenatal period and 701 were re-assessed during the postnatal period.Among them, 283 (59.6) attended a gynecological consultation. After adjusting forcovariates, higher socioeconomic status during pregnancy was associated with greaterrisk of having a GA (RR:1.23, CI 95%:1.05:1.45 for family per capita monthly income;RR:1.19, CI95% 1.01:1.40 for asset score)Conclusion: In this sample, the attendance for GA was above average and women withhigher socio-economic status were more likely to have receipt of such care. Specialefforts should be made to improve the attendance and frequency of gynecologicalconsultations after childbirth among poorer women. (AU)