Participation of pregnant women in educational activities and indication of the maternity hospital of reference for delivery during prenatal care

Abstract

Objectives: to evaluate the associated factors in the participation of educational activities and the indication of maternity reference of the birth given for the women during prenatal. Methods: A multicenter longitudinal study was conducted in three maternity hospitals. The interview was carried out soon after the childbirth and the outcomes evaluated were the participation of educational activities during the prenatal and the indication of birth maternity reference. The Poisson regression was used in the analysis of the proposed hierarchical model. Results: Of the 3438 women, 23.2% participated in the educative activities and 61.2% had the childbirth linked to a reference maternity. The women with higher household income (PR= 1.36; CI95%= 1.04–1.77), increase in age by one year (PR= 1.02; CI95%= 1.01–1.04), first pregnancy (PR= 1.84; CI95%= 1.56–2.17), and who practiced physical activity (PR= 1.28; CI95%= 1.09–1.50) had higher prevalence in the participation on the educational activities. The indication of maternity reference was more frequent between the women with higher household income (PR= 1.15; CI95%= 1.01–1.30), education (PR= 1.01; CI95%= 1.00–1.02), non-smoker (PR= 1.31; CI95%= 1.07–1.61), and drug user (PR= 1.44; CI95%= 1.17–1.77). Conclusions despite the wide coverage, the prenatal still has flaws in the actions of education and in the indication of the reference maternity hospital.