title: [Do the quality of prenatal care have an impact on obstetrical outcomes?].
abstract: OBJECTIVE
  To assess the rate of pregnant women not having accurate prenatal care utilization. The others goals were to assess the impact of an inadequate quantitative or qualitative prenatal care on obstetrical outcomes.
  
  
  METHODS
  Historical cohort study with a prospective data registration. Hospitalised patients at the maternity ward of the University Hospital of Pointe-à-Pitre were eligible if they gave birth after 22 weeks (or≥500g) at home, outside a maternity ward or in another maternity ward. Early postpartum maternal transfers were included but not medical abortions. The principal outcome was preterm birth (before 37 weeks' gestation).
  
  
  RESULTS
  Patients without an appointment before 15weeks or without an appointment each month before their delivery represented 27.4% of women (n=2344). We stressed more preterm deliveries outside the maternity ward among the group with an inadequate prenatal care utilization vs. the other group (3,89% vs. 0,88%) (p<0,0001). We did not find any difference concerning the perinatal outcomes among the women with an inadequate quality prenatal care.
  
  
  CONCLUSIONS
  Our study did not stress a difference concerning perinatal outcomes among women with an inadequate quantitative or qualitative prenatal care utilization.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Necker, AP-HP, Paris cedex 15, France.
authors.forename: N
authors.initials: N
authors.lastname: Léticée
authors.forename: F
authors.initials: F
authors.lastname: Vendittelli
authors.forename: S
authors.initials: S
authors.lastname: Ughetto
authors.forename: E
authors.initials: E
authors.lastname: Janky
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005865:Gestational Age; D019430:Guadeloupe / Q000453:epidemiology; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D047928:Premature Birth / Q000453:epidemiology; D011295:Prenatal Care / Q000706:statistics & numerical data; D011446:Prospective Studies; D011787:Quality of Health Care; D055815:Young Adult