title: [Inadequacy of the content of prenatal care and associated factors in a cohort in the northeast of Brazil].
abstract: The scope of this study was to analyze the content of prenatal care in São Luís, Maranhão, Brazil, and the factors associated with its inadequacy. A cross-sectional study was conducted based on data from the birth cohort of São Luís in 2010. The content of prenatal care was defined as inadequate when it did not meet the criteria of the Program for Humanization of Prenatal and Delivery Care, which establishes early initiation of prenatal care, minimum number of medical consultations, basic laboratory tests, tetanus vaccination and obstetric procedures. Poisson regression was used to observe associations of the variables with the outcome. The inadequacy rate was high (60.2%). The variables associated with inadequacy were: class C socioeconomic status (PR = 1.39; CI = 1.26-1.55); class D/E socioeconomic status (PR = 1.60; CI = 1.43-1.79); unqualified/unemployed mother (PR = 1.24; CI = 1.11-1.37); 5-8 years of schooling (PR = 1.12; CI = 1.06-1.19); 0-4 years of schooling (PR = 1.13; CI = 1.01-1.26); not being religious (PR = 1.10; CI = 1.04-1.17); alcohol use during pregnancy (PR = 1.13; CI = 1.06-1.20), and being attended by the public service (PR = 1.75; CI = 1.54-2.00). The results showed inadequacy and inequality of prenatal care, revealing that women of lower socioeconomic status received lower quality care.
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Marivanda Julia Furtado
authors.initials: MJ
authors.lastname: Goudard
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Vanda Maria Ferreira
authors.initials: VM
authors.lastname: Simões
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Rosângela Fernandes Lucena
authors.initials: RF
authors.lastname: Batista
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Rejane Christine de Souza
authors.initials: RC
authors.lastname: Queiroz
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Maria Tereza Seabra Soares de Brito E
authors.initials: MT
authors.lastname: Alves
authors.affiliation: Departamento de Saúde Pública, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil, marivandagoudard@hotmail.com.
authors.forename: Liberata Campos
authors.initials: LC
authors.lastname: Coimbra
authors.affiliation: Departamento de Medicina III, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors.forename: Marília da Glória
authors.initials: Mda G
authors.lastname: Martins
authors.affiliation: Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
authors.forename: Marco Antônio
authors.initials: MA
authors.lastname: Barbieri
authors.affiliation: Faculdade de Medicina, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors.forename: Ian Favero
authors.initials: IF
authors.lastname: Nathasje
mesh_terms: D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D012923:Social Class; D012959:Socioeconomic Factors