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Antenatal care: some characteristics of the booking visit in a major teachinghospital in the developing world.

机译：产前保健：发展中国家主要教学医院的预约就诊的一些特征。

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BACKGROUND: The first (booking) visit is a very important component ofantenatal care as service providers use the occasion to collect basic medical information that will formthe basis to care for the patient throughout pregnancy. The study was undertaken to establish the socio-demographiccharacteristics of the patients booking at the UBTH, and determine areas where changes could be madeto improve service uptake. MATERIAL AND METHODS: Between the months of February and August 1998, 378consecutive pregnant women initiating antenatal care were interviewed using a structured questionnaire.RESULTS: The majorities (52.1%) of the patients were middle class, while 87.5% have a secondary or tertiaryeducation. The mean age of the mothers was 29.7 years, and a mean parity of 1.3. Primigravidae constituted32.0% of the patients; the number of mothers booking declined with increasing parity. The mean gestationalage at booking was 23.7 weeks. The sixth month was the peak period for the initiation of antenatal care.The decision to attend UBTH for antenatal care was taken by the husband alone in 52% of the cases. Latebooking because of ignorance and financial constraints was observed in 41.5% and 25% of the patientsrespectively. CONCLUSION: Patients attending UBTH are educated and of low parity. Initiation of antenatalcare is late due to ignorance and financial constraints. Male dominance influences patients' adequateutilisation of antenatal services. Provision for the expectant fathers to attend maternity care activitieswill improve service uptake.
机译：背景：首次（预订）拜访是产前护理的一个非常重要的组成部分，因为服务提供者会借此机会收集基本的医疗信息，这些信息将成为整个怀孕期间照顾患者的基础。进行这项研究是为了确定在UBTH预订的患者的社会人口统计学特征，并确定可以进行更改以改善服务吸收的区域。材料与方法：在1998年2月至1998年8月之间，采用结构化问卷调查了378位连续接受产前护理的孕妇。结果：多数患者（52.1％）为中产阶级，而87.5％的患者具有中等或高等教育学历。母亲的平均年龄为29.7岁，平均产值为1.3。初孕科占32.0％。随着平价的增加，预订的母亲人数有所减少。预订时的平均胎龄为23.7周。第六个月是开始产前护理的高峰期，在52％的病例中，仅丈夫决定参加UBTH进行产前护理。由于无知和经济上的限制而进行的后期预订分别在41.5％和25％的患者中观察到。结论：参加UBTH的患者受过良好的教育，且受孕率较低。由于无知和经济拮据，开始产前护理的时间较晚。男性占主导地位会影响患者对产前服务的充分利用。为准父亲参加产妇保健活动提供的经费将改善服务质量。

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