A Survey of Prenatal Care Quality in Tabriz Therapeutic–Health Centers َ
Subject Areas : Woman and family
Keywords: Quality, Prenatal care, Therapeutic - health services,
Abstract :
Prenatal care can help to reduce the incidence of prenatal illness and death by promoting health recognizing danger signs, and introducing where to seek care for pregnancy complications. The purpose of this study was determining the prenatal care quality in Tabriz Therapeutic-Health centers. This was a cross-sectional descriptive study to evaluate prenatal care services in three domains: service quality; technical quality; and customer quality. Using stratified random sampling, 400 PNC clients were assessed in 45 pre-natal clinics. A questionnaire and mothers’ files were used to assess the care process. Validity and reliability of the questionnaire were assessed and confirmed. To analyze the data, lick x2, T-test correlation and ANOVA were used. The findings showed that the quality of prenatal care in 68.8% of cases was moderate, in 21.3% of cases was poor, in 9.5% of cases was good and in 0.4% of cases was not acceptable. Forty hundred subjects, averaging 29.3(±9.4) weeks pregnancy, were included. Assessing different care processes demonstrated the following compliance to standards: counseling process 11.6 per cent; history-taking 49.5 per cent; vital signs assessment 53.4 per cent; physical examination 30.2 percent; obstetrical examination 19 percent; blood tests 93.8 per cent; urinary tests 86.9 per cent; clients' education about pre-natal-risk 64.4 per cent. The findings showed that the quality of prenatal care in 68.8% of cases was moderate. Health care workers have an important role in the improvement of the quality of prenatal care. The findings of the research have an important role in the planning of health and medical authorities of Iran regarding the improvement of quality of prenatal care via providing training, in-service education and evaluation of health workers during the period of employment.
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