Factores que influyen en la inasistencia de las mujeres embarazadas a la atención odontológica durante los controles prenatales en seis centros de salud de primer nivel en Cercado, Cochabamba, Bolivia
Abstract
Objetivo: analizar los factores que influyen en la inasistencia a la atención odontológica, de las gestantes que realizan controles prenatales en el Municipio de Cercado, Cochabamba. Material y métodos: se realizó un estudio descriptivo transversal, los sujetos de estudio fueron 9 médicos, 9 odontólogos y 810 gestantes que acudieron a controles prenatales, en seis centros de primer nivel en la zona sur y norte. Fuente de información: historias clínicas durante el primer semestre de la gestión 2017. Se realizó análisis univariado y bivariado empleando: X2, P, IC 95%, RR.OR. Resultados: gestantes no acuden a la atención odontológica por los siguientes factores: Viven lejos del centro de salud: X2 =12 P=0,0003 (IC95%= 1,05-1,21). RR= 1,12.OR=1,86. No consideran importante la salud oral durante el embarazo, dan calificación baja a la importancia de acudir al dentista durante el embarazo: X2 = 8,65 P = 0,001 (IC95%= 1,04 - 1,19). RR= 1,11.OR=1,85. Miedo de ir al dentista por creencias culturales, citan malformaciones en el feto, aborto, desmayos: X2=47,05 P= 0,0000. (IC95% 1,18 - 1,37). RR=1,27.OR=3,66. No saben que la atención dental en el embarazo es gratuita: X2=66,36 P= 0,0000. (IC95%1,27 - 1,41).RR= 1,34. OR=17,74. No fueron derivadas para interconsulta con el odontólogo, durante los controles prenatales: X2=92,61 P= 0,0000. (IC95%1,34 - 1,68).RR= 1,50.OR=5,61. Desconocimiento de la atención dental en el embarazo, cuando hay patología dental: X2 = 207 P = 0,000000 (IC95%= 1,56 - 1,90). RR= 1,72.OR=25,89. Conclusiones: los factores que influyen negativamente en la asistencia de las gestantes a la atención odontológica, son aspectos culturales, accesibilidad geográfica, relación médico paciente establecida en consulta prenatal y odontológica.
Objetive: to analyze the factors that influence the non-attendance to the dental care of the pregnant women who perform prenatal checks in the Municipality of Cercado, Cochabamba. Methods: a cross-sectional descriptive study was made; the study subjects were 9 physicians, 9 dentists and 810 pregnant women who attended prenatal control in six first level centers in the south and north. Source of information: clinical histories in the first semester of the 2017 administration. Univariate and bivariate analysis were performed using: X2, P, 95% CI, RR.OR. Results: pregnant women do not attend dental care due to the following factors: They live far from the health center, X2 = 12 P = 0.0003 (IC95% = 1.05- 1.21). RR = 1.12.OR = 1.86. They do not consider oral health important during pregnancy, they give low rating to the importance of going to the dentist during pregnancy: X2 = 8.65 P = 0.001 (95% CI = 1.04 - 1.19). RR = 1,11.OR = 1,85. Fear of going to the dentist for cultural beliefs, cite malformations in the fetus, abortion, fainting: X2 = 47.05 P = 0.0000. (95% CI 1.18-1.37). RR = 1,27.OR = 3,66. They do not know that dental care in pregnancy is free: X2 = 66.36 P = 0.0000. (95% CI 1.27-1.41). RR = 1.34. OR = 17.74. They were not referred to interconsultation with the dentist, during prenatal checks: X2 = 92.61 P = 0.0000. (95% CI 1.34-1.68). RR = 1.50.OR = 5.61. Unawareness of dental care in pregnancy, when there is dental pathology: X2 = 207 P = 0.000000 (IC95% = 1.56 - 1.90). RR = 1.72.OR = 25.89. Conclusions: the factors that negatively influence the attendance of pregnant women to dental care are: cultural aspects, geographic accessibility, patient medical relationship established in prenatal and dental consultation.
Objetive: to analyze the factors that influence the non-attendance to the dental care of the pregnant women who perform prenatal checks in the Municipality of Cercado, Cochabamba. Methods: a cross-sectional descriptive study was made; the study subjects were 9 physicians, 9 dentists and 810 pregnant women who attended prenatal control in six first level centers in the south and north. Source of information: clinical histories in the first semester of the 2017 administration. Univariate and bivariate analysis were performed using: X2, P, 95% CI, RR.OR. Results: pregnant women do not attend dental care due to the following factors: They live far from the health center, X2 = 12 P = 0.0003 (IC95% = 1.05- 1.21). RR = 1.12.OR = 1.86. They do not consider oral health important during pregnancy, they give low rating to the importance of going to the dentist during pregnancy: X2 = 8.65 P = 0.001 (95% CI = 1.04 - 1.19). RR = 1,11.OR = 1,85. Fear of going to the dentist for cultural beliefs, cite malformations in the fetus, abortion, fainting: X2 = 47.05 P = 0.0000. (95% CI 1.18-1.37). RR = 1,27.OR = 3,66. They do not know that dental care in pregnancy is free: X2 = 66.36 P = 0.0000. (95% CI 1.27-1.41). RR = 1.34. OR = 17.74. They were not referred to interconsultation with the dentist, during prenatal checks: X2 = 92.61 P = 0.0000. (95% CI 1.34-1.68). RR = 1.50.OR = 5.61. Unawareness of dental care in pregnancy, when there is dental pathology: X2 = 207 P = 0.000000 (IC95% = 1.56 - 1.90). RR = 1.72.OR = 25.89. Conclusions: the factors that negatively influence the attendance of pregnant women to dental care are: cultural aspects, geographic accessibility, patient medical relationship established in prenatal and dental consultation.
Description
Vol. 41, No. 1