236907 Adequacy of Prenatal Care Utilization Index and Breastfeeding Practices in Romania

Wednesday, November 2, 2011

Cornelia Rada, Psycho-soc, PhD , Institute of Anthropology, Romanian Academy, Bucharest, Romania
Ileana M. Prejbeanu, MD, MPH, PhD , Environmental Health Department, University of Medicine and Pharmacy, Craiova, Romania
Marcelina G. Mihai, MD, MPH st , Environmental Health Department, University of Medicine and Pharmacy, Craiova, Romania
Corina-Aurelia Zugravu, MD, PhD , Environmental Health Department, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
Veta Ciuvat, MD, PhD , Internal Medicine Department, Filantropia Hospital, Craiova, Romania
Background. The pregnancy age when prenatal care begins and the number of medical prenatal visits, expressed by Kotelchuck (Adequacy of Prenatal Care Utilization) Index, and breastfeeding practices are essential for mother and child health. Objective. Assessment of Kotelchuck Index and infants feeding practices in Romania between 1945 and 2009. Methods. A questionnaire regarding the prenatal care visits and the breastfeeding features was applied on a random selected sample of 471 Romanian women from urban and rural areas (Project 72/2008, financially supported by CNCSIS-UEFISCSU). Data were compared with those coming from previous similar studies. Results. About 51.2% of the subjects had inadequate Kotelchuck Index, 87.2% started breastfeeding more than one hour after the birth and 65.7% exclusively breastfed less than 4-6 months. In rural areas inadequate Kotelchuck Index and the practice of less than 4-6 months breastfeeding prevailed; three fourth of the women with bad ratings for these indicators came from rural areas (Chi-Square p<0.01). Kotelchuck Index assessment in three cohorts showed a decrease of the inadequate index proportion from 64.8% before 1975 to 25.5% after 1999 (p<0.01). Conclusion. The study shows the necessity to increase efforts for education and counseling of the Romanian women, especially in rural areas, in respect to start prenatal care visits in the first month of pregnancy, to attend at least ten prenatal care visits, to initiate the breastfeeding in the first hour of birth and to understand the benefits of exclusive breastfeeding for at least six months.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Public health or related education

Learning Objectives:
Explain the necessity of women education in order to improve child feeding practices. Describe the good practice of bringing the child for breastfeeding the first hour after the birth. Demonstrate the importance of women counseling necessity regarding the infant breastfeeding for al least six months.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the director of the Grant this content is part of. I participated in collecting and analyzing the data, in designing the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.