FACTORES ASOCIADOS A LA FALTA DE CONTROL POSTNATAL EN LAS MUJERES ENTREVISTADAS EN EL ENDES DEL PERIODO 2010 AL 2023

• Autor: Barrutia Aroni, Nicolas Alexis
• Formato: artículo
• Fecha de Publicación: 2026
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/523
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/523
• Nivel de acceso: acceso abierto
• Materia: Postnatal care; postpartum period; home childbirth; health surveys; socioeconomic factors; Atención posnatal; periodo posparto; parto domiciliario; encuestas epidemiológicas; factores socioeconómicos

Introduction. Lack of postnatal care limits puerperium surveillance and may influence maternal morbidity and mortality. Objective. To determine factors associated with lack of postnatal care among women interviewed in the 2010–2023 National Demographic and Family Health Survey (ENDES, by its Spanish acronym). Methods. An analyti-cal cross-sectional study was conducted among women aged 15 to 49 years with at least one delivery and complete records, with a final sample of 54,242. The dependent variable was lack of postnatal care. Independent variables included sociodemographic and obstetric characteristics according to official ENDES coding. Crude and adjusted prevalence ratios (aPRs) and their respective 95% confidence intervals (95% CIs) were estimated. Results. Lack of postnatal care was 1.8%. In the multivariate analysis, this prevalence was lower for women in the middle wealth index category compared with the very poor category (aPR = 0.30; 95% CI: 0.12–0.70; p = 0.006), for those residing in the Highlands region compared with Metropolitan Lima (aPR = 0.38; 95% CI: 0.16–0.91; p = 0.029), and for cesarean delivery compared with vaginal delivery (aPR = 0.34; 95% CI: 0.14–0.82; p = 0.015), whereas out-of-hospital delivery compared with hospital delivery was associated with a higher prevalence (aPR = 36.39; 95% CI: 22.80–58.07; p < 0.001). The remaining variables showed no significant association after adjustment. Conclusion. Lack of postnatal care was associated with out-of-hospital delivery, cesarean delivery, middle wealth index category, and residence in the Highlands region