Characteristics of Pregnant Women, Utilization, and Satisfaction with Prenatal Services in St. Petersburg, Russia

Authors

  • Louise Ivanov Dennis M.S.N., R.N.,

    1. Louise Ivanov Dennis is a doctoral candidate in Health Policy and the Health of the Community, School of Nursing, Indiana University, Indianapolis, Indiana and Associate Professor, School of Nursing, Purdue University, West Lafayette, Indiana. Beverly C. Flynn is a Professor, Indiana University School of Nursing, Director, Institute of Action Research for Community Health, and Head, WHO Collaborating Center in Healthy Cities. Joanne B. Martin is an Assistant Professor, Health Policy and the Health of the Community, School of Nursing, Indiana University.
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  • Beverly C. Flynn Ph.D., R.N., FAAN,

    1. Louise Ivanov Dennis is a doctoral candidate in Health Policy and the Health of the Community, School of Nursing, Indiana University, Indianapolis, Indiana and Associate Professor, School of Nursing, Purdue University, West Lafayette, Indiana. Beverly C. Flynn is a Professor, Indiana University School of Nursing, Director, Institute of Action Research for Community Health, and Head, WHO Collaborating Center in Healthy Cities. Joanne B. Martin is an Assistant Professor, Health Policy and the Health of the Community, School of Nursing, Indiana University.
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  • Joanne B. Martin Dr.P.H., M.S., R.N.

    1. Louise Ivanov Dennis is a doctoral candidate in Health Policy and the Health of the Community, School of Nursing, Indiana University, Indianapolis, Indiana and Associate Professor, School of Nursing, Purdue University, West Lafayette, Indiana. Beverly C. Flynn is a Professor, Indiana University School of Nursing, Director, Institute of Action Research for Community Health, and Head, WHO Collaborating Center in Healthy Cities. Joanne B. Martin is an Assistant Professor, Health Policy and the Health of the Community, School of Nursing, Indiana University.
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Abstract

Abstract A descriptive study with a convenience sample of 47 subjects drawn from two birthing houses was conducted in St. Petersburg, Russia, under the auspices of the World Health Organization Healthy Cities Project. Data were collected with a self-administered questionnaire given to women in birthing houses after delivery and prior to discharge. Subjects ranged in age from 16 to 38 years. Sixty-one percent of women began prenatal care within the 1st trimester, 35% within the 2nd trimester, and 2% received no prenatal care. Younger women were more likely than older women to start prenatal care in the 1 st trimester, but received less teaching by health care providers. Younger women also expressed more stress and need for counseling. In addition, 83% of low-birthweight babies were born to younger women. These findings indicate a focus by health care personnel on older pregnant women, although younger pregnant women were at higher risk for poor pregnancy outcome. The strongest statistically significant correlations were found among the patient satisfaction variables, indicating that satisfaction with prenatal services may influence when women begin prenatal care services.

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