<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-600X</journal-id>
<journal-title><![CDATA[Revista Cubana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Obstet Ginecol]]></abbrev-journal-title>
<issn>0138-600X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-600X2019000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados al inicio tardío de la atención prenatal en un Centro de Salud del Callao, Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Associated Factors to Late Start of Prenatal Care at a Callao Health Center, Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quijaite Masías]]></surname>
<given-names><![CDATA[Tifany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valverde Espinoza]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barja Ore]]></surname>
<given-names><![CDATA[John]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-600X2019000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-600X2019000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-600X2019000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La atención prenatal es una estrategia de salud que contribuye con la reducción de la morbimortalidad materna y perinatal, por lo cual es relevante que se realice de forma continua, integral, periódica y precoz.  Objetivo: Determinar los factores asociados al inicio tardío de la atención prenatal en un Centro de Salud del Callao, Perú.  Métodos: Estudio observacional, analítico, de corte transversal, realizado en el Centro de Salud Alta Mar del Callao, Perú, durante los meses de setiembre a noviembre 2019. Se seleccionó una muestra no probabilística de 149 gestantes, a quienes se les aplicó un cuestionario validado. Las variables en estudio fueron los factores sociodemográficos, personales, obstétricos e institucionales, además del inicio tardío de la atención prenatal.  Resultados: En el análisis bivariado los factores sociodemográficos e institucionales no demostraron asociación significativa. Mientras que los factores personales como el antecedente de violencia (OR= 2,3; IC95 % = 1,1-4,9) y el desinterés de la pareja (OR= 3,7; IC95 % = 1,8-7,7), así como el factor obstétrico, embarazo no planificado (OR= 6,6; IC95 % = 2,7-16,4), se asociaron con el inicio tardío de la atención prenatal. En el análisis multivariado, el desinterés de la pareja (OR= 2,7; IC95 % = 1,2-6,1) y el embarazo no planificado (OR= 5,6; IC95 % = 2,2-14,3), mantuvieron la asociación.  Conclusiones: El desinterés de la pareja y el embarazo no planificado fueron asociados al inicio tardío de la atención prenatal, los cuales incrementan la posibilidad de ocurrencia de este evento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Prenatal care is a health strategy that contributes to the reduction of maternal and perinatal morbidity and mortality; therefore, it is relevant to carry it out continuously, comprehensively, periodically and early.  Objective: To determine the factors associated with the late start of prenatal care in a Callao Health Center, Peru.  Methods:  An observational, analytical, cross-sectional study was carried out at Alta Mar del Callao Health Center, Peru, from September to November 2019. A non-probability sample of 149 pregnant women was selected. They had a validated questionnaire. The variables under study were the sociodemographic, personal, obstetric and institutional factors, in addition to the late start of prenatal care.  Results:  No significant association was shown in the bivariate analysis the sociodemographic and institutional factors. While personal factors such as the history of violence (OR = 2.3; 95% CI = 1.1-4.9) and the partner´s disinterest (OR = 3.7; 95% CI = 1.8- 7,7), as well as the obstetric factor, unplanned pregnancy (OR = 6.6; 95% CI = 2.7-16.4), were associated with the late start of prenatal care. In the multivariate analysis, the partner´s disinterest (OR = 2.7; 95% CI = 1.2-6.1) and unplanned pregnancy (OR = 5.6; 95% CI = 2.2-14.3), kept the association.  Conclusions:  The partner´s disinterest and the unplanned pregnancy were associated with the late start of prenatal care, which increase the possibility of this event to occur.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[atención prenatal]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[centros de salud]]></kwd>
<kwd lng="es"><![CDATA[salud materna]]></kwd>
<kwd lng="en"><![CDATA[prenatal care]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[health centers]]></kwd>
<kwd lng="en"><![CDATA[maternal health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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