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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir las desigualdades socioecon&#243;micas relacionadas con el cuidado y el control del embarazo de las gestantes de Barcelona durante 1994-2003&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Dise&#241;o transversal de las gestantes de Barcelona que tuvieron un hijo sin anomal&#237;as cong&#233;nitas&#46; La informaci&#243;n se obtuvo de las historias hospitalarias y una encuesta realizada a las madres del Registro de Defectos Cong&#233;nitos de Barcelona&#44; que recoge una muestra aleatoria del 2&#37; del total de nacimientos de esta ciudad &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;299&#41;&#46; Se estudiaron las siguientes variables dependientes&#58; visitas al obstetra&#44; trimestre de la primera visita&#44; n&#250;mero de ecograf&#237;as&#44; ecograf&#237;a del quinto mes&#44; realizaci&#243;n de una prueba invasiva&#44; consumir &#225;cido f&#243;lico&#44; planificaci&#243;n del embarazo&#44; consumo y abandono del tabaco&#46; Las variables independientes fueron la edad y la clase social&#46; Se ajustaron modelos de regresi&#243;n log&#237;stica para cada variable dependiente&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las gestantes de clases sociales con ocupaciones manuales realizan&#44; en mayor proporci&#243;n&#44; menos de 6 visitas y la primera visita despu&#233;s del primer trimestre&#59; adem&#225;s&#44; tienen menor probabilidad de realizar alguna prueba invasiva&#44; tomar &#225;cido f&#243;lico&#44; planificar el embarazo&#44; no fumar y abandonar el consumo de tabaco&#46; Y las gestantes de clases no manuales realizan&#44; en mayor proporci&#243;n&#44; m&#225;s de 12 visitas y m&#225;s de 3 ecograf&#237;as&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Hay desigualdades socioecon&#243;micas relacionadas con el cuidado y el control del embarazo en Barcelona&#46; Las gestantes de las clases sociales m&#225;s favorecidas realizan un mejor cuidado y control del embarazo&#44; pero en todas se observa una excesiva medicalizaci&#243;n&#46; Una racionalizaci&#243;n del uso de recursos sanitarios y una reducci&#243;n de la medicalizaci&#243;n podr&#237;a disminuir las desigualdades relacionadas con el cuidado y el control de la gestaci&#243;n en Barcelona&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe socioeconomic inequalities in the provision and uptake of prenatal care among women in Barcelona &#40;Spain&#41; between 1994 and 2003&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study of women in Barcelona who delivered a child without birth defects&#46; Information was obtained from hospital medical records and a personal interview with women included in the Barcelona Birth Defects Registry&#44; containing a random sample of 2&#37; of all pregnant women in the city &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2299&#41;&#46; Dependent variables&#58; number of obstetric visits&#44; the trimester of the first visit&#44; the number of obstetric ultrasound scans&#44; the fifth-month diagnostic ultrasound scan&#44; invasive procedures&#44; prenatal folic acid intake&#44; pregnancy planning&#44; smoking and smoking cessation&#46; The independent variables were maternal age and social class&#46; Logistic regression models were filted for each dependent variable&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In social classes with manual occupations&#44; there was a higher proportion of pregnant women who attended less than six obstetric visits and who attended the first obstetric visit after the first trimester&#46; Moreover&#44; these women were less likely to have undergone an invasive procedure&#44; to have taken folic acid supplements&#44; to have planned the pregnancy&#44; to be non-smokers and to stop smoking&#46; In the more privileged classes&#44; there was a higher proportion of women who attended more than 12 obstetric visits and who underwent more than three ultrasound scans&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Socioeconomic inequalities were found in the provision and uptake of prenatal care in Barcelona&#46; Uptake was greater in the more advantaged social classes but excessive medicalization was found in all classes&#46; Rationalizing the use of healthcare resources and reducing excessive medicalization would reduce inequalities in prenatal care in Barcelona&#46;</p>"
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