[An epidemiological study on unwanted pregnancy]. / Estudio epidemiológico sobre embarazo no deseado.

OBJECTIVE: To define the profile of the woman with an unwanted pregnancy (UWP) and to analyse differences between wanted pregnancies (WP) and UWP. DESIGN: Longitudinal and retrospective observation study. SETTING: La Chana Health Centre, Granada. PATIENTS: 511 pregnancies. MEASUREMENTS AND MAIN RESULTS: Pregnant women were grouped according to whether their pregnancy was WP or UWP. 29.4% of all pregnancies were UWP. 70.5% of pregnancies in under-19s and 75% in over-35s are UWP (chi2 = 12.24; p = 0.00046 regarding the 19 to 35 age group). Women with WP first attend for prenatal care before women with UWP (chi 2 = 10.5; p = 0.0018). CONCLUSIONS: There is a high proportion of UWP, especially among women under 19 and over 35. We defined two profiles of women at risk of UWP.

[Evaluation of the quality of prenatal care in primary care]. / Evaluación de la calidad de la asistencia prenatal en atención primaria.

OBJECTIVE: Determine the quality of prenatal assistance by means of an audit. DESIGN: This is a retrospective and longitudinal observational study. SITE. At the Primary Attention level, at the "La Chana" Health Centre, Granada. PATIENTS: 514 mothers-to-be. MAIN MEASUREMENTS AND RESULTS: The completion rate of the programme was studied via twelve indicators. Gynecological examination during the first visit (37.74%), serology of infections and toxoplasma (32%) and AgHBs (14.28%) were the indicators least carried out. Gestatory age (98.84%) probable date of the birth (98.45%) and arterial blood pressure (96.7%) were those most frequently carried out. CONCLUSIONS: Motivation exists in the Primary Attention team to record complete medical histories. Need to: unify therapeutic diagnostic criteria, increase coordination between the different levels of attention, and carry out audits more often, to evaluate the quality of attention given objectively.