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Journal of Tropical Pediatrics 1994 40(3):133-136; doi:10.1093/tropej/40.3.133
© 1994 by Oxford University Press
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A Study of the Use of the Nicaraguan Antenatal Card

Louise Laurell*, Birgitta Essén, MD**, Rodolfo Peña, MD, MPH***, Per-Olof Östergren, MD,PhD{dagger} and Jerker Liljestrand, MD, PhD{dagger}{dagger},

*Department of Pediatrics, Lund Hospital Sweden
**Primary Health Care, Växjö Hospital Sweden
***Preventive Medicine, Leon University Nicaragua
{dagger}Community Health Sciences, Lund Univerity, Malmo General Hospital Sweden
{dagger}{dagger}Obstetrics and Gynaecology, Karlskrona Hospital Sweden

Correspondence: Jerker Liljestrand, Muraregatan 20c, S-371 38 Karlskrona, Sweden

The present study describes the use of a home-based antenatal card in a sample of 120 consecutive women who were giving birth at a large teaching hospital in the city of León, Nicaragua. Information was obtained by interviews with the women before leaving hospital and all data on their antenatal cards and regardingdelivery outcome were analysed. Antenatal care attendance by the 120 women was 93 per cent, and 86 per cent had received an antenatal card. However, only in 33 per cent of the cases had the card been adequately used: inappropriate handling in hospital was the commonest cause of non-use. Suggestions for a revision of the card are presented in the companion article, in which we also stress the importance of continuous training of the health personnel.


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