Maternal and Child Health Journal

, Volume 10, Issue 5, pp 419–425

Does the Quality of Prenatal Care Matter in Promoting Skilled Institutional Delivery? A Study in Rural Mexico

Original Paper

DOI: 10.1007/s10995-006-0079-x

Cite this article as:
Barber, S. Matern Child Health J (2006) 10: 419. doi:10.1007/s10995-006-0079-x


Objectives: To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. Methods: The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of maternal retrospective reports about prenatal care services received in 1997–2003. Results: Women who received most prenatal care procedures were more likely to have a skilled institutional delivery (OR 2.29, 95% CI 1.18, 4.44). Women who received less than the 75th percentile of prenatal care procedures were not significantly different from those who received no prenatal care. Conclusions: Policies promoting increased access to prenatal services should be linked to the promotion of practice standards to impact health and behavioral outcomes.


Prenatal careSkilled deliveryInstitutional deliveryMexicoQuality of careMaternal mortality

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  1. 1.Institute of Business and Economic ResearchF502 Haas School of Business, University of CaliforniaMorelosBerkeleyUSA