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people living in finglas and their health - School of Medicine - Trinity ...

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RESULTS - PART 1<br />

RESULTS - PART 1<br />

Figure 3.11 Practices <strong>of</strong> women before <strong>and</strong> dur<strong>in</strong>g <strong>their</strong> most recent pregnancy (if it occurred between January<br />

1997 <strong>and</strong> April 2002) as reported by primary carers (n=58)<br />

PERCENTAGE<br />

10<br />

80<br />

60<br />

40<br />

20<br />

0<br />

51.7<br />

Planned<br />

63.3<br />

Peri-conceptual<br />

folic acid<br />

PRACTICES BEFORE AND DURING LAST PREGNANCY<br />

Fifty-two percent <strong>of</strong> the women’s last pregnancies were planned (Figure 3.11). Of those who planned <strong>their</strong> last<br />

pregnancy, over three fifths (19/30, 63%) had taken folic acid prior to conception. Almost a quarter had smoked<br />

dur<strong>in</strong>g <strong>their</strong> last pregnancy, 5% did not attend antenatal care <strong>and</strong> 7% did not have a postnatal exam<strong>in</strong>ation six<br />

weeks after delivery (Table 3.21). Accord<strong>in</strong>g to the primary carers, almost three fifths <strong>of</strong> the expectant women had<br />

antenatal care <strong>in</strong> a maternity hospital <strong>and</strong> over one third had <strong>their</strong> care shared with <strong>their</strong> general practitioner (Table<br />

3.18). Over four fifths <strong>of</strong> the women had <strong>their</strong> youngest child <strong>in</strong> the Rotunda Maternity Hospital (Table 3.21).<br />

Table 3.21 Primary carers’ reported number <strong>of</strong> pregnancies <strong>in</strong> <strong>their</strong> households between January 1997 <strong>and</strong><br />

April 2002, as well as <strong>health</strong> practices <strong>and</strong> service uptake by pregnant women for the most recent pregnancy<br />

No. %<br />

Women <strong>in</strong> household who have given birth s<strong>in</strong>ce January 1997<br />

<strong>and</strong> number <strong>of</strong> births to each woman<br />

One child 52 89.7<br />

Two children 4 06.9<br />

Three children 2 03.4<br />

n 58<br />

Information on the most recent pregnancy<br />

Age when became pregnant<br />

18 to 19 11 19.0<br />

20 to 29 18 31.0<br />

30 to 42 29 50.0<br />

n 58<br />

Place where antenatal care was received<br />

Maternity hospital 31 58.5<br />

Comb<strong>in</strong>ed or shared care 20 37.7<br />

Consultant private cl<strong>in</strong>ic 2 03.8<br />

n 53<br />

Place <strong>of</strong> delivery<br />

Rotunda 49 84.5<br />

National Maternity Hospital 5 08.6<br />

Coombe Womens Hospital 4 06.9<br />

n 58<br />

Attended 6 week post natal check up<br />

Yes 53 91.4<br />

No 4 06.9<br />

Don’t know 1 01.7<br />

n 57<br />

24.1<br />

Smoked dur<strong>in</strong>g<br />

pregnancy<br />

94.8<br />

Antenatal care<br />

Satisfaction with maternity services<br />

As one <strong>of</strong> the last three <strong>health</strong> services used, 15 women were admitted to a maternity hospital <strong>in</strong> the twelve months<br />

preced<strong>in</strong>g the survey. Eleven <strong>of</strong> them reported satisfaction levels, <strong>of</strong> whom seven were satisfied with the service<br />

(Table 3.22). The ma<strong>in</strong> reason for satisfaction was that they received good treatment or care (5/7, 71%). For three<br />

<strong>of</strong> the four <strong>in</strong>dividuals dissatisfied with the service the long wait<strong>in</strong>g period encountered was the reason given.<br />

Table 3.22 Primary carers’ reported number (%) <strong>of</strong> the <strong>in</strong>dividuals admitted to maternity hospital <strong>in</strong> the year<br />

prior to the survey <strong>and</strong> level <strong>of</strong> satisfaction with services<br />

No. %<br />

Admitted to maternity hospital<br />

Yes 15 07.3<br />

No 190 92.7<br />

n (women aged 15 to 49 years) 205<br />

Satisfied with care <strong>and</strong> treatment (1 very satisfied to 6 very dissatisfied)<br />

Yes (1 to 3) 7 63.6<br />

No (4 to 6) 4 36.4<br />

n 11<br />

3.9 COMMUNITY HEALTH SERVICES<br />

General practice<br />

The primary carers reported that 559 (58%) <strong>of</strong> the 963 <strong>in</strong>dividuals resid<strong>in</strong>g <strong>in</strong> the survey households attended<br />

<strong>their</strong> general practitioner <strong>in</strong> the year prior to the survey. This figure was adjusted to take account <strong>of</strong> the over<br />

representation <strong>of</strong> the population <strong>in</strong> the sample who lived <strong>in</strong> low deprivation district electoral divisions compared<br />

to the proportion <strong>liv<strong>in</strong>g</strong> <strong>in</strong> high deprivation district electoral divisions, <strong>and</strong> follow<strong>in</strong>g adjustment, 57.7% <strong>of</strong><br />

household members had attended <strong>their</strong> general practitioner <strong>in</strong> the year prior to the survey.<br />

The respondents were also asked to recall the purpose <strong>of</strong> <strong>their</strong> most recent visit. Acute onset <strong>of</strong> illness, medical<br />

check up <strong>and</strong> repeat prescriptions were the most common purposes cited (Table 3.23).<br />

Of those who attended <strong>their</strong> general practitioner <strong>in</strong> the last year, just over 57% attended a general practitioner<br />

<strong>in</strong> F<strong>in</strong>glas while a further 20% attended <strong>in</strong> Glasnev<strong>in</strong> (Table 3.23). Four out <strong>of</strong> every ten <strong>in</strong>dividuals who attended<br />

<strong>their</strong> general practitioner <strong>in</strong> the last year walked to the surgery while a further one <strong>in</strong> every ten travelled by public<br />

transport.<br />

44<br />

45

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