OBJECTIVE: To determine the efficacy and cost effectiveness of the standard prenatal care offered in Nicaragua and the United States.
METHODS: In a comparative study of standard prenatal care in Nicaragua with the prenatal care in the U.S., the number of appointments, the types of tests/screenings, the frequency of tests/screenings, and the maternal and neonatal mortality rates were compared. Data concerning prenatal care was collected from a U.S. obstetric gynecologist and a Nicaraguan government nurse and doctor in the respective countries. The mortality rates used were provided by The World Bank.
RESULTS TO DATE: Standard prenatal care in Nicaragua recommended fewer appointments for pregnant mothers than U.S. standard care. Due to the different living conditions, there are some differences in tests/screenings performed in each country. Overall, the U.S. performs more screenings on mothers.
CONCLUSIONS: Many unaccounted factors have interfered with the ability to make concrete conclusions about the efficacy and cost effectiveness of standard prenatal care in Nicaragua and the U.S. relative to one another.
Nguyen, Lynsa Minh, "A Comparative Study of the Standard Prenatal Care in Nicaragua to Standard United States Prenatal Care" (2013). GW Research Days 2013. Paper 15.