Timing of prenatal coverage affects initiation of prenatal care among low-income pregnant women

2002 ◽  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Low Income

Prenatal Care among Low-Income Women

1994 ◽  
Vol 75 (3) ◽  
pp. 152-159 ◽  
Author(s):  
Marjorie A. Schaffer ◽  
Betty Lia-Hoagberg
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Low Income ◽  
Healthcare Personnel ◽  
Care Providers ◽  
Healthy Baby ◽  
Low Income Women ◽  
High Level

Forty low-income pregnant women were interviewed about the personal, family, and provider rewards and costs they experienced in obtaining prenatal care. The women identified important rewards as the health of their babies, their own health, partner's desire for a healthy baby, monitoring of the pregnancy by qualified healthcare personnel, and the evaluation of problems by health-care providers. The authors suggest strategies to strengthen personal, family, and provider rewards aimed at achieving a high level of prenatal care for low-income women.

scholarly journals Detection of Alcohol Use in the Second Trimester Among Low-Income Pregnant Women in the Prenatal Care Settings in Jefferson County, Alabama

2012 ◽  
Vol 36 (8) ◽  
pp. 1449-1455 ◽  
Author(s):  
Qing Li ◽  
Janet Hankin ◽  
Sharon C. Wilsnack ◽  
Ernest L. Abel ◽  
Russell S. Kirby ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Low Income ◽  
Jefferson County ◽  
Second Trimester

scholarly journals Evaluating Health Literacy among Adolescent and Young Adult Pregnant Women from a Low-Income Area of Northeast Brazil

2020 ◽  
Vol 17 (23) ◽  
pp. 8806
Author(s):  
Allen Suzane França ◽  
Catherine M. Pirkle ◽  
Tetine Sentell ◽  
Maria P. Velez ◽  
Marlos R. Domingues ◽  
...  
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Prenatal Care ◽  
Pregnant Women ◽  
School Performance ◽  
Low Income ◽  
Adverse Outcomes ◽  
Northeast Brazil ◽  
Pregnant Adolescents ◽  
Inadequate Health Literacy

Adequate health literacy is important for strong health outcomes during pregnancy, particularly among mothers with high risk of adverse outcomes related to pregnancy and childbirth. Understanding the health literacy of young pregnant women in low-income settings could support strategies to reduce adverse outcomes in this population. This exploratory study assessed the health literacy of young pregnant adolescents and young adults from a rural area in Northeast Brazil and associated factors such as socioeconomic conditions, adequacy of prenatal care, and social support from family and friends. In this cross-sectional study, 41 pregnant adolescents (13–18 years) and 45 pregnant adults (23–28 years) from the Rio Grande do Norte state, Brazil, were assessed regarding health literacy through the Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA, score from 0–18, inadequate if <15). Income sufficiency, self-perceived school performance, compliance with recommendations for adequate prenatal care, and social support were also assessed. A linear regression analysis was conducted to evaluate the variables associated with the SAHLPA score. Ninety-five percent of the adolescents and 53.3% of the adults (p < 0.001) presented inadequate health literacy. Adolescent age (β − 3.5, p < 0.001), poorer self-perceived school performance (β − 2.8, p < 0.001), and insufficient income for basic needs (β − 2.8, p = 0.014) were associated with worse SAHLPA scores. Adolescent mothers have higher rates of inadequate health literacy in this population. Policies are needed to improve access to health information for young populations from rural low-income areas.

scholarly journals A Successful Dental Care Referral Program for Low-Income Pregnant Women in New York

2021 ◽  
Vol 18 (23) ◽  
pp. 12724
Author(s):  
Stefanie L. Russell ◽  
Steven J. Kerpen ◽  
Jill M. Rabin ◽  
Ronald P. Burakoff ◽  
Chengwu Yang ◽  
...  
Keyword(s):  
New York ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Ethnic Minority ◽  
Low Income ◽  
Dental Care ◽  
Dental Visit ◽  
Dental Utilization ◽  
Evidence Based Guidelines ◽  
Racial Ethnic

Despite evidence-based guidelines that advocate for dental care during pregnancy, dental utilization among pregnant women remains low, especially among low-income and racial–ethnic minority women. We investigated self-reported dental care referral and self-reported dental care attendance among a group of 298 low-income, largely racial–ethnic minority pregnant women attending two suburban prenatal care clinics that had integrated dental care referrals into their prenatal care according to these guidelines. We administered a questionnaire that asked women: (1) whether they had been referred for care by their prenatal care provider; (2) whether they had been seen by a dentist during pregnancy. Among those women who were eligible for a dental care referral (those who reported having dental symptoms, and those not having a recent dental visit), we found that 73.0% reported that they had indeed been referred for dental care by their prenatal provider, while the remaining women reported either no referral (23.5%, n = 67) or were not sure whether they had been referred (3.5%, n = 10). Among those who reported a dental care referral, 67.3% (n = 140) reported that they saw a dentist during their pregnancy, while of those who reported no dental care referral only 35.1% (n = 27) reported a dental visit (Chi-Sq. = 24.1, df = 1, p < 0.001). Having received a dental referral was a significant predictor of reporting a dental visit during pregnancy, with women who received a referral being 4.6 times more likely to report a dental visit during pregnancy compared to those women who did not report a referral. These results demonstrate that vulnerable pregnant women referred for dental care by their prenatal provider will indeed seek and utilize dental care when offered. This dental referral program may serve as a model for improving the utilization of dental care among this population.

scholarly journals Development and Evaluation of a Perinatal Service Delivery Web Platform for Prenatal Care Coordinators (Preprint)

2018 ◽  
Author(s):  
Beenish Chaudhry
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Care Coordination ◽  
Low Income ◽  
Health Workers ◽  
Real Life ◽  
Evaluation Process ◽  
Community Based ◽  
Care Coordinators

BACKGROUND Digital technology is increasingly being used to enhance various aspects of health care. In the area of community-based, it is important to understand the circumstances and challenges of deploying this technology to solve health care issues. OBJECTIVE To develop a tool to support communication and care coordination efforts of community-based prenatal care coordinators who serve low-income pregnant women, and to uncover barriers and facilitators to the tool's use before a wide-scale pilot study. METHODS We devised a four-step development and evaluation process: (1) state-wide stakeholder collaboration to conceptualize the system; (2) expert panel to identify key functionalities to support care coordination and communication between community-based health workers and pregnant women; (3) iterative and incremental development using agile design and software development; and (4) two evaluations to test usability and user acceptance of the system using real-life scenarios. RESULTS Participants found the web app easy to use and envisioned many benefits of using it in their practices. From the qualitative data, we uncovered many barriers around implementation of the technology, including care coordinator’s lack of motivation to participate in the study and provide feedback on the system design. CONCLUSIONS This research provides a methodology for development and deployment of a web-delivered technology in community-based setting. In addition, the research provides insights on real-life challenges of deploying a technology-based solution in community-based settings.

scholarly journals Modelling Prenatal Care Pathways at a Central Hospital in Zimbabwe

2021 ◽  
Vol 14 ◽  
pp. 117863292110627
Author(s):  
Rodreck David ◽  
Ruth Evans ◽  
Hamish SF Fraser
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Low Income ◽  
Care Delivery ◽  
Care Pathway ◽  
Low Income Countries ◽  
Central Hospital ◽  
Health Technologies ◽  
Number Of Visits ◽  
Mpilo Central Hospital

Background: Maternal mortality remains a problem in low-income countries (LICs). In Zimbabwe, there has been an unprecedented increase in maternal mortality in the last 2.5 decades. Effective prenatal care delivery, particularly early visits, appropriate number of visits, and receiving recommended care is viewed as key to reducing fatal care outcomes. Aims: This study sought to model and identify gaps requiring service and care delivery improvement in prenatal care pathways for pregnant women visiting Mpilo Central Hospital in Bulawayo, Zimbabwe. Methods: This was a case study of the services offered by an antenatal care department at Mpilo Central Hospital in Bulawayo, Zimbabwe. Evidence from literature in low-income countries was used to develop prenatal care pathway guidelines as a tool to guide care delivery and identify gaps in care and service delivery. One hundred cases of prenatal care records were reviewed to determine the prenatal care pathway and care delivered to pregnant women. This data was complemented by interviews with 20 maternity care clinicians. Results: In 100 maternity case records studied, 53% booked for prenatal care. Of the 53% (n = 53) pregnant women who booked, their first visit on their pregnancy was late at an average gestational age of 27.1 weeks with extremes of 30 to 40 weeks in 38% (n = 20) cases. Missing scheduled prenatal care appointments was prevalent, with only 11% (n = 6) having attended all the expected 5 visits, whilst 60% (n = 32) missed 3 or more. There were inadequacies in the care delivered to women in each visit compared to that expected in such areas as obstetrics, physical examinations and haematological tests. Maternity care clinicians attributed the cost of prenatal booking fees in the background of poverty and poor family support systems as key factors hindering women’s access to prenatal services. Conclusions: The current prenatal care pathway at MCH requires improvement in the areas of referral, adherence to appointment by pregnant women and visiting prenatal care early. Clinicians also need to adhere to standard clinical tests recommended for each specific pregnant woman’s visit. In the Zimbabwean setting with limited resources, where the number of visits is already low, pathways with reduced visits may not be appropriate. An investment into prenatal care by the government is recommended to enable the utilisation of interventions such as e-health technologies that may improve care delivery as well as adherence to best practices. E-health and mobile health technologies involving e-referrals, e-booking, decision support, and reminder systems are recommended for clinicians to manage and deliver appropriate care to patients as well as pregnant women to adhere to scheduled visits.

Insurance Coverage and Prenatal Care Among Low-Income Pregnant Women

Medical Care ◽  
2014 ◽  
Vol 52 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Marian P. Jarlenski ◽  
Wendy L. Bennett ◽  
Colleen L. Barry ◽  
Sara N. Bleich
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Low Income ◽  
Insurance Coverage

Emotion Regulation Difficulties and Social Control Correlates of Smoking among Pregnant Women Trying to Quit

2018 ◽  
Author(s):  
Jennifer Fillo ◽  
Kimberly E. Kamper-DeMarco ◽  
Whitney C. Brown ◽  
Paul R. Stasiewicz ◽  
Clara M. Bradizza
Keyword(s):  
Smoking Cessation ◽  
Emotion Regulation ◽  
Negative Affect ◽  
Social Control ◽  
Pregnant Women ◽  
Nicotine Dependence ◽  
Low Income ◽  
Withdrawal Symptoms ◽  
Smoking During Pregnancy ◽  
Pregnant Smokers

Approximately 15% of US women currently smoke during pregnancy. An important step toward providing effective smoking cessation interventions during pregnancy is to identify individuals who are more likely to encounter difficulty quitting. Pregnant smokers frequently report smoking in response to intrapersonal factors (e.g., negative emotions), but successful cessation attempts can also be influenced by interpersonal factors (i.e., influence from close others). This study examined the association between emotion regulation difficulties, positive and negative social control (e.g., encouragement, criticism), and smoking cessation-related variables (i.e., smoking quantity, withdrawal symptoms) among pregnant smokers. Data were drawn from the pretreatment wave of a smoking cessation trial enrolling low-income pregnant women who self-reported smoking in response to negative affect (N = 73). Greater emotion regulation difficulties were related to greater smoking urges (b = 0.295, p = .042) and withdrawal symptoms (b = 0.085, p = .003). Additionally, more negative social control from close others was related to fewer smoking days (b = -0.614, p = .042) and higher smoking abstinence self-efficacy (b = 0.017, p = .002). More positive social control from close others interacted with negative affect smoking (b = -0.052, p = .043); the association between negative affect smoking and nicotine dependence (b = 0.812, p &lt; .001) only occurred at low levels of positive social control. Findings suggest that emotion regulation difficulties may contribute to smoking during pregnancy by exacerbating women's negative experiences related to smoking cessation attempts. Negative social control was related to lower smoking frequency and greater confidence in quitting smoking, suggesting that it may assist pregnant smokers' cessation efforts. Positive social control buffered women from the effects of negative affect smoking on nicotine dependence.

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