Barriers to enrollment in Medi-Cal lead to inadequate prenatal care for some disadvantaged women in California

ABSTRACTObjective: To examine how the demographic and other population changes affected birth and obstetric outcomes in Louisiana, and the effect of the hurricane on racial disparities in these outcomes.Methods: Vital statistics data were used to compare the incidence of low birth weight (LBW) (<2500 g), preterm birth (PTB) (37 weeks' gestation), cesarean section, and inadequate prenatal care (as measured by the Kotelchuck index), in the 2 years after Katrina compared to the 2 years before, for the state as a whole, region 1 (the area around New Orleans), and Orleans Parish (New Orleans). Logistic models were used to adjust for covariates.Results: After adjustment, rates of LBW rose for the state, but preterm birth did not. In region 1 and Orleans Parish, rates of LBW and PTB remained constant or fell. These patterns were all strongest in African American women. Rates of cesarean section and inadequate prenatal care rose. Racial disparities in birth outcomes remained constant or were reduced.Conclusions: Although risk of LBW/PTB remained higher in African Americans, the storm does not appear to have exacerbated health disparities, nor did population shifts explain the changes in birth and obstetric outcomes.(Disaster Med Public Health Preparedness. 2010;4:S39-S45)

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Congenital malformations in Rio de Janeiro, Brazil: prevalence and associated factors

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2006001100016 ◽

2006 ◽

Vol 22 (11) ◽

pp. 2423-2431 ◽

Cited By ~ 34

Author(s):

Cláudia Maria da Silva Costa ◽

Silvana Granado Nogueira da Gama ◽

Maria do Carmo Leal

Keyword(s):

Prenatal Care ◽

Congenital Malformations ◽

Rio De Janeiro ◽

Newborn Infants ◽

National Health System ◽

Childbearing Age ◽

Cross Sectional ◽

Maternity Hospitals ◽

Childbearing Age Women ◽

Inadequate Prenatal Care

This study aims to estimate the prevalence of congenital malformations and their correlation with socioeconomic and maternal variables. The design was cross-sectional, based on a sample of 9,386 postpartum women after admission for childbirth in maternity hospitals in the city of Rio de Janeiro, Brazil. Data were collected through interviews with mothers in the immediate postpartum, as well as by consulting the patient records of both the mothers and newborn infants. Prevalence of congenital malformations at birth was 1.7%, and minor malformations were the most frequent. Neural tube defects were the most frequent major malformations. According to multivariate analysis, congenital malformations were statistically associated with: maternity hospitals belonging to or outsourced by the Unified National Health System (SUS) and inadequate prenatal care (¾ 3 visits). This study highlights the importance of measures for health promotion and disease prevention in childbearing-age women, with special attention to prenatal care and childbirth, which can directly influence neonatal indicators and prevention of birth defects.

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Inadequate Prenatal Care Utilization and Risks of Infant Mortality and Poor Birth Outcome: A Retrospective Analysis of 28,729,765 U.S. Deliveries over 8 Years

American Journal of Perinatology ◽

10.1055/s-0032-1316439 ◽

2012 ◽

Vol 29 (10) ◽

pp. 787-794 ◽

Cited By ~ 114

Author(s):

Sarah Partridge ◽

Jacques Balayla ◽

Christina Holcroft ◽

Haim Abenhaim

Keyword(s):

Infant Mortality ◽

Prenatal Care ◽

Retrospective Analysis ◽

Birth Outcome ◽

Care Utilization ◽

Prenatal Care Utilization ◽

Poor Birth Outcome ◽

Inadequate Prenatal Care

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Risk Factors for premature birth in a hospital

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.0775.2750 ◽

2016 ◽

Vol 24 (0) ◽

Cited By ~ 7

Author(s):

Margarita E. Ahumada-Barrios ◽

German F. Alvarado

Keyword(s):

Risk Factors ◽

Prenatal Care ◽

Pregnant Women ◽

Premature Birth ◽

Bivariate Analysis ◽

Control Group ◽

Case Group ◽

Retrospective Case ◽

History Of ◽

Inadequate Prenatal Care

Abstract Objective: to determine the risk factors for premature birth. Methods: retrospective case-control study of 600 pregnant women assisted in a hospital, with 298 pregnant women in the case group (who gave birth prematurely <37 weeks) and 302 pregnant women who gave birth to a full-term newborn in the control group. Stata software version 12.2 was used. The Chi-square test was used in bivariate analysis and logistic regression was used in multivariate analysis, from which Odds Ratios (OR) and Confidence Intervals (CI) of 95% were derived. Results: risk factors associated with premature birth were current twin pregnancy (adjusted OR= 2.4; p= 0.02), inadequate prenatal care (< 6 controls) (adjusted OR= 3.2; p <0.001), absent prenatal care (adjusted OR= 3.0; p <0.001), history of premature birth (adjusted OR= 3.7; p <0.001) and preeclampsia (adjusted OR= 1.9; p= 0.005). Conclusion: history of premature birth, preeclampsia, not receiving prenatal care and receiving inadequate prenatal care were risk factors for premature birth.

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