Developing an Effective Communications Campaign to Reach Pregnant Women at High Risk of Late or No Prenatal Care

2006 ◽  
Vol 12 (4) ◽  
pp. 35-50 ◽  
Author(s):  
Patricia A. Doyle ◽  
Barbara C. Bird ◽  
Steve Appel ◽  
Donna Parisi ◽  
Perdietha Rogers ◽  
...  
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women

scholarly journals Case management as a high-risk prenatal care strategy

2019 ◽  
Vol 72 (3) ◽  
pp. 692-699
Author(s):  
Leticia Gramazio Soares ◽  
Ieda Harumi Higarashi
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Health Services ◽  
Case Management ◽  
Pregnant Women ◽  
Prenatal Case Management ◽  
Management Method ◽  
South Of Brazil ◽  
Care Study ◽  
Complex Cases

ABSTRACT Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

scholarly journals Factors Associated to the Search for Dental Care in High Risk Pregnancy

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated ◽  
Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

scholarly journals Pregnancy vs. Paycheck: A qualitative study of patient’s experience with employment during pregnancy at high risk for preterm birth

2020 ◽  
Author(s):  
Sarahn M. Wheeler ◽  
Kelley E. C. Massengale ◽  
Konyin Adewumi ◽  
Thelma A. Fitzgerald ◽  
Carrie B. Dombeck ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Structured Interview ◽  
Close Monitoring ◽  
Risk Pregnancy ◽  
Increased Risk ◽  
History Of ◽  
In Pregnancy

Abstract Background: Pregnant women with a history of preterm birth are at risk for recurrence, often requiring frequent prenatal visits for close monitoring and/or preventive therapies. Employment demands can limit uptake and adherence to recommended monitoring and preterm birth prevention therapies. Method: We conducted a qualitative descriptive study using in-depth interviews (IDIs) of pregnant women with a history of preterm birth. IDIs were conducted by trained qualitative interviewers following a semi-structured interview guide focused on uncovering barriers and facilitators to initiation of prenatal care, including relevant employment experiences, and soliciting potential interventions to improve prompt prenatal care initiation. The IDIs were analyzed via applied thematic analysis. Results: We described the interview findings that address women’s employment experiences. The current analysis includes 27 women who are majority self-described as non-Hispanic Black (74%) and publically insured (70%). Participants were employed in a range of professions; food services, childcare and retail were the most common occupations. Participants described multiple ways that being pregnant impacted their earning potential, ranging from voluntary work-hour reduction, involuntary duty hour reductions by employers, truncated promotions, and termination of employment. Participants also shared varying experiences with workplace accommodations to their work environment and job duties based on their pregnancy. Some of these accommodations were initiated by a collaborative employee/employer discussion, others were initiated by the employer’s perception of safe working conditions in pregnancy, and some accommodations were based on medical recommendations. Participants described supportive and unsupportive employer reactions to requests for accommodations. Conclusions: Our findings provide novel insights into women’s experiences balancing a pregnancy at increased risk for preterm birth with employment obligations. While many women reported positive experiences, the most striking insights came from women who described negative situations that ranged from challenging to potentially unlawful. Many of the findings suggest profound misunderstandings likely exist at the patient, employer and clinical provider level about the laws surrounding employment in pregnancy, safe employment responsibilities during pregnancy, and the range of creative accommodations that often allow for continued workplace productivity even during high risk pregnancy.

scholarly journals Factors Associated to the Search for Dental Care in High Risk Pregnancy

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel ◽  
Alessandra Martins ◽  
Fabiana Bucholdz Teixeira Alves
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated ◽  
Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

scholarly journals Pregnancy vs. paycheck: a qualitative study of patient’s experience with employment during pregnancy at high risk for preterm birth

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarahn M. Wheeler ◽  
Kelley E. C. Massengale ◽  
Konyin Adewumi ◽  
Thelma A. Fitzgerald ◽  
Carrie B. Dombeck ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Structured Interview ◽  
Close Monitoring ◽  
Risk Pregnancy ◽  
Increased Risk ◽  
History Of ◽  
In Pregnancy

Abstract Background Pregnant women with a history of preterm birth are at risk for recurrence, often requiring frequent prenatal visits for close monitoring and/or preventive therapies. Employment demands can limit uptake and adherence to recommended monitoring and preterm birth prevention therapies. Method We conducted a qualitative descriptive study using in-depth interviews (IDIs) of pregnant women with a history of preterm birth. IDIs were conducted by trained qualitative interviewers following a semi-structured interview guide focused on uncovering barriers and facilitators to initiation of prenatal care, including relevant employment experiences, and soliciting potential interventions to improve prompt prenatal care initiation. The IDIs were analyzed via applied thematic analysis. Results We described the interview findings that address women’s employment experiences. The current analysis includes 27 women who are majority self-described as non-Hispanic Black (74%) and publically insured (70%). Participants were employed in a range of professions; food services, childcare and retail were the most common occupations. Participants described multiple ways that being pregnant impacted their earning potential, ranging from voluntary work-hour reduction, involuntary duty hour reductions by employers, truncated promotions, and termination of employment. Participants also shared varying experiences with workplace accommodations to their work environment and job duties based on their pregnancy. Some of these accommodations were initiated by a collaborative employee/employer discussion, others were initiated by the employer’s perception of safe working conditions in pregnancy, and some accommodations were based on medical recommendations. Participants described supportive and unsupportive employer reactions to requests for accommodations. Conclusions Our findings provide novel insights into women’s experiences balancing a pregnancy at increased risk for preterm birth with employment obligations. While many women reported positive experiences, the most striking insights came from women who described negative situations that ranged from challenging to potentially unlawful. Many of the findings suggest profound misunderstandings likely exist at the patient, employer and clinical provider level about the laws surrounding employment in pregnancy, safe employment responsibilities during pregnancy, and the range of creative accommodations that often allow for continued workplace productivity even during high risk pregnancy.

scholarly journals Obesity and Classification Grades Analyzed in Pregnant Women at the High-Risk Prenatal Clinic: What is their Importance?

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Oliveira PR ◽  
◽  
Silva TRC ◽  
Batista ML ◽  
Oliveira AB ◽  
...  
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Maternal Obesity ◽  
Care Delivery ◽  
Pregnancy Risk ◽  
Stratification System ◽  
Gestational Age At Birth ◽  
The City ◽  
Overweight Or Obesity

Objective: Obesity is a frequent disease in pregnancy; however, the pathophysiological mechanisms that associate maternal obesity with unfavorable obstetric events during prenatal care, delivery and postpartum are not known, and therefore, adequate studies are lacking. Methods: Documentary and exploratory study was carried out with data obtained during consultation from 370 medical charts of patients seen at the high-risk prenatal outpatient clinic in a primary care unit, a reference center for six other units, in the city of Barueri, Sao Paulo, Brazil. In prenatal care, the guidelines of the Stork Network Program (Programa Rede Cegonha) of the Ministry of Health were used and include a pregnancy risk and obesity stratification system for pregnant women. Results: It was observed that 65% of the pregnant women were between 20 and 34 years old, 48.9% were white; most were in their first pregnancy. The mean gestational age at birth was 37.9 weeks. At the beginning of gestation, the women weighed an average of 71.2 kilograms, with a height of 159 cm and Body Mass Index (BMI) of 27.9 kg/m2. BMI with overweight or obesity prepregnancy had a lower risk of having a low-birth-weight NB (62% and 69%, respectively) when compared to pregnant women of adequate weight. Cesarean delivery prevailed, and among women with morbid obesity, the cesarean section rate was 90%. Conclusion: Epidemiological knowledge of this population is important for proposing policies to control chronic diseases that may affect pregnancy and to adjust the risk stratification according to the local reality.

scholarly journals Humanized care in high-risk prenatal care: nurses’ perceptions

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e44521
Author(s):  
Herla Maria Furtado Jorge ◽  
Raimunda Magalhães da Silva ◽  
Maria Yolanda Makuch
Keyword(s):  
High Risk ◽  
Pain Relief ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Structured Interviews ◽  
Personalized Care ◽  
Analysis Technique ◽  
Maternity Hospitals ◽  
Educational Groups ◽  
Nurses Perceptions

Objective: to unveil nurses’ perceptions about humanized care in high-risk prenatal care. Methods: a qualitative study, with six nurses who worked in high-risk prenatal care. Data collection took place using semi-structured interviews. To analyze the results, the content analysis technique was used. Results: the adoption of humanized care consisted of actions related to user embracement, personalized care, dialogue with pregnant women and the establishment of a trustful relationship. The main humanization practices were guided visits to maternity hospitals; creating educational groups; the use of non-pharmacological methods for pain relief during labor; and encouraging companion support. Conclusion: participating nurses understood the humanization concept and associated humanization practices to the embracement of pregnant women, guided visits, personalized care, guidance on the use of non-pharmacological methods and the promotion of connections with pregnant women.

scholarly journals ANÁLISE DA ADESÃO AO ATENDIMENTO GRAVÍDICO PUERPERAL DAS MULHERES DE UMA UNIDADE BÁSICA DE SAÚDE

2017 ◽  
Vol 7 (20) ◽  
pp. 91
Author(s):  
Maria Carolina Oliveira Moreira Alves ◽  
Eliane Oliveira Moreira Alves Rodrigues
Keyword(s):  
Information System ◽  
Retrospective Study ◽  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Professional Training ◽  
Basic Health ◽  
Las Mujeres ◽  
Taking Care

As modificações gestacionais/puerperais, implicam no acompanhamento profissional destes períodos. Analisar a adesão de gestantes/puérperas ao atendimento gravídico-puerperal, na UBS São João da Mata; verificar o número de gestantes e o de puérperas que não realizaram o quantitativo de consultas preconizadas; relacionar os motivos da não ocorrência ou da interrupção destes atendimentos. Realizado um estudo quantitativo, exploratório, comparativo, seccional e retrospectivo. Os dados foram obtidos por meio do SisPrenatal. Foram estudadas 100% das gestantes/puérperas atendidas entre 2010-2015. Os motivos do não cumprimento de seis consultas de pré-natal, pela maioria das gestantes, foram: não alimentação do sistema de informação; pré-natal realizado em serviços particulares; aborto; mudança do município; encaminhamento para pré-natal de alto risco e captação tardia de gestantes. Por “estarem bem” ou “cuidando dos filhos”, algumas puérperas não realizaram a consulta puerperal. É necessária a constante capacitação profissional, para que estes esclareçam as dúvidas das mulheres durante o período gestacional.Descritores: Gestação, Puerpério, Sistema de Informação. Accession analysis service gravid puerperal women of a Basic Health UnitAbstract: The gestational/puerperal changes imply the professional accompaniment of these periods. To analyze the adherence of pregnant/puerperal women to pregnancy-puerperal care at UBS São João da Mata; To verify the number of pregnant women and the number of puerperal women who did not perform the recommended number of consultations; To relate the reasons for the non-occurrence or interruption of these services. A quantitative, exploratory, comparative, sectional and retrospective study was carried out. Data were obtained through SisPrenatal. A total of 100% of the pregnant/puerperal women attended between 2010-2015 were studied. The reasons for not fulfilling six prenatal consultations, by the majority of pregnant women, were: not feeding the information system; Prenatal care provided in private services; abortion; Change of municipality; Referral for high-risk prenatal care and late intake of pregnant women. By "being well" or "taking care of their children", some puerperal women did not perform the puerperal consultation. It is necessary constant professional training, so that they clarify the doubts of women during the gestational period.Descriptors: Pregnancy, Postpartum, Information System. Servicio de análisis de adhesión gravid puérperas de una Unidad Básica de SaludResumen: El Las modificaciones gestacionales/puerperales, implican el acompañamiento profesional de estos períodos. Analizar la adhesión de gestantes/puérperas a la atención gravídico-puerperal, en la UBS São João da Mata; Verificar el número de gestantes y el de puérperas que no realizaron el cuantitativo de consultas preconizadas; Relacionar los motivos de la no ocurrencia o de la interrupción de estas atenciones. Se realizó un estudio cuantitativo, exploratorio, comparativo, seccional y retrospectivo. Los datos fueron obtenidos por medio del SisPrenatal. Se estudiaron 100% de las gestantes/puérperas atendidas entre 2010-2015. Los motivos del no cumplimiento de seis consultas de prenatal, por la mayoría de las gestantes, fueron: no alimentación del sistema de información; Prenatal realizado en servicios privados; Aborto; Cambio del municipio; Encaminamiento para prenatal de alto riesgo y captación tardía de gestantes. Por "estar bien" o "cuidando a los hijos", algunas puérperas no realizaron la consulta puerperal. Es necesaria la constante capacitación profesional, para que éstos aclaren las dudas de las mujeres durante el período gestacional.Descriptores: Embarazo, Posparto, Sistema de Información.

scholarly journals Public Health Nursing Acceptance of the 5 A's Protocol for Prenatal Smoking Cessation

2004 ◽  
Vol 2 (SI) ◽  
pp. 1-10 ◽  
Author(s):  
Suzanne H. Yusem ◽  
Kenneth D. Rosenberg ◽  
Lesa Dixon-Gray ◽  
Jihong Liu
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Public Health Nurses ◽  
Prenatal Smoking ◽  
Care Providers ◽  
Intervention Protocol ◽  
Prenatal Care Providers

Oregon’s efforts in tobacco cessation have historically focused on the general population and have depended on quit line services as the primary intervention. The Oregon Smoke Free Mothers and Babies Program (SFMB) was developed in 2002 to focus on public health nurses and prenatal care providers who work with high risk pregnant women. It seeks to increase smoking cessation among low income and other high risk pregnant women by disseminating the U.S. Public Health Service best practices, the 5 A’s (Ask, Advise, Assess, Assist, Arrange) tobacco brief intervention protocol, to public health nurses and prenatal care providers. Interventions included teaching nurses the 5 A’s, how to use stages of change for pregnant quitters and providing them with client materials. We report the survey results gathered from nurses regarding their use of the 5 A’s. Nurses were questioned at 3 intervals: at the beginning of the SFMB project, 12 months later and 24 months later. While over 45 nurses in 10 counties were involved in the program, staff turnover and budget cuts affected program evaluation and analysis of the survey responses. As a result, only 10 nurses completed all three surveys. We found that, at baseline, all of the nurses were already performing the Ask and Advise components. The training resulted in a significant increase in the nurses using Assess (p

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