Utilisation of prenatal services and birth outcomes: a community-based study in Israel

Abstract Background Community-based bilingual doula (CBD) services have been established to respond to migrant women’s needs and reduce barriers to high quality maternity care. The aim of this study was to compare birth outcomes for migrant women who received CBD support in labour with birth outcomes for (1) migrant women who experienced usual care without CBD support, and (2) Swedish-born women giving birth during the same time period and at the same hospitals. Methods Register study based on data retrieved from a local CBD register in Gothenburg, the Swedish Medical Birth Register and Statistics Sweden. Birth outcomes for migrant women with CBD support were compared with those of migrant women without CBD support and with Swedish-born women. Associations were investigated using multivariable logistic regression, reported as odds ratios (aORs) with 95% confidence intervals (CI), adjusted for birth year, maternal age, marital status, hypertension, diabetes, BMI, disposable income and education. Results Migrant women with CBD support (n = 880) were more likely to have risk factors for adverse pregnancy outcomes than migrant women not receiving CBD support (n = 16,789) and the Swedish-born women (n = 129,706). In migrant women, CBD support was associated with less use of pain relief in nulliparous women (epidural aOR 0.64, CI 0.50–0.81; bath aOR 0.64, CI 0.42–0.98), and in parous women with increased odds of induction of labour (aOR 1.38, CI 1.08–1.76) and longer hospital stay after birth (aOR 1.19, CI 1.03–1.37). CBD support was not associated with non-instrumental births, perineal injury or low Apgar score. Compared with Swedish-born women, migrant women with CBD used less pain relief (nulliparous women: epidural aOR 0.50, CI 0.39–0.64; nitrous oxide aOR 0.71, CI 0.54–0.92; bath aOR 0.55, CI 0.36–0.85; parous women: nitrous oxide aOR 0.68, CI 0.54–0.84) and nulliparous women with CBD support had increased odds of emergency caesarean section (aOR 1.43, CI 1.05–1.94) and longer hospital stay after birth (aOR 1.31, CI 1.04–1.64). Conclusions CBD support appears to have potential to reduce analgesia use in migrant women with vulnerability to adverse outcomes. Further studies of effects of CBD support on mode of birth and other obstetric outcomes and women’s experiences and well-being are needed.

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Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073342 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3342

Author(s):

Kritika Poudel ◽

Sumitaka Kobayashi ◽

Chihiro Miyashita ◽

Atsuko Ikeda-Araki ◽

Naomi Tamura ◽

...

Keyword(s):

Risk Factors ◽

Birth Outcomes ◽

High Body Mass Index ◽

Reproductive Age ◽

Community Based ◽

Maternal Characteristics ◽

Physician Visits ◽

Hypertensive Disorders ◽

Smoking Exposure ◽

Normotensive Pregnancy

Hypertension during pregnancy causes a greater risk of adverse birth outcomes worldwide; however, formal evidence of hypertensive disorders during pregnancy (HDP) in Japan is limited. We aimed to understand the association between maternal characteristics, HDP, and birth outcomes. In total, 18,833 mother-infant pairs were enrolled in the Hokkaido study on environment and children’s health, Japan, from 2002 to 2013. Medical records were used to identify hypertensive disorders and birth outcomes, namely, small for gestational age (SGA), SGA at full term (term-SGA), preterm birth (PTB), and low birth weight (LBW). The prevalence of HDP was 1.9%. Similarly, the prevalence of SGA, term-SGA, PTB, and LBW were 7.1%, 6.3%, 7.4%, and 10.3%, respectively. The mothers with HDP had increased odds of giving birth to babies with SGA (2.13; 95% Confidence Interval (CI): 1.57, 2.88), PTB (3.48; 95%CI: 2.68, 4.50), LBW (3.57; 95%CI: 2.83, 4.51) than normotensive pregnancy. Elderly pregnancy, low and high body mass index, active and passive smoking exposure, and alcohol consumption were risk factors for different birth outcomes. Therefore, it is crucial for women of reproductive age and their families to be made aware of these risk factors through physician visits, health education, and various community-based health interventions.

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Cost Effectiveness of a High-Risk Pregnancy Program

Care Management Journals ◽

10.1891/1521-0987.1.3.170 ◽

1999 ◽

Vol 1 (3) ◽

pp. 170-174 ◽

Cited By ~ 5

Author(s):

Judith W. Alexander ◽

Marlene C. Mackey

Keyword(s):

High Risk ◽

Pregnant Women ◽

Birth Outcomes ◽

Management Program ◽

Cost Of Care ◽

Community Based ◽

Case Management Program ◽

Steady Decrease ◽

Risk Pregnancy ◽

The Cost

This article presents an evaluation of an innovative community-based, case-management program for high-risk pregnant women and their infants. A 7-year analysis of the Medicaid claims from 182,196 pregnant women and those for 140,088 infants was conducted. The findings showed improved birth outcomes and a steady decrease in the cost of care for both pregnant women and their infants. Recommendations are made concerning implementation of this program in other settings with other clients.

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Racism, Health Status, and Birth Outcomes: Results of a Participatory Community-Based Intervention and Health Survey

Journal of Urban Health ◽

10.1007/s11524-010-9530-9 ◽

2011 ◽

Vol 88 (1) ◽

pp. 84-97 ◽

Cited By ~ 13

Author(s):

Denise C. Carty ◽

Daniel J. Kruger ◽

Tonya M. Turner ◽

Bettina Campbell ◽

E. Hill DeLoney ◽

...

Keyword(s):

Health Status ◽

Birth Outcomes ◽

Health Survey ◽

Community Based

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Effect of antenatal depression on adverse birth outcomes in Gondar town, Ethiopia: A community-based cohort study

PLoS ONE ◽

10.1371/journal.pone.0234728 ◽

2020 ◽

Vol 15 (6) ◽

pp. e0234728

Author(s):

Abel Fekadu Dadi ◽

Emma R. Miller ◽

Richard J. Woodman ◽

Telake Azale ◽

Lillian Mwanri

Keyword(s):

Cohort Study ◽

Birth Outcomes ◽

Antenatal Depression ◽

Adverse Birth Outcomes ◽

Community Based ◽

Gondar Town

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Sisters in Birth: Improving Birth Outcomes in Mississippi

The Journal of Perinatal Education ◽

10.1891/j-pe-d-20-00044 ◽

2020 ◽

Vol 29 (4) ◽

pp. 168-180

Author(s):

Getty Israel

Keyword(s):

United States ◽

Birth Outcomes ◽

The United States ◽

Positive Outcomes ◽

Community Based ◽

Charitable Organization ◽

Women’S Experiences ◽

Women's Experiences

Mississippi has the poorest birth outcomes in the United States. Sisters in Birth (SIB) is a community-based nonprofit, charitable organization program that links community and clinical health to improve birth outcomes in Mississippi. This article describes the community and clinical health variables that influence birth outcomes and the organization's work or mission. The overwhelmingly positive outcomes of the first 50 women in the program are presented as well as snapshots of individual women's experiences.

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