Differentiating the barriers to adequate prenatal care in Missouri, 1987-88.

Sable, M R; Stockbauer, J W; Schramm, W F; Land, G H

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Differentiating the barriers to adequate prenatal care in Missouri, 1987-88.

1990 Nov-Dec
By Sable, M R ; Stockbauer, J W ; Schramm, W F ; ...
Source: Public Health Rep. 105(6):549-555

[PDF-1.21 MB]

English

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Alternative Title:

Public Health Rep
Personal Author:

Sable, M R ; Stockbauer, J W ; Schramm, W F ; Land, G H

Sable, M R ; Stockbauer, J W ; Schramm, W F ; Land, G H Less -
Description:

Inadequate prenatal care has previously been identified as a significant risk factor for women who have low birth weight infants and infants who die during the neonatal period. Postpartum interviews with 1,484 primarily low-income women were conducted during 1987-88 in three areas of Missouri with the highest rates of inadequate prenatal care. The purpose of the study was to identify barriers to prenatal care and to determine which barriers differentiated between women receiving adequate and those receiving inadequate prenatal care. Women who received inadequate prenatal care were more likely to be black, unmarried, higher parity, and have less education than those who received adequate care. These women were also more likely to be poor, Medicaid-eligible, to have had an unwanted pregnancy, more stress and problems during pregnancy, and less social support. In the multivariate analysis, race and marital status lost their importance. The strongest predictor of inadequate prenatal care was women not knowing that they were pregnant in the first 4 months of pregnancy (adjusted odds ratio 9.28). To improve the rate of adequate prenatal care, society must address the issues of poverty and wantedness of pregnancy.
Subjects:

[+]

Black Or African American Female Humans Missouri Multivariate Analysis Patient Acceptance Of Health Care Poverty Pregnancy Pregnancy, Unwanted Prenatal Care
Source:

Public Health Rep. 105(6):549-555
Pubmed ID:

2124354
Pubmed Central ID:

PMCnull
Document Type:

Journal Article
Place as Subject:

Missouri
Collection(s):

Public Health Reports
Main Document Checksum:

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urn:sha256:e706be3490a7b9840c40da73e8cdce1d63f4f697ddac22606ec38c75ebf5af70
Download URL:

https://stacks.cdc.gov/view/cdc/63534/cdc_63534_DS1.pdf
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Differentiating the barriers to adequate prenatal care in Missouri, 1987-88.

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