Access Barriers to Prenatal Care in Emerging Adult Latinas

Torres, Rosamar

doi:10.1177/1540415316631504

Cited by 13 publications

(29 citation statements)

References 22 publications

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“…Personal barriers can be expanded to include individual or psychological factors, patient knowledge and attitudes, and socioeconomics. There are a number of individual or psychological barriers to obtaining prenatal care, such as not feeling well or having low energy or fatigue (Torres 2016); depression (Daniels Noe and Mayberry 2006); life stress, chaos or crises (Heaman et (Daniels et al 2006). Women may also delay prenatal care while considering abortion (Johnson et al 2011;Torres 2016), out of fear of pregnancy disclosure (Braveman et al 2000), or due to negative emotional responses to pregnancy (Daniels et al 2006;Torres, 2016).…”

Section: Personal Motivators and Barriersmentioning

confidence: 99%

“…There are a number of individual or psychological barriers to obtaining prenatal care, such as not feeling well or having low energy or fatigue (Torres 2016); depression (Daniels Noe and Mayberry 2006); life stress, chaos or crises (Heaman et (Daniels et al 2006). Women may also delay prenatal care while considering abortion (Johnson et al 2011;Torres 2016), out of fear of pregnancy disclosure (Braveman et al 2000), or due to negative emotional responses to pregnancy (Daniels et al 2006;Torres, 2016). Also, this may include not knowing or believing that prenatal care is important (Heaman et al 2015;Torres 2016); not knowing when to start prenatal care (Braveman et al 2000); or having a negative attitude toward prenatal care (Mazul et al 2017).…”

Section: Personal Motivators and Barriersmentioning

confidence: 99%

“…Women who want their partner to attend prenatal care appointments with them may delay appointments until they can do so (Daniels et al 2006). Finally, some women have reported having a person or people in their lives who prevented them from attending prenatal care appointments (Torres 2016).…”

Section: Personal Motivators and Barriersmentioning

confidence: 99%

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Implementation of Obstetric Telehealth During COVID-19 and Beyond

Fryer

Delgado

Foti

et al. 2020

Matern Child Health J

210

180

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Purpose The purpose of this article is to illustrate and discuss the impact the 2019 novel Coronavirus (COVID-19) pandemic on the delivery of obstetric care, including a discussion on the preexisting barriers, prenatal framework and need for transition to telehealth. Description The COVID-19 was first detected in China in December of 2019 and by March 2020 spread to the United States. As this virus has been associated with severe illness, it poses a threat to vulnerable populations-including pregnant women. The obstetric population already faces multiple barriers to receiving quality healthcare due to personal, environmental and economic barriers, now challenged with the additional risks of COVID-19 exposure and limited care in times much defined by social distancing. Assessment The current prenatal care framework requires patients to attend multiple in-office prenatal visits that can exponentially multiply depending on maternal and fetal comorbidities. To decrease the rate of transmission of the COVID-19 and limit exposure to patients, providers in Hillsborough County, Florida (and nationwide) are rapidly transitioning to telehealth. The use of a virtual care model allows providers to reduce in-person visits and incorporate virtual visits into the schedule of prenatal care. Conclusion Due to the COVID-19 pandemic, implementation of telehealth and telehealth have become crucial to ensure the safe and effective delivery of obstetric care. This implementation is one that will continue to require attention to planning, procedures and processes, and thoughtful evaluation to ensure the sustainability of telehealth and telehealth post COVID-19 pandemic.

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Section: Personal Motivators and Barriersmentioning

confidence: 99%

Section: Personal Motivators and Barriersmentioning

confidence: 99%

See 1 more Smart Citation

Implementation of Obstetric Telehealth During COVID-19 and Beyond

Fryer

Delgado

Foti

et al. 2020

Matern Child Health J

210

180

View full text Add to dashboard Cite

show abstract

“…Recent research documents that Mexican immigrants experience a reduction in healthcare access after they migrate to the United States and continue to face more challenges in accessing health care as compared to the non-migrant population [22]. A small study of Latina youth found that over 95% of the sample experienced personal and institutional barriers when attempting to access prenatal care [23].…”

Section: Background and Signi Cancementioning

confidence: 99%

Youth-Centered Maternity Care: A Binational Qualitative Comparison of the Experiences and Perspectives of Latina Adolescents and Healthcare Providers

Decker

Pineda

Gutmann-Gonzalez

et al. 2020

Preprint

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Background: Although there is growing recognition of the importance of person-centered maternity care, the needs and perspectives of pregnant adolescents are rarely considered. The purpose of this study was to compare the maternity care experiences of Mexican-origin adolescents in Guanajuato, Mexico and Fresno, California from both youth and healthcare provider perspectives. Methods: Qualitative interviews and focus groups were conducted with a total of 89 respondents, including pregnant and parenting adolescents as well as providers between December 2016 and July 2017. Transcripts in English and Spanish were coded and analyzed using Dedoose software. Results were compared by location and between youth and providers. Results: Four themes emerged regarding patient-provider interactions: the need for communication and clear explanations, respectful versus judgmental providers, engaging youth in decision-making, and a focus on the age of the youth and their partners. While youth had similar perspectives and priorities in both locations, youth in Mexico reported more negative healthcare experiences than youth in California. Perspectives varied between the youth and providers, with providers in both California and Mexico identifying several structural challenges in providing quality care to adolescents. In California, challenges to supporting immigrant Latina adolescents and their families included language and translation issues as well as barriers to care due to immigration status and documentation. In both locations, providers also mentioned high patient caseloads and their own concerns about the youth’s life choices. Conclusion: Youth-centered care requires more effective and respectful patient-provider communication, where adolescents are engaged in their healthcare decision-making and delivery options. Changes in patient-provider interactions can help improve the maternity care experiences and outcomes of Latina adolescents. Healthcare systems and providers need to reconfigure their approaches to focus on the needs and priorities of adolescents.

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“…This recommendation, however, does not address issues pertaining to gaps in treatment or the limited supply of perinatal mental health specialists. For example, although obstetricians are able to prescribe psychotropic medications that are safe in pregnancy, usually several weeks have passed between the time a patient learns that she is pregnant and the time she presents to an obstetrician for prenatal care (7). During this time, the patient may have stopped taking her previously prescribed antidepressant medications (4).…”

mentioning

confidence: 99%