Accessibility of Prenatal Care Can Affect Inequitable Health Outcomes of Pregnant Women Living in Obstetric Care Underserved Areas: a Nationwide Population-Based Study

Kwak, Mi Young; Lee, Seung Mi; Lee, Tae Ho; Eun, Sang Jun; Lee, Jin Yong; Kim, Yoon

doi:10.3346/jkms.2019.34.e8

Cited by 13 publications

(12 citation statements)

References 15 publications

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“…These findings are supported by Moller et al, ( 2017 ), who highlighted that efforts should be made to collect and report on the coverage of early ANC visits for ongoing monitoring and evaluation. Health outcomes of pregnancy‐related indicators were reported to differ according to the regions in which the women lived (Kwak et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Community‐ based maternal and newborn interventions in Africa: Systematic review

Nishimwe

Mchunu

Mukamusoni³

2021

Journal of Clinical Nursing

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Aim and objectives This review analysed the implementation and integration into healthcare systems of maternal and newborn healthcare interventions in Africa that include community health workers to reduce maternal and newborn deaths. Background Most neonatal deaths (99%) occur in low‐ and middle‐income countries, with approximately half happening at home. In resource‐constrained settings, community‐based maternal and newborn care is regarded as a sound programme for improving newborn survival. Health workers can play an important role in supporting families to adopt sound health practices, encourage delivery in healthcare facilities and ensure timeous referral. Maternal and newborn mortality is a major public health problem, particularly in sub‐Saharan Africa, where the Millennium Development Goals 4, 5 and 6 were not achieved at the end of 2015. Methods The review includes quantitative, qualitative and mixed‐method studies, with a data‐based convergent synthesis design being used, and the results grouped into categories and trends. The review took into account the participants, interventions, context and outcome frameworks (PICO), and followed the adapted PRISMA format for reporting systematic reviews of the qualitative and quantitative evidence guide checklist. Results The results from the 17 included studies focused on three themes: antenatal, delivery and postnatal care interventions as a continuum. The main components of the interventions were inadequate, highlighting the need for improved planning before each stage of implementation. A conceptual framework of planning and implementation was elaborated to improve maternal and newborn health. Conclusion The systematic review highlight the importance of thoroughly planning before any programme implementation, and ensuring that measures are in place to enable continuity of services. Relevant to the clinical practice Conceptual framework of planning and implementation of maternal and newborn healthcare interventions by maternal community health workers.

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Section: Discussionmentioning

confidence: 99%

Community‐ based maternal and newborn interventions in Africa: Systematic review

Nishimwe

Mchunu

Mukamusoni³

2021

Journal of Clinical Nursing

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“…Moreover, the generalizability of the findings is limited. Although the National Health Insurance coverage is wide in South Korea, there still exist medically underserved areas or districts that do not have obstetrics and gynecology clinics [ 37 ]. These factors can affect the infants’ prenatal care and NICU care, which can both contribute to their hypothermia.…”

Section: Discussionmentioning

confidence: 99%

Physiologic Changes during Sponge Bathing in Premature Infants

Lee

2021

IJERPH

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In this study, we observed physiological reactions of premature infants during sponge bathing in the neonatal intensive care unit (NICU). The infants’ body temperature, heart rate, and oxygen saturation were monitored to examine hypothermia risks during bathing. The participants of the study were 32 premature infants who were hospitalized right after their birth in the V hospital in Korea between December 2012 and August 2013. The informed consents of the study were received from the infants’ parents. The infants were randomly assigned into two-day and four-day bath cycle groups and their physiological reactions were monitored before bathing as well as 5 and 10 min after bathing. The collected data were analyzed using the SPSS statistical package through t-test. A significant drop in body temperature was noted in both groups; that is, 4-day bathing cycle and 2-day bathing cycle (p < 0.001). However, there were no significant changes in heart rate or transcutaneous oxygen levels. There was no significant change between groups at each measurement point. In order to minimize the physiological instability that may be caused during bathing, the care providers should try to complete bathing within the shortest possible time and to make bathing a pleasant and useful stimulus for infants.

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“…Third, although we conducted study using a nationwide database, few events were detected, and there were no significant differences in the evaluated parameters as the power of analysis was considerably low. Finally, the accessibility of medical services during prenatal periods differs with regions19; thus, the place of residence could be a confounding factor for change in prescription. Despite these limitations, this is the first study to compare change in AS treatment according to pregnancy and delivery methods.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pregnancy and Delivery Methods on Change in Ankylosing Spondylitis Treatment Using the Korean Health Insurance Review and Assessment Service Claims Database

Lee

Kim

et al. 2019

J Korean Med Sci

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BackgroundWomen with ankylosing spondylitis (AS) show a higher rate of cesarean section (CS) compared with healthy women. In this study, we determined the effects of pregnancy and delivery methods on AS worsening by analyzing prescription patterns.MethodsThe subjects were women with AS aged 20–49 years listed in the Korean Health Insurance Review and Assessment Service claims database. Change in treatment was defined as change in prescriptions 1–2 years before delivery or 1 year after delivery. We compared change in prescriptions between AS women with delivery or without delivery (1:1 matched). Moreover, we evaluated change in prescriptions according to delivery method among AS women with delivery.ResultsA total of 6,821 women with AS were included. Women in the delivery group (n = 996) were younger and showed less drug use and lower comorbidity rates than those in the no delivery group. Change in prescriptions did not differ between the delivery and no delivery groups (odds ratio [OR], 0.76; 95% confidence interval [CI], 0.56–1.05). Furthermore, the overall change in prescriptions did not significantly differ between vaginal delivery (VD) and CS (OR, 0.72; 95% CI, 0.45–1.14).ConclusionThe rate of change in prescriptions was comparable between AS patients with and without delivery. There was no association between the method of delivery and change in prescription. Therefore, pregnancy and VD may not be the factors associated with AS worsening.

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Accessibility of Prenatal Care Can Affect Inequitable Health Outcomes of Pregnant Women Living in Obstetric Care Underserved Areas: a Nationwide Population-Based Study

Cited by 13 publications

References 15 publications

Community‐ based maternal and newborn interventions in Africa: Systematic review

Community‐ based maternal and newborn interventions in Africa: Systematic review

Physiologic Changes during Sponge Bathing in Premature Infants

Effects of Pregnancy and Delivery Methods on Change in Ankylosing Spondylitis Treatment Using the Korean Health Insurance Review and Assessment Service Claims Database

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