An Outcome Evaluation of the Content and Quality of Prenatal Care

Petitti, Diana B.; Hiatt, Robert A.; Chin, Victor; Croughan-Minihane, Mary S.

doi:10.1111/j.1523-536x.1991.tb00049.x

Cited by 29 publications

(21 citation statements)

References 17 publications

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“…There have been six studies reported that examine the degree of coverage of recommended health promotion content in prenatal visits, sociodemographic characteristics associated with amount of prenatal health promotion content, and/or birth outcomes Kogan, Alexander, Kotelchuck, Nagey, & Jack, 1994;Kogan, Kotelchuck, Alexander, & Johnson, 1994;Libbus & Sable, 1991;Petitti, Hiatt, Chin, & Croughan-Minihane, 1991;Yu & Jackson, 1995). The lack of consistent health promotion topics and the use of different sociodemographic and outcome measures hamper comparison across these studies.…”

Section: Prenatal Health Promotion Contentmentioning

confidence: 94%

“…One study found that African American women reported receiving less advice about alcohol and more advice about cigarette and street drug use than Caucasian women (Petitti et al, 1991). The number of topics covered did not relate to LBW after controlling for sociodemographic factors, history of LBW, and low prepregnancy weight.…”

Section: Prenatal Health Promotion Contentmentioning

confidence: 96%

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Ethnicity and Prenatal Health Promotion Content

Vonderheid¹,

Montgomery²,

Norr³

2003

West J Nurs Res

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Prenatal care health promotion education is an important strategy for reducing perinatal health disparities. The purposes of this study were to (a) identify differences between the health promotion content women wanted to discuss and the content women reported discussing and (b) determine whether ethnicity was related to health promotion content. A cross-sectional study used face-to-face interviews to obtain data about 159 Mexican American and African American pregnant women's prenatal experience. Women wanted more health promotion content than they discussed. Despite wanting information about more health promotion topics than African American women. Mexican American women discussed fewer topics. Ethnicity, number of topics women wanted to discuss, whether a woman had a primary provider, and type of prenatal provider model were also related to content.

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Section: Prenatal Health Promotion Contentmentioning

confidence: 94%

Section: Prenatal Health Promotion Contentmentioning

confidence: 96%

Ethnicity and Prenatal Health Promotion Content

Vonderheid¹,

Montgomery²,

Norr³

2003

West J Nurs Res

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show abstract

“…Though scant, there has been mixed evidence regarding disparities in the receipt of smoking cessation interventions in prenatal care among pregnant smokers. Some studies have noted that Black pregnant women were more likely to receive provider counseling on interventions for smoking cessation (Petitti et al 1991, Tran et al 2010) while another noted that Black women were less likely to receive provider advice about smoking cessation (Kogan et al, 1994). Thus, exploring associations between provider assistance and maternal characteristics among pregnant smokers may help to information cessation efforts.…”

Section: Introductionmentioning

confidence: 99%

Nicotine replacement therapy and other interventions for pregnant smokers: Pregnancy Risk Assessment Monitoring System, 2009–2010

Kapaya¹,

Tong

Ding³

2015

Preventive Medicine

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Background Current U.S. guidelines recommend consideration of nicotine replacement therapy (NRT) for pregnant smokers if behavioral therapies fail, only under close supervision of a provider, and after discussion of known risks of continued smoking and possible risks of NRT. The percentage of pregnant smokers offered NRT by their prenatal care providers is unknown. Purpose The study aims to calculate the percentage of pregnant smokers offered cessation intervention and NRT and assess independent associations between selected maternal characteristics and being offered NRT. Methods Data were analyzed from the 2009–2010 Pregnancy Risk Assessment Monitoring System from four states that asked about provider practices for prenatal smoking cessation. Adjusted prevalence ratios were calculated to examine associations between being offered NRT, selected maternal characteristics, and smoking level. Variables used in adjusted models were based on factors associated with smoking cessation during pregnancy from prior literature and included race, age, education, insurance type, and stress. Results Of 3559 women who smoked 3 months before pregnancy, 77.4% (95% CI: 74.2, 80.3) of 3rd trimester smokers and 42% (95% CI: 38.5, 46.4) of women who quit smoking during pregnancy were offered at least one cessation method. Among smokers, 19.1% (95% CI: 16.5, 22.1) were offered NRT and of these, almost all (94%) were offered another cessation method. Conclusions One in five pregnant smokers was offered NRT. About a quarter of pregnant smokers did not receive any interventions to stop smoking. There may still be reluctance to provide NRT to pregnant women, despite known harms of continued smoking during pregnancy.

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“…25, 40 Another study demonstrated that black women visiting their prenatal care provider received less cessation advice than white women. 41 In contrast, other studies have suggested that black women were more often asked 42 and advised 42,43 about their smoking compared to white women by prenatal care providers. In the present study, control group data showed that black parents were more likely to be asked about tobacco use.…”

Section: Discussionmentioning

confidence: 88%

Black Versus White Differences in Rates of Addressing Parental Tobacco Use in the Pediatric Setting

Dempsey

Regan

Drehmer

et al. 2015

Academic Pediatrics

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Objective To examine racial differences in rates of screening parents for cigarette smoking during pediatric outpatient visits and to determine if a parental tobacco control intervention mitigates racial variation in whether cigarette smoking is addressed. Methods As part of the CEASE RCT, exit interviews were conducted with parents at 10 control and 10 intervention pediatric practices nationally. Parents were asked to report if during the visit did anyone ask if they smoke cigarettes. A generalized linear mixed model was used to estimate the effect of black vs white race on asking parents about cigarette smoking. Results Among 17,692 parents screened at the exit interview, the proportion of black parents who were current smokers (16%) was lower than the proportion of white parents who smoked (20%) (p<.001). In control group practices, black parents were more likely to be asked (ARR 1.23; 95% CI: 1.08, 1.40) about cigarette smoking by pediatricians than whites. In intervention group practices both black and white parents were more likely to be asked about smoking than those in control practices and there was no significant difference between black and white parents in the likelihood of being asked (ARR: 1.01; 95% CI: 0.93, 1.09). Conclusions Although a smaller proportion of black parents in control practices smoked than white, black parents were more likely to be asked by pediatricians about smoking. The CEASE intervention was associated with higher levels of screening for smoking for both black and white parents.

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An Outcome Evaluation of the Content and Quality of Prenatal Care

Cited by 29 publications

References 17 publications

Ethnicity and Prenatal Health Promotion Content

Ethnicity and Prenatal Health Promotion Content

Nicotine replacement therapy and other interventions for pregnant smokers: Pregnancy Risk Assessment Monitoring System, 2009–2010

Black Versus White Differences in Rates of Addressing Parental Tobacco Use in the Pediatric Setting

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