Association of preconceptional health care utilization and early initiation of prenatal care

Abstract

Objective: To assess whether women having preconceptional health care utilization were more likely to have early initiation of prenatal care than were women not having preconceptional health care utilization.Study Design: In this cohort study, data were collected prospectively from a population-based Perinatal Health Care Surveillance System in China. The analysis included 195 796 women who delivered single live births in 13 cities/counties during 1997 to 2000. Mantel-Haenszel test was employed to calculate risk ratios and 95% confidence intervals (CI). Multivariate logistic regression was conducted to assess the association between preconceptional health care utilization and early initiation of prenatal care after controlling for maternal residence, age at delivery, educational attainment, occupation, parity, preconceptional medical disorders, and high-risk medical experiences during the first trimester. SPSS 11.5 (SPSS Inc.) was employed for data analysis.Results: Women having preconceptional health care utilization were 2.6 times (95%CI: 2.5 to 2.6) more likely to have early initiation of prenatal care compared with women not having preconceptional health care utilization. When stratified by maternal residence, age at delivery, educational attainment, occupation, parity, preconceptional medical disorder, high-risk medical experiences during the first trimester, and preconceptional medical disorders, this association still existed. After controlling for stratification factors mentioned above and the interaction of maternal age, educational attainment, and parity, women having preconceptional health care utilization were 2.7 times (95%CI: 2.6 to 2.8) more likely to have early initiation of prenatal care than were women not having preconceptional health care utilization. Conclusion:Women who had preconceptional health care utilization were more likely to have early prenatal care than were women not having preconceptional health care utilization.

The prevalence of preconception care, its relation with recipients' individuality, fertility, and the causes of lack of checkup in women who gave birth in Isfahan hospitals in 2016

“…The results of the study showed that women who received preconception care were more likely to have higher education. [ 11 18 ] In this context, our study is consistent with it. Justifying this conclusion, we can say that probably the increase in the level of female education led to a greater awareness of the importance of health services thus had more referrals.…”

“…In another study, in China, this rate has been reported to be 35.8%. [ 11 ] The prevalence observed in this study is more than the above case which is probably due to the differences in the research community. The results indicated that there is a wide gap between the received preconception care and the standard.…”

“…This amount is 35.8% in China 88.4% in Semnan (Iran), and 53.4% in the city of Kalat (Iran). [ 11 12 13 ] In the understudy city (Isfahan), there is only one study that has reported 67 cases of maternal death, in which 73/2% of them had not received this care between the years 2006 and 2011. [ 14 ] While receiving two prepregnancy appointments is necessary based on the country's Ministry of Health and Medical Education (Iran).…”

Inadequate Prenatal Care Utilization and Risks of Infant Mortality and Poor Birth Outcome: A Retrospective Analysis of 28,729,765 U.S. Deliveries over 8 Years

“…2,23 This possibility is reinforced by evidence that utilization of PNC is associated with increased utilization of preconception care, infant care, and infant vaccination. [24][25][26] This "healthy adherer bias" was recently described through a meta-analysis showing that patients who adhere to drug therapy have lower all-cause mortality, even when that therapy is a placebo, suggesting that patient adherence may itself be a surrogate for health-promoting behaviors. 27 Adoption of PNC is likely multifactorial and can be predicted by factors such as having an unplanned pregnancy, late recognition of pregnancy, race, socioeconomic status, and geographic location.…”

Free Preconceptual Screening Examination Service in Rural Areas of Hubei Province, China in 2012

“…Interventions to reduce the adverse pregnancy outcomes or improve the birth outcomes may need to start before pregnancy. Presently, preconception health care is strongly endorsed by the researchers and clinicians [17]–[19]. This study provides an overview of preconceptual screening examination service in rural areas of Hubei Province in 2012.…”