Barriers to Prenatal Care Among Black Women of Low Socioeconomic Status

Daniels, Pamela; Noe, Godfrey Fuji; Mayberry, Robert

doi:10.5993/ajhb.30.2.8

Cited by 63 publications

(116 citation statements)

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“…One study on women's perceptions of prenatal care in the United States reported that reasons for not seeking access may be social, maternal, and structural [13], and other studies found that the maternal component was the chief barrier, often compounded with poor motivation [14][15][16]. In our study, the women with the weakest beliefs in gender equity also appeared to have the least knowledge of the importance of prenatal care.…”

Section: Discussioncontrasting

confidence: 46%

Effect of married women's beliefs about gender equity on their use of prenatal and delivery care in rural China

Cui

Zhang

Yang

et al. 2010

International Journal of Gynecology & Obstetrics

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Section: Discussioncontrasting

confidence: 46%

Effect of married women's beliefs about gender equity on their use of prenatal and delivery care in rural China

Cui

Zhang

Yang

et al. 2010

International Journal of Gynecology & Obstetrics

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“…The lack of preparation for pregnancy found in the study not only affected women’s 'mindset’ and delayed confirmation of the pregnancy, but also led to feelings of fear, depression and ambivalence amongst some women, particularly related to the consequences of the pregnancy. This resulted in the denial, delaying and avoidant coping strategies evident in many other studies [29,30]. These feelings and behaviours were particularly apparent amongst those who had considered a termination or who felt most likely to be judged, such as teenagers and substance misusing women.…”

Section: Discussionmentioning

confidence: 95%

Understanding delayed access to antenatal care: a qualitative interview study

Haddrill

Jones

Mitchell

et al. 2014

BMC Pregnancy Childbirth

111

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BackgroundDelayed access to antenatal care ('late booking’) has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care.Methods27 women presenting after 19 completed weeks gestation for their first hospital booking appointment were interviewed, using a semi-structured format, in community and maternity hospital settings in South Yorkshire, United Kingdom. Interviews were transcribed verbatim and entered onto NVivo 8 software. An interdisciplinary, iterative, thematic analysis was undertaken.ResultsThe late booking women were diverse in terms of: age (15–37 years); parity (0–4); socioeconomic status; educational attainment and ethnicity. Three key themes relating to late booking were identified from our data: 1) 'not knowing’: realisation (absence of classic symptoms, misinterpretation); belief (age, subfertility, using contraception, lay hindrance); 2) 'knowing’: avoidance (ambivalence, fear, self-care); postponement (fear, location, not valuing care, self-care); and 3) 'delayed’ (professional and system failures, knowledge/empowerment issues).ConclusionsWhilst vulnerable groups are strongly represented in this study, women do not always fit a socio-cultural stereotype of a 'late booker’. We report a new taxonomy of more complex reasons for late antenatal booking than the prevalent concepts of denial, concealment and disadvantage. Explanatory sub-themes are also discussed, which relate to psychological, empowerment and socio-cultural factors. These include poor reproductive health knowledge and delayed recognition of pregnancy, the influence of a pregnancy 'mindset’ and previous pregnancy experience, and the perceived value of antenatal care. The study also highlights deficiencies in early pregnancy diagnosis and service organisation. These issues should be considered by practitioners and service commissioners in order to promote timely antenatal care for all women.

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“…Among the prenatal teens, basic reproductive information, including fetal development and prenatal medical health, was especially important. Daniels, Noe, and Mayberry (2006) conducted a qualitative study to identify attitudinal and psychosocial determinants of early prenatal care among African American adolescents who were of low socioeconomic status, aged 16-36 years old, and were attending or had attended local clinics for prenatal care within the past 2 years. The researchers found that early initiators of prenatal care possessed ''positive attitudes towards pregnancy, were knowledgeable about pregnancy signs and symptoms and thought prenatal care was important' ' (p. 192), while late initiators perceived clinical staff to be ''insensitive'' (p.192).…”

Section: Adolescent Development and Prenatal Carementioning

confidence: 99%

Prenatal Care: The Adolescent's Perspective

Tilghman

Lovette²

2008

jpe

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Certified childbirth educators have the ideal preparation for prenatal education, but they likely need to enhance their approach for adolescent clients. First, young mothers in the United States are presenting with increasingly diverse backgrounds, requiring cultural awareness of childbirth educators and others who wish to effectively meet their prenatal health care and education needs. In addition, adolescents who become pregnant are an extremely vulnerable group and, therefore, require special concern. Pregnant adolescents are unique from other groups of pregnant women in all major aspects of assessment: their social environment; their personal, social, and psychological development; and their physical response. Therefore, prenatal care and childbirth education designed for the typical population are unlikely to best serve the pregnant adolescent.

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Barriers to Prenatal Care Among Black Women of Low Socioeconomic Status

Cited by 63 publications

References 0 publications

Effect of married women's beliefs about gender equity on their use of prenatal and delivery care in rural China

Effect of married women's beliefs about gender equity on their use of prenatal and delivery care in rural China

Understanding delayed access to antenatal care: a qualitative interview study

Prenatal Care: The Adolescent's Perspective

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