Family structure and use of prenatal care

Abstract

This cross-sectional study intended to assess the use of prenatal care according to the family structure in a population with free universal access to prenatal care. In 2005-2006, the Portuguese birth cohort was assembled by the recruitment of puerperae at public maternity wards in Porto, Portugal. In the current analysis, 7,211 were included. Data on socio-demographic characteristics, obstetric history, and prenatal care were self-reported. Single mothers were considered as those whose household composition did not include a partner at delivery. Approximately 6% of the puerperae were single mothers. These women were more likely to have an unplanned pregnancy (OR = 6.30; 95%CI: 4.94-8.04), an inadequate prenatal care (OR = 2.30; 95%CI: 1.32-4.02), and to miss the ultrasound and the intake of folic acid supplements during the first trimester of pregnancy (OR = 1.71; 95%CI: 1.30-2.27; and OR = 1.67; 95%CI: 1.32-2.13, respectively). The adequacy and use of prenatal care was less frequent in single mothers. Educational interventions should reinforce the use and early initiation of prenatal care.

Medical, behavioural and social preconception and interconception risk factors among pregnancy planning and recently pregnant Canadian women

“…In the USA, 40% of all births are to unmarried women 35. Research has shown lower uptake of prenatal care in single mothers 36. It is thus important to consider the relationship context when providing preconception and interconception risk counselling to women without a partner, especially as indicators suggest that this is a growing segment of the Canadian population 37…”

“…35 Research has shown lower uptake of prenatal care in single mothers. 36 It is thus important to consider the relationship context when providing preconception and interconception risk counselling to women without a partner, especially as indicators suggest that this is a growing segment of the Canadian population. 37 Interestingly, being born outside of Canada was negatively correlated with risk clusters 'thyroid', 'smoking' and 'pregnancy outcomes' but positively correlated with 'health behaviours'.…”

Magnitude of NNM and associated factors among Newborns delivered at the North Shewa zone Public Health Hospital, Central Ethiopia: A multi-level analysis

“…There is evidence that infants of pregnant mothers whose partners died are more likely to have behavioral issues and engage in dangerous behaviors. The absence of a partner was associated with a higher prevalence of depression, stress, and anxiety during pregnancy ( 29 ), increased consumption of illicit drugs ( 30 ), and inadequate prenatal care ( 31 ), all of which are factors that may result in lower birth weight of the child, preterm birth, or congenital malformations, which would be indicators of NNM.…”

Asociación entre crecimiento y neurodesarrollo hasta los 2 años de edad corregida y factores socioeconómicos en niños de muy bajo peso al nacer en una maternidad de la Ciudad de Buenos Aires

“…Cuando se ejecuta el análisis multivariado se asoció con baja talla al segundo año. Se ha descripto en un estudio transversal en Portugal que la prevalencia de madres solas es del 6% y se asoció a una atención prenatal inadecuada y una pérdida de ingesta de ácido fólico durante el primer trimestre (133), concluyó que las intervenciones educativas deben promover el uso y el inicio temprano de la atención prenatal. En otro estudio en Brasil (134) se describe el aumento de la prevalencia de familias monoparentales a través de los años, la misma en 2010 fue del 10%.…”