Life Stressors and Barriers to Timely Prenatal Care for Women with High-Risk Pregnancies Residing in Rural and Nonrural Areas

Kitsantas, Panagiota; Gaffney, Kathleen F.; Cheema, Jehanzeb

doi:10.1016/j.whi.2012.06.003

Cited by 25 publications

(21 citation statements)

References 16 publications

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“…For our high-risk pregnancy cohort of infertile women, we categorized the number of prenatal visits of <6 as inadequate. In our study, initiation of prenatal care after the first trimester (>12 weeks) of pregnancy was categorized as late, based on previous research that used a similar definition to identify timely and untimely prenatal care for women with high-risk pregnancies [17]. Contents of prenatal care include physical assessments, laboratory tests, US examinations, and other medical procedures [18].…”

Section: Methodsmentioning

confidence: 99%

Adequate Prenatal Care Reduces the Risk of Adverse Pregnancy Outcomes in Women with History of Infertility: A Nationwide Population-Based Study

2013

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ObjectivesTo investigate the effects of various measures of prenatal care on adverse pregnancy outcomes in women with a history of infertility.Study DesignA retrospective cohort study.MethodsData were derived by linking 2 large nationwide population-based datasets, the National Health Insurance Research Database and Taiwan Birth Certificate Registry. The study sample included 15,056 women with an infertility diagnosis and 60,224 randomly selected women without infertility matched to the study sample by maternal age. A conditional logistic regression analysis was performed for the analysis.ResultsWomen diagnosed with infertility respectively had 1.39 (95% CI, 1.06~1.83), 1.15 (95% CI, 1.08~1.24), 1.13 (95% CI, 1.08~1.18), and 1.08 (95% CI, 1.05~1.12) higher odds of having very low birth weight (VLBW) babies, preterm births, labor complications, and cesarean sections (CSs) compared to women without infertility. Inadequate numbers of total and major prenatal visits and late initiation of prenatal care increased the risks of adverse pregnancy outcomes in women with infertility, especially the risk of a VLBW baby. However, no significant associations were found for the risks of adverse birth outcomes in infertile women with adequate prenatal care compared to fertile women with adequate care.ConclusionsStudy findings suggest that adequate prenatal care can reduce the risk of adverse pregnancy outcomes in women with infertility.

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Section: Methodsmentioning

confidence: 99%

Adequate Prenatal Care Reduces the Risk of Adverse Pregnancy Outcomes in Women with History of Infertility: A Nationwide Population-Based Study

2013

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“…For example, stress is known to upset the balance between neuroendocrine and immunological pathways, that may set into motion the events leading to spontaneous preterm labor5,6 and preterm premature rupture of membranes. Antepartum stress has also been linked to behaviors including substance abuse,7 mood and anxiety disorders,8 and underutilization of prenatal care,9 and these factors have been associated with PTB.…”

Section: Introductionmentioning

confidence: 99%

Risk of spontaneous preterm birth in relation to maternal experience of serious life events during pregnancy

Barrios¹,

Sánchez²,

Qiu³

et al. 2014

IJWH

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BackgroundThe purpose of this study was to examine the risk of preterm birth (PTB) in relation to serious life events experienced during pregnancy in Peruvian women.MethodsThis case-control study included 479 PTB cases and 480 term controls. In-person interviews asked information regarding sociodemographics, medical and reproductive histories, and serious life events experienced during pregnancy. Multivariate logistic regression procedures were used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs).ResultsCompared with women who did not experience a serious life event during pregnancy, those who experienced the following life events had a more than two-fold increased odds of PTB: death of first-degree relative (adjusted OR 2.10; 95% CI 1.38–3.20), divorce or separation (adjusted OR 2.09; 95% CI 1.10–4.00), financial troubles (adjusted OR 2.70; 95% CI 1.85–3.94), or serious fight with partner (adjusted OR 2.40; 95% CI 1.78–3.17). Women who experienced any serious life events during pregnancy had higher odds (adjusted OR 2.29; 95% CI 1.65–3.18) of suffering spontaneous preterm labor and preterm premature rupture of membranes (adjusted OR 2.19; 95% CI 1.56–3.08), compared with women who did not experience any such events. Associations of similar directions and extent were observed for severity of PTB (ie, very, moderate, or late PTB). The magnitude of the associations increased as increased frequency of serious life events (Ptrend <0.001).ConclusionExperiencing serious life events during pregnancy was associated with increased odds of PTB among Peruvian women. Interventions aimed at assisting women experiencing serious life events may reduce the risk of PTB. Future studies should include objective measures of stress and stress response to understand better the biological underpinnings of these associations.

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“…A literatura é controversa sobre a influência da situação conjugal na gestação, existindo trabalhos que mostram a ausência de influência sobre a gestação (4) , mas também há artigos que confirmam os achados deste estudo, onde a situação conjugal insegura, violência doméstica e conflitos familiares fazem parte das características desfavoráveis à gestação (8)(9) . A baixa renda familiar contribui para uma alimentação deficiente, além das preocupações econômicas relacionadas desde o enxoval do bebê, contas que não podem pagar ou até mesmo à sobrevivência, aumentando a ansiedade materna (8)(9)(10) .…”

Section: Discussionunclassified

Socioeconomic conditions, gestacional risk and importance of relationship between obstetrician and high risk pregnant women / Condições socioeconômicas, risco gestacional e importância da relação entre pré-natalista e gestantes de alto risco...

et al. 2016

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Santos BT, et al. Socioeconomic conditions, gestacional risk.. ABSTRACT Objective: characterize the socioeconomic profile of high-risk pregnancy treated at prenatal clinic in the city of Aracaju, Sergipe, and compare it with the control group. Methodology: observational, prospective and controlled study, held in the period of January-March 2014. The high risk patients were coming from the Center for Integrated Health Care for Women and the low risk group was coming from the Family Health Units. The survey obtained an N of 200 patients who responded to a structured questionnaire.

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Life Stressors and Barriers to Timely Prenatal Care for Women with High-Risk Pregnancies Residing in Rural and Nonrural Areas

Cited by 25 publications

References 16 publications

Adequate Prenatal Care Reduces the Risk of Adverse Pregnancy Outcomes in Women with History of Infertility: A Nationwide Population-Based Study

Adequate Prenatal Care Reduces the Risk of Adverse Pregnancy Outcomes in Women with History of Infertility: A Nationwide Population-Based Study

Risk of spontaneous preterm birth in relation to maternal experience of serious life events during pregnancy

Socioeconomic conditions, gestacional risk and importance of relationship between obstetrician and high risk pregnant women / Condições socioeconômicas, risco gestacional e importância da relação entre pré-natalista e gestantes de alto risco...

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