Social and ethnic differences in attendance for antenatal care in England

Rowe, Rachel; Magee, Helen; Quigley, Maria A.; Heron, Paul; Askham, Janet; Brocklehurst, Peter

doi:10.1016/j.puhe.2008.05.011

Cited by 75 publications

(64 citation statements)

References 15 publications

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“…The association between living with partner and higher prevalence of seven or more prenatal visits is similar to the findings of other authors 19,20 . Family, friends, and husband/ partner seem to play an important role during pregnancy, which is a period that demands a lot of emotional stability 21,22 .…”

Section: Discussionsupporting

confidence: 91%

“…The partner is the leading provider of social support in caring for the mother and baby 23 , and their presence, support, and protection during pregnancy provide greater environmental control and autonomy for the pregnant women. In addition, they contribute to the maintenance of mental health, to coping with stressful times 21,22 , and consequently to greater adherence to prenatal care 19,20 . Women with gestational age of 42 weeks or more showed greater chance of attending 7 or more prenatal visits in relation to those with up to 36 weeks of gestation.…”

Section: Discussionmentioning

confidence: 99%

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Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Anjos

Boing

2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To investigate factors associated with seven or more prenatal visits, in Brazil, in 2013. Methods: Cross-sectional study from the database of Information System on Live Births. The association of explanatory variables was tested with prenatal visits by means of the analysis of single and multiple multinomial regressions. The spatial distribution of prenatal visits according to the Brazilian municipalities was also analyzed. Results: It was found that 2.7% of pregnant women attended no prenatal visit and 63.1% attended 7 or more. The chance to attend 7 or more prenatal visits was higher among pregnant women aged 40 years or more, with 12 years or more of schooling, living with a roommate, living in the South and Southeast regions, who had a triplet or more pregnancy, with gestational age of 42 weeks or more, and who had children with normal birth weight. Significant regional disparities were identified in the prevalence of women with seven or more prenatal visits. Conclusion: Although Brazil has a Unified Health System that provides universal prenatal care, the use of this service is uneven according to geographic, demographic, and socioeconomic characteristics. Keywords 836Rev BRas epidemiol oUT-deZ 2016; 19(4): 835-850 INTRODUCTIONAccess to prenatal care is associated with better health outcomes for pregnant women and newborns. This care is essential to prevent and/or early detect maternal and fetal pathologies, promoting the healthy development of the baby and reducing the risk to the pregnant women 1 . By monitoring the pregnancy since the first quarter there is greater possibility of the mother undergo laboratory tests, reducing maternal and child morbidity and mortality. Consequently, the results are better intrauterine growth, higher birth weight, fewer occurrences of prematurity and neonatal mortality, and, for the mother, lower rate of complications during pregnancy and at delivery 1 . Studies show that the higher the number of prenatal visits, the lower the neonatal 2 and maternal 3,4 mortality rates, the prevalence of prematurity 3 , the low birth weight 5,6 , and the hypertension during pregnancy 3,4 . In this scenario, the anti-tetanus vaccination coverage 7 and supplementation with ferrous sulfate 7 are also greater. Owing to these benefits indicated by the literature and in order to improve access, coverage, and quality of prenatal care in Brazil, the Ministry of Health launched, in 2000, the Program of Humanization in Prenatal and Birth (PHPN). Among other guidelines, the document recommends that pregnant women attend at least six prenatal visits during pregnancy: one in the first quarter, two in the second, and three in the third 1 . Studies that analyzed the factors associated with low number of prenatal care visits found that this negative outcome is more common among women with low education 8 , pregnant adolescents 2,8 , with high parity 6,8 , and living without a partner 6 . However, in Brazil, RESUMO: Objetivo: Investigar os fatores associados à realização de sete ou ma...

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Anjos

Boing

2016

Rev. bras. epidemiol.

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“…Our findings differ with the reports from studies in most developed countries where the odds for late initiation of antenatal care have been reported as higher in women with social and financial disadvantages like teenage pregnancy, unemployment, single women and black women. 12,13,17 Analysis of Socioeconomic class showed that a quarter of the women belonged to the upper social class. The social classification used in this study combined the woman's level of education and the husband's occupation.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 While studies from most developed countries have established that socially disadvantaged women such as teenagers ,unmarried women and women with lower level of education and lower socioeconomic class are more likely to book late for antenatal care, studies from sub-Saharan Africa suggest that these may not be the major determinants in Afri-can women. 12,13 Previous studies from Nigeria are inconclusive. While some workers found no statistically significant effect of age, parity, level of education and socioeconomic class as well as incidence of previous obstetric complications between women who registered early and those who booked late, others have reported these as significant.…”

Section: Introductionmentioning

confidence: 99%

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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SUMMARYBackground: Many studies show that the vast majority of Nigerian women register for antenatal care late and that the determinants may differ from those found in developed countries. Objective: To determine the reasons for late booking among women presenting at the antenatal clinic of a major tertiary hospital in the Niger Delta, Nigeria Design: A cross sectional questionnaire based survey. Setting: A large tertiary hospital in the Niger delta, Nigeria Participants: Pregnant women registering for antenatal care after 14 weeks gestation. Results: The majority of respondents were aged 20-39 years (97.1%), quarters were primigravidae and 25 % of the women belonged to the upper socioeconomic class. Seventy three point six percent booked in the second trimester and 26.4% in the third trimester. Of the women who had given birth before, 80% had booked late in at least one previous pregnancy. More than three-fifth of the women (65.6%) booked late due to ignorance or misconceptions of the purpose of, and right time to commence antenatal care. Conclusion: The findings of this study suggest that most women book late because of a belief that there are no advantages in booking for antenatal care in the first three months of pregnancy. This seems to be because antenatal care is viewed primarily as curative rather than preventive in the study population. Research is needed to determine the best approaches for health education programmes to correct the misconceptions about antenatal care.

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“…Phillimore [2015Phillimore [ , 2016 doporučuje v souladu s konceptem superdiverzity, který zahrnuje řadu proměnných vystihujících zvyšující se rozrůz-něnost populace [Vertovec 2007], usilovat ve výzkumu o zviditelnění intersekce migrace s genderem, vírou, věkem, třídou, vzděláním či jazykovými dovednostmi. Některé výzkumy zachycují prolínání migrace a socioekonomického statusu [Rowe et al 2008] skrze dosažené vzdělání [Acevedo-Garcia, Soobader, Berkman 2005;Jacquemyn et al 2012;Robertson 2015], kvalifikovanost práce [Castelló et al 2012] a typ ubytování nebo složení domácnosti a rodinný stav [Phillimore 2016]. Dalšími proměnnými jsou délka pobytu [Gagnon, Zimbeck, Zeitlin 2010;Urquia, O'Campo, Heaman 2012;Bollini, Stotzer, Wanner 2007] a jazykové dovednosti [Alderliesten et al 2007;Bischoff et al 2003], kterým se výzkumníci věnují zejmé-7 Také Český statistický úřad v údajích o vztahu migrace a užívání zdravotní péče pracuje se souhrnnou kategorií cizinci definovanou jako "osoby, které nejsou státními občany České republiky".…”

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An Intersection of Two Life Changes in Social-Science Research on Women's Health

Pařízková¹,

Glajchová²,

Hřešanová³

2018

Czech Sociological Review

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When the experiences of migration and becoming a mother intersect, the context and conditions of this have implications for the health of the women and their children. This article presents an overview of social-science research on health and pregnancy among migrant women and on the perinatal and postpartum care they receive. Research on 124 studies on this subject revealed that there are three main themes associated with maternal health in this context: (1) How women are defined and categorised as migrants: This is often based on a single indicator, country of origin or birth. This creates a simplified and homogenising category that then also serves as the basis for the use of more complex categories. (2) The significance of social support for families, especially with respect to informal care, and the fundamental role of language and language barriers in health care. The relationship between migrant women and health-care providers is impacted by cultural differences, which leave women in a vulnerable position. (3) Macro-sociological and epidemiological factors. These are discussed mainly from the perspective of the 'epidemiological paradox', which the authors here deem a rhetorical trick because it conceals the variableness of the findings obtained from perinatal health indicators. keywords: perinatal health, healthy immigrant effect, acculturation, migrant women, epidemiological paradox, health care

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Social and ethnic differences in attendance for antenatal care in England

Cited by 75 publications

References 15 publications

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

An Intersection of Two Life Changes in Social-Science Research on Women's Health

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