When do pregnant women attend for antenatal care?

Simpson, Helen; Walker, Garthine

doi:10.1136/bmj.281.6233.104

Cited by 26 publications

(10 citation statements)

References 5 publications

(1 reference statement)

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“…As shown earlier (14), the findings of this study reaffirm the role that subjective need factors play in selecting the source of care. Women who perceive themselves as having poor health are more likely to use sick fund services because FHCs are correctly viewed by these women as providing surveillance and early detection rather than medical care.…”

Section: Discussionsupporting

confidence: 87%

“…Wolinsky links two-thirds of the explained variance in a utilization model to morbidity-related variables (11); in contrast, Hulka (12) concluded that the frequency of visits for preventive care have little correlation with objective health needs. Delayed registration for prenatal care was found to be associated with poverty and lack of insurance (9,14,15), ethnicity (15,16), younger age and less education (16).…”

Section: Introductionmentioning

confidence: 98%

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Factors affecting the utilization of prenatal health care services in Jerusalem

Ellencweig¹,

Palti

Neumark³

et al. 1993

J Community Health

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Health service utilization patterns during pregnancy were studied among 780 women from selected neighborhoods of Jerusalem who delivered between December 1, 1985 and June 30, 1986. Factors affecting the choice of care-provider, the timing of the first contact with the prenatal care service and the frequency of visits to prenatal care centers were studied with respect to several demographic, socio-economic and needs variables. About one half of the women visited the Family Health Centers, the traditional site for delivery of prenatal care. Forty percent visited their regular doctor during pregnancy while about 30% sought private care. In all, fifty two percent of women consulted more than one source of medical care service during pregnancy. Logistic regression analysis showed that the choice of care was determined by the type of insurance, need factors and education. The timing of the first visit depended on origin, level of education and parity. The frequency of visits was related to the type of insurance and to perceived health.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 98%

Factors affecting the utilization of prenatal health care services in Jerusalem

Ellencweig¹,

Palti

Neumark³

et al. 1993

J Community Health

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“…In 1980 a study of primiparous women in London found that 50% of Caribbeans, 42% of Africans and 34% of Asians were ‘poor attenders’ (booking after 18 weeks or missing more than two appointments), compared with 26% of British women 27 . Delayed care has been found to be due in part to organisational delay on the part of hospitals and general practitioners 27,28 . Such differences in attendance between ethnic groups can change.…”

Section: Discussionmentioning

confidence: 99%

Maternal mortality in England and Wales 1970–1985: an analysis by country of birth

Ibison¹,

Swerdlow

Head³

et al. 1996

BJOG

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Objective To determine the risk of maternal mortality in immigrants to England and Wales. Design Analysis of death registrations, 1970–1985, by country of birth. Setting England and Wales. Population Women dying in England and Wales during regnancy, childbirth or the puerperium, or dying fiom malignant tumour of the placenta. Main outcome measures The risk of dying in pregnancy, childbirth or the puerperium, adjusted for age and year of death, and the risk of cause‐specific death, adjusted for age, in immigrants compared with women born in England and Wales. Results Women born in West Africa (relative risk 10.3; 95% CI 8.0–13.2) and the Caribbean (4.6; 3.8–5.7) were at very elevated risk of maternal death and of the main causes of death. Women from Southern Asia (1.6; 1.3–2.0) and ‘Europe and the USSR’ (1.7; 1.2–2.3) were at moderate risk. Adjustment for year of death increased the estimates of risk and women born in the ‘Rest of the World’ and Scotland were at significantly elevated risk. Conclusions An increased incidence of obstetric conditions in immigrant groups may account for the elevated risk but it is also possible that differences in care may account for some of the additional risk. The pattern of increased risk does not appear to be explicable by the parity or social class distribution of immigrants as far as data are available on these. Research is required into the aetiology of the differential incidence of obstetric disease. The collection of routine mortality data which include maternal reproductive and social factors would elucidate the significance of such factors to maternal health. Further investigation into possible differences in the process of antenatal care between immigrants and non‐immigrants is required, and into whether this affects the risk of maternal mortality.

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“…in planning maternity care and antenatal investigations [21], in family planning, in the evaluation of possible fetal damage by infectious diseases such as rubella and before starting possibly harmful procedures such as examination with ionizing radiation and treatment with toxic or teratogenic drugs. Ethanol abuse as well as smoking are often considered fetal risk factors and should be avoided by pregnant women.…”

Section: Goran Lindstedt M D Department Of Clinical Chemistry Smentioning

confidence: 99%