Factors associated with not receiving prenatal care and its impact on birth outcomes
Tuesday, November 5, 2013
: 10:30 a.m. - 10:50 a.m.
Background: Prenatal care (PNC) has the potential to prevent perinatal morbidity and mortality. Women who receive PNC according to the accepted standards are more likely to have better birth outcomes. Methods: We conducted a population-based, retrospective cohort study on infants born alive to Florida-resident women from 1998-2009 (N=2,328,630) using a linked dataset. Adequacy of PNC was computed using the R-GINDEX algorithm. Logistic regression was used to assess the association between level of PNC and each selected adverse birth outcome. Results: Over 42% of women were characterized as having either intermediate, inadequate, or no care, whereas 45% and 6% had adequate and intensive PNC, respectively. Women who were not married, less educated, young (<20 years), black non-Hispanic, multiparous, and users of alcohol, tobacco, and/or drugs were less likely to receive adequate PNC. When compared to women with adequate PNC, women without any PNC were more likely to give birth to a low birth weight (AOR: 2.24, 95% CI: 2.16-2.31), preterm (AOR: 2.29, CI: 2.23-2.36), or small-for-gestational age (AOR: 1.64, CI: 1.58-1.70) infant. Infants born to mothers who did not receive any PNC had significantly higher median inpatient hospitalization charges at birth than those born to mothers receiving adequate PNC ($2,580 vs. $1,862; p<0.01). Conclusions: Lack of adequate PNC is associated with adverse birth outcomes and higher inpatient hospitalization costs. To reduce the likelihood of adverse pregnancy outcomes, health care professionals should be diligent in educating women who are at risk of not receiving adequate PNC.
Public health or related research
Describe factors associated with not receiving prenatal care.
Identify demographic, behavioral, and clinical conditions associated with adverse birth outcomes.
Discuss the importance of prenatal care and the adverse impact of not receiving prenatal care.
Keyword(s): Prenatal Care, Infant Health
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I earned a doctorate in Sociology with concentrations in demography, development, and health outcomes. My current research interests include examining the behavioral, socioeconomic and structural determinants of nutrition and health outcomes. I am also interested in investigating the pathways through which ethnicity affects health outcomes, access to and use of healthcare services.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.