Online Program

Opportunities for health promotion: Discussing health topics during prenatal care visits, 2011 Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS)

Monday, November 2, 2015

Mina Qobadi, Epidemiology, Jackson State University, Jackson, MS
Lei Zhang, PhD, MSc, MBA, Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Mohammad Shahbazi, PhD, MPH, MCHES, Jackson State University, Jackson, MS

Background: Although prenatal care visits are an opportunity for a health care provider to discuss a variety of health topics, little is known about healthcare discussion during prenatal care visits in Mississippi.

Research Question: Will healthcare discussion during prenatal care visit affect maternal behavior engagement during or after pregnancy?   

Methods: The 2011 Mississippi PRAMS data (n=1,186) were analyzed. Descriptive statistics, Chi-square tests and logistic regressions were done using SAS 9.3 Proc Survey procedure (SAS Institute, Cary, NC, USA).

Results: Among all mothers with a recent delivery, 42.6% took multivitamin, 74.3% had HIV test, 65.5% had birth defect test during pregnancy; 90.0% used birth control after delivery and 51.1% breastfed their infant. Among those mothers, 50.6% had discussion on taking multivitamin, 75.4% on HIV test, 89% on birth defect test, 65.7% on using birth control and 90.0% on breast feeding with their health care provider. After controlling for socio-demographic characteristics, mothers reporting of prenatal care discussion of multivitamin intake, HIV test, birth defect screening and postpartum birth control were more likely to take multivitamin (OR=2.8,  98% CI=1.8-4.4), receive HIV test (OR=20.8, 95% CI=9.9-43.8) and birth defect screening (OR=4.3, 95% CI=1.9-9.3) during pregnancy and use birth control after delivery (OR=1.6, 95% CI=1.1-2.5) compared to those not reporting the discussion of these issues. However, there was no significant relationship between discussing breastfeeding with healthcare providers and breastfeeding experience (p=0.48).

Conclusion: Healthcare discussion is significantly associated with maternal behaviors indicating a strong need for increased efforts in health communication during prenatal care visits.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Assess the current estimates of maternal behaviors during and after pregnancy in Mississippi. Identify healthcare discussion as a significant predictor of developing maternal behaviors. Discuss how healthcare discussion during prenatal care visits has implications for maternal child health promotion.

Keyword(s): Health Promotion and Education, Prenatal Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm a doctoral student in Epidemiology conducting research on maternal child health for more than 5 years.In addition, I have designed, conducted, analyzed and disseminated research specific to health literacy and healthcare communication.
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.