Assessing the Impact of the SOGC Recommendations to Increase Access to prenatal Screening on Overall Use of Health Resources in Pregnancy

Metcalfe, Amy; Lix, Lisa M.; Johnson, Jo‐Ann; Bernier, François P.; Currie, Gillian; Lyon, Andrew W.; Tough, Suzanne

doi:10.1016/s1701-2163(15)30935-x

Cited by 2 publications

(4 citation statements)

References 39 publications

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“…In particular, screening tests reduce the mother's weight gain, alcohol consumption, and hospital admissions during pregnancy. This is consistent with the view that greater access to prenatal tests may have downstream effects on the use of other prenatal services and on the health outcomes of pregnant women (Metcalfe et al 2013). In contrast, we do not find any effects of prenatal screening tests on the health status of newborns at delivery.…”

Section: Introductionsupporting

confidence: 91%

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The effect of co-payments on the take-up of prenatal tests

Giacomo

Piacenza

Siciliani

et al. 2022

Journal of Health Economics

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Section: Introductionsupporting

confidence: 91%

“…These effects might be explained by the behavioral channel of the new policy improving prenatal care (e.g. through a greater use of related prenatal care services, Metcalfe et al 2013), which in turn affects health outcomes.…”

Section: Women's and Newborns' Health Outcomesmentioning

confidence: 99%

The effect of co-payments on the take-up of prenatal tests

Giacomo

Piacenza

Siciliani

et al. 2022

Journal of Health Economics

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“…Records estimate that, depending on the age group, between 35·8 and 68·8% of pregnant women living in BC, Canada, chose to participate in the genetic screening programme in 2015 ( 44 ) . Yet, the women participating in the programme might be older, have experienced previous pregnancy complications, or may be more anxious, educated or health conscious than the general population of pregnant women ( 43 , 79 ) . We conclude that although women were not actively recruited, the study may have a sampling bias and thus, may not be representative of the general population.…”

Section: Discussionmentioning

confidence: 99%

“…This retrospective cohort study utilised residual serum samples, which had been routinely collected during prenatal genetic screening in British Columbia (BC), Canada (BC Prenatal Genetic Screening Program ( 42 ) ). The programme is offered free of charge and to all pregnant women residing in BC (Canada) ( 43 ) . Participation is entirely voluntary and ranges from 38·5 % among pregnant women aged 20–24 years to 68·8 % among those aged 35–39 years ( 44 ) .…”

Section: Methodsmentioning

confidence: 99%

Pregnant women of South Asian ethnicity in Canada have substantially lower vitamin B₁₂status compared with pregnant women of European ethnicity

et al. 2017

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Maternal vitamin B12 (B12) status has been inversely associated with adverse pregnancy outcomes and positively with fetal growth and infant development. South Asians, Canada's largest ethnic minority, are prone to B12 deficiency. Yet, data are lacking on B12 status in South Asian pregnant women in North America. We sought to determine B12 status, using multiple biomarkers, in 1st and 2nd trimester pregnant women of South Asian and, for comparison, European ethnicity living in Vancouver, Canada. In this retrospective cohort study, total B12, holotranscobalamin (holoTC), methylmalonic acid (MMA), and total homocysteine concentrations were quantified in two routinely collected (mean gestational week: 11·5 (range 8·3-13·9) and 16·5 (range 14·9-20·9)), banked serum samples of 748 healthy pregnant South Asian (n 371) and European (n 377) women. South Asian pregnant women had significantly lower B12 status than European pregnant women at both time points, as indicated by lower serum total B12 and holoTC concentrations, and higher MMA concentrations (all P≤0·001). The largest difference, which was substantial (Cohen's d≥0·5), was observed in mean serum total B12 concentrations (1st trimester: 189 (95 % CI 180, 199) v. 246 (95 % CI 236, 257) pmol/l; 2nd trimester: 176 (95 % CI 168, 185) v. 226 (95 % CI 216, 236) pmol/l). Further, South Asian ethnicity was a significant negative predictor of B12 status during pregnancy. South Asian women living in Vancouver have substantially lower B12 status during early pregnancy. Future research identifying predictors and health consequences of this observed difference is needed to allow for targeted interventions.

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Assessing the Impact of the SOGC Recommendations to Increase Access to prenatal Screening on Overall Use of Health Resources in Pregnancy

Cited by 2 publications

References 39 publications

The effect of co-payments on the take-up of prenatal tests

The effect of co-payments on the take-up of prenatal tests

Pregnant women of South Asian ethnicity in Canada have substantially lower vitamin B₁₂status compared with pregnant women of European ethnicity

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Assessing the Impact of the SOGC Recommendations to Increase Access to prenatal Screening on Overall Use of Health Resources in Pregnancy

Cited by 2 publications

References 39 publications

The effect of co-payments on the take-up of prenatal tests

The effect of co-payments on the take-up of prenatal tests

Pregnant women of South Asian ethnicity in Canada have substantially lower vitamin B12status compared with pregnant women of European ethnicity

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Product

Resources

About

Pregnant women of South Asian ethnicity in Canada have substantially lower vitamin B₁₂status compared with pregnant women of European ethnicity