Unplanned Pregnancy as a Major Determinant in Inadequate Use of Prenatal Care

Delgado-Rodrı́guez, Miguel; Gómez-Olmedo, Montserrat; Bueno‐Cavanillas, Aurora; Gálvez-Vargas, Ramón

doi:10.1006/pmed.1997.0217

Cited by 66 publications

(39 citation statements)

References 12 publications

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“…This finding can be particularly relevant for adolescents in general with 80% reporting an unplanned pregnancy (Unintended pregnancy 2011). An unplanned pregnancy has been found to be a risk factor for partner violence (LoGiudice 2014) and a major determinant in the inadequate use of PNC (Delgado-Rodriquez et al 1997). …”

Section: Discussionmentioning

confidence: 99%

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Anderson

Rahn

2016

J Child Fam Stud

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Prenatal care (PNC) defined in a "broader" sense includes assessment to improve early, continuous care with address of social risk factors such as violence (Moos 2006). Often PNC visits provide the only window of opportunity to address content reflective of the psychosocial dimension of care, including violence and depression prior to birth. If PNC is inadequate, critical social assessments are limited and interventions are not implemented.Further, without PNC, important birthing information to prepare one for labor and birth is not provided increasing the potential for birth related trauma or posttraumatic stress disorder, PTSD (Leeds and Hargreaves 2008).

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Section: Discussionmentioning

confidence: 99%

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Anderson

Rahn

2016

J Child Fam Stud

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“…Furthermore, a number of intrinsic psychosocial or cultural barriers to early initiation of antenatal care have been reported. These include an unwanted pregnancy 23,25,33,38,39 , failure to recognise pregnancy symptoms 17 -19,24,25,35 , fear of parental response 35 and fear of drug use being detected 40 . The majority of the studies published to date have been conducted in the United States.…”

Section: Bjog: An International Journal Of Obstetrics and Gynaecologymentioning

confidence: 99%

Clinical, provider and sociodemographic predictors of late initiation of antenatal care in England and Wales

Kupek

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To identify factors that are predictive of late initiation of antenatal care in England and Wales.Design A multivariate binomial regression model was constructed to examine the association between clinical, provider and sociodemographic characteristics and late initiation of antenatal care. Setting Nine maternity units in Northern England and North Wales.Population A total of 20,771 women with a singleton pregnancy who delivered a liveborn or stillborn baby between 1 August 1994 and 31 July 1995. All analyses were based on the 17,765 (85.5%) women for whom information on gestational age at initial presentation for antenatal care and other variables incorporated into the regression model was retrievable from the case records. Results Primiparous women of high obstetric risk were 13.4% more likely to initiate antenatal care after 10 weeks of gestation than a low risk reference group (adjusted OR 1.134, 95% CI 1.011, 1.272; P ¼ 0.0312), and 34.3% more likely to initiate antenatal care after 18 weeks of gestation (adjusted OR 1.343, 95% CI 1.046, 1.724; P ¼ 0.0208). This association between high obstetric risk status and late initiation of antenatal care was not replicated among multiparous women. When the effects of other independent variables on gestational age at booking were examined, the following characteristics were associated with failure to initiate antenatal care by 10 weeks of gestation ( P 0.05): maternal age at booking, smoking status, ethnicity, type of hospital at booking, the planned pattern of antenatal care and the planned place of delivery. Adopting a criterion of 18 weeks of gestation exacerbated the association between clinical and sociodemographic characteristics and late initiation of antenatal care, but appeared to dilute the association between provider characteristics and late initiation of antenatal care. Conclusions There is a pressing need for further research to identify the specific concerns of late bookers, to identify areas where new interventions might encourage the uptake of services and to gauge the likely impact of increased dissemination of information about the availability of antenatal care services.

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“…Recent data suggest that 49%-51% of all pregnancies 1,2 and 37% of all births 3 in the United States are unintended. Such high rates of unintended pregnancy are troubling, given numerous associated negative outcomes, including inadequate prenatal care, 4,5 negative birth outcomes, [6][7][8] and adverse maternal outcomes such as postpartum depression and anxiety. 7,9,10 Recent scholarship conceptualizes pregnancy as a life event that is best understood using a lifecourse perspective with special attention to its antecedents and its subsequent effects on the lives of women.…”

Section: Introductionmentioning

confidence: 99%

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Everett

McCabe

Hughes

2016

Journal of Women's Health

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Context: Unintended pregnancy is a stressful life event with important implications for women's health. Little research has examined sexual minority women's (SMW; lesbian, bisexual, mostly heterosexual) experiences of unintended pregnancy, and no studies have examined the relationship between unintended pregnancy, mental health, and negative coping behaviors in this population. Methods: We used the Chicago Health and Life Experiences of Women (CHLEW) Study (n = 454), a diverse sample of SMW, to examine the relationship between self-reported unintended pregnancy, depressive symptoms, and hazardous drinking. We used generalized linear model-building techniques and adjusted for key sociodemographic controls, as well as unintended pregnancy risk factors, including childhood physical and sexual abuse and age of sexual debut. Results: Twenty-four percent of the sample reported an unintended pregnancy. SMW who reported unintended pregnancies also reported significantly more depressive symptoms and greater risk of hazardous drinking. Adjusting for childhood abuse explained the relationship between unintended pregnancy and depressive symptoms, but not the relationship between unintended pregnancy and hazardous drinking. Conclusions: Unintended pregnancy among SMW is an understudied topic. Our results suggest that unintended pregnancy is not uncommon among SMW and highlight the need for more research to investigate the mechanisms that link unintended pregnancy to depression and to hazardous drinking within this population.

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Unplanned Pregnancy as a Major Determinant in Inadequate Use of Prenatal Care

Cited by 66 publications

References 12 publications

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Clinical, provider and sociodemographic predictors of late initiation of antenatal care in England and Wales

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

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