TY - JOUR
T1 - Factors associated with prenatal care use among peripartum women in the mother-infant rapid intervention at delivery study
AU - Potter, Jo Nell Efantis
AU - Pereyra, Margaret
AU - Lampe, Margaret
AU - Rivero, Yvette
AU - Danner, Susan P.
AU - Cohen, Mardge H.
AU - Bradley-Byers, Angela
AU - Webber, Mayris P.
AU - Nesheim, Steven R.
AU - O'sullivan, Mary Jo
AU - Jamieson, Denise J.
N1 - Funding Information:
Supported by the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC under cooperative agreements U64/217724, 417719, 517715, 617734, and 479935.
PY - 2009
Y1 - 2009
N2 - Objective: To evaluate factors associated with receiving prenatal care among women who present in labor without human immunodeficiency virus documentation using the results of a previous study, Mother-Infant Rapid Intervention at Delivery. Design: Prospective, multicenter study. Setting: Eighteen hospitals in the United States. Participants: The present analysis is based on 667 peripartum women who completed a face-to-face interview after delivery. For purposes of this analysis, human immunodeficiency virus-infected and human immunodeficiency virus-uninfected women were considered together as the "study group." Methods: The original study, Mother-Infant Rapid Intervention at Delivery, offered rapid human immunodeficiency virus testing to women in labor without human immunodeficiency virus testing documentation at 18 hospitals in the United States. This secondary study evaluated factors related to prenatal care, among participants who agreed to an interview after delivery. Results: Interviews were completed by 667 women. Of these, 26.8% reported no prenatal care before admission to labor and delivery. These women were more likely to have been born in the United States, have other children, used alcohol, and reported being unhappy. Those who reported receiving prenatal care were more likely to have had Medicaid, stronger social support, and reported good health. Conclusion: Women who are unlikely to receive prenatal care lack social support and are more likely to have additional social stressors. Medicaid may provide an important safety net to enhance access to care, because those with Medicaid were more likely to receive prenatal care. Further research is necessary to identify nontraditional models of care to enhance outreach to women at risk for no prenatal care.
AB - Objective: To evaluate factors associated with receiving prenatal care among women who present in labor without human immunodeficiency virus documentation using the results of a previous study, Mother-Infant Rapid Intervention at Delivery. Design: Prospective, multicenter study. Setting: Eighteen hospitals in the United States. Participants: The present analysis is based on 667 peripartum women who completed a face-to-face interview after delivery. For purposes of this analysis, human immunodeficiency virus-infected and human immunodeficiency virus-uninfected women were considered together as the "study group." Methods: The original study, Mother-Infant Rapid Intervention at Delivery, offered rapid human immunodeficiency virus testing to women in labor without human immunodeficiency virus testing documentation at 18 hospitals in the United States. This secondary study evaluated factors related to prenatal care, among participants who agreed to an interview after delivery. Results: Interviews were completed by 667 women. Of these, 26.8% reported no prenatal care before admission to labor and delivery. These women were more likely to have been born in the United States, have other children, used alcohol, and reported being unhappy. Those who reported receiving prenatal care were more likely to have had Medicaid, stronger social support, and reported good health. Conclusion: Women who are unlikely to receive prenatal care lack social support and are more likely to have additional social stressors. Medicaid may provide an important safety net to enhance access to care, because those with Medicaid were more likely to receive prenatal care. Further research is necessary to identify nontraditional models of care to enhance outreach to women at risk for no prenatal care.
KW - Accessto care
KW - HIV testing and pregnancy
KW - Perinatal outcomes
KW - Prenatal care
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U2 - 10.1111/j.1552-6909.2009.01049.x
DO - 10.1111/j.1552-6909.2009.01049.x
M3 - Article
C2 - 19883475
AN - SCOPUS:70149084147
SN - 0884-2175
VL - 38
SP - 534
EP - 543
JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
IS - 5
ER -