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Published on: January 12, 2018
Barriers to prenatal care in a multiethnic, urban sample
Journal of Nurse-Midwifery
|March 1, 1991
Summary
Systemic, patient-related, and financial issues were key barriers preventing women from accessing prenatal care. Cultural behaviors also impacted birth weight, regardless of prenatal care access.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Sociology
Background:
- Prenatal care is crucial for maternal and infant health.
- Barriers to accessing prenatal care disproportionately affect vulnerable populations.
- Understanding these barriers is essential for improving healthcare access.
Purpose of the Study:
- To identify and analyze the primary barriers preventing women from obtaining prenatal care.
- To examine the influence of demographic factors on prenatal care access.
- To explore the relationship between prenatal care, cultural behaviors, and birth weight.
Main Methods:
- A retrospective study of 2,987 women delivered at a major urban medical center.
- Analysis of a study group of 227 women (7.6%) who did not receive any prenatal care.
- Categorization of barriers into systemic, patient-related, and financial factors.
Main Results:
- Systemic (35.5%), patient-related (35.5%), and financial (29%) barriers were the most significant obstacles to prenatal care access.
- Ethnic group, marital status, and education level were found to influence prenatal care access.
- Maternal age did not significantly impact access to prenatal care.
- While low birth weight rates were higher in the group without prenatal care, cultural behaviors also played a role in birth weight outcomes.
Conclusions:
- Addressing systemic, patient-related, and financial barriers is critical to improving prenatal care utilization.
- Healthcare interventions should consider the influence of ethnicity, marital status, and education on access.
- Cultural factors significantly influence birth weight, independent of prenatal care receipt, highlighting the need for culturally sensitive health education.
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