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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Scheduling the first prenatal visit: office-based delays.

Mary D Nettleman¹, Jennifer Brewer, Misty Stafford

¹Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI 48823, USA. mary.nettleman@ht.msu.edu

American Journal of Obstetrics and Gynecology

|July 21, 2010

Summary

Office-based delays in initial prenatal care appointments are common, with many clinics scheduling visits later than recommended. This study highlights a need for standardized early pregnancy advice to improve timely prenatal care access.

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The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo

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Published on: August 2, 2017

Area of Science:

Obstetrics and Gynecology
Public Health
Healthcare Access

Background:

Timely initiation of prenatal care is crucial for positive maternal and infant outcomes.
Existing research indicates delays in accessing prenatal services, but office-based scheduling practices require further investigation.

Purpose of the Study:

To evaluate the extent of delays in scheduling the first prenatal visit within office-based obstetrics practices.
To identify potential barriers to timely entry into prenatal care from the provider's perspective.

Main Methods:

A commercial list was used to obtain phone numbers for obstetrics offices in a single state.
A research assistant, posing as a newly pregnant, insured woman, inquired about the recommended timing for the first prenatal visit.

Main Results:

86% of surveyed offices provided information, with recommended first appointments averaging 6.37 weeks of gestation.
25% of clinics suggested appointments at or after 8 weeks of gestation.
Scheduling calls offered minimal prenatal advice; less than 5% inquired about smoking, alcohol, or medical conditions, and 88% did not mention prenatal vitamins.

Conclusions:

Significant delays in scheduling initial prenatal visits occur in a substantial number of obstetrics offices, even for well-insured patients.
There is a clear need for standardized protocols and advice regarding early pregnancy care within clinical settings.