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Understanding low-income African American women's expectations, preferences, and priorities in prenatal care

Brownsyne Tucker Edmonds1, Marjie Mogul, Judy A Shea

  • 1Indiana University School of Medicine, Obstetrics & Gynecology, Indianapolis (Dr Tucker Edmonds); Maternity Care Coalition, Philadelphia, Pennsylvania (Dr Mogul); and University of Pennsylvania School of Medicine (Dr Shea).

Family & Community Health
|March 5, 2015
PubMed

We aimed to explore factors affecting prenatal care attendance and preferences for prenatal care experiences among low-income black women by conducting a focus group study using a community-based participatory research framework and nominal group technique. Discussions were audiorecorded, transcribed, and coded by trained reviewers. Friends/family and baby's health were the top attendance motivators. Greatest barriers were insurance, transportation, and ambivalence. Facilitators included transportation services, social support, and resource education. In a "perfect system," women wanted continuity of care, personal connection, and caring/respect from providers. Relationship-centered maternity care models may mitigate disparities. Group prenatal care may provide the continuity and support system desired.

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