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Routine Health Care Utilization and Prenatal Care Adequacy in Mississippi Mothers.

Mary M McBride1, Katie C Hall1, Seth T Lirette2

  • 1School of Nursing, University of Mississippi Medical Center, Jackson, Mississippi.

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Summary

Engaging in routine health care before pregnancy boosts the chances of receiving adequate prenatal care (PNC). This is crucial for improving maternal and infant outcomes, especially in Mississippi.

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Area of Science:

  • Public Health
  • Maternal Health
  • Health Services Research

Background:

  • Routine health care before pregnancy is vital for identifying risks.
  • Adequate prenatal care (PNC) is essential for mitigating adverse maternal and infant outcomes.
  • Mississippi faces challenges with maternal and infant mortality rates.

Purpose of the Study:

  • To examine the relationship between pre-pregnancy health care utilization and PNC adequacy.
  • To investigate the association between PNC adequacy and gestational age at birth.
  • To analyze these relationships in Mississippi residents.

Main Methods:

  • Cross-sectional analysis of Mississippi Pregnancy Risk Assessment Monitoring System data (2016-2021).
  • Used descriptive statistics, correlational analysis, and generalized linear models.
  • Prenatal care adequacy was assessed using the Kessner Index.

Main Results:

  • 52% of participants utilized routine health care pre-pregnancy.
  • Pre-pregnancy health care use was linked to higher odds of adequate PNC (p = .009).
  • Health insurance, higher income, and white race were associated with increased likelihood of adequate PNC.

Conclusions:

  • Routine pre-pregnancy health care utilization significantly increases the probability of receiving adequate PNC.
  • Healthcare providers should leverage pre-pregnancy visits to address health concerns.
  • Further research into barriers to routine health care is needed to address high mortality rates.