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Published on: January 27, 2010
First-time mothers' perceptions of prenatal care services
L Bucher1, S Williams, E Hayes
1College of Nursing, University of Delaware, Newark 19716, USA.
Applied Nursing Research : ANR
|May 1, 1997
Summary
Primiparas receiving inadequate prenatal care, especially regarding birth control and infant feeding information, were more likely to have low birth weight (LBW) infants. Transportation and finances were key barriers to prenatal care access.
Area of Science:
- Maternal and Child Health
- Public Health
- Obstetrics
Background:
- Inadequate prenatal care is associated with adverse infant outcomes, including low birth weight (LBW) and infant mortality.
- Primiparas (first-time mothers) represent a key demographic for understanding prenatal care needs and utilization.
- Previous research highlights the link between socioeconomic factors and access to healthcare services.
Purpose of the Study:
- To investigate the experiences of primiparas with prenatal care services.
- To identify factors associated with the need for, availability, accessibility, and use of prenatal care among primiparas.
- To explore the relationship between prenatal care experiences and infant birth weight.
Main Methods:
- Secondary analysis of a larger study involving 426 participants.
- Focus on a subset of 141 primiparas.
- Examination of reported need, availability, accessibility, and use of prenatal care services.
Main Results:
- Primiparas delivering LBW infants reported lower satisfaction with information on birth control and infant feeding.
- Transportation and financial constraints were more frequently cited as barriers to prenatal care by mothers of LBW infants.
- Attendance at childbirth preparation classes emerged as the sole significant predictor of infant birth weight.
Conclusions:
- Prenatal care information, particularly on birth control and infant feeding, is crucial for primiparas to potentially influence birth outcomes.
- Addressing transportation and financial barriers is essential to improve prenatal care access for vulnerable populations.
- Childbirth preparation classes may play a vital role in promoting healthier birth weights.
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