Delayed entry into prenatal care among women with pre-pregnancy health conditions, National Birth Defects Prevention Study, 1997-2011.
Delayed entry into prenatal care among women with pre-pregnancy health conditions, National Birth Defects Prevention Study, 1997-2011.
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DOI：
10.1016/j.ypmed.2022.107272
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发表时间：
2022-11
影响因子：
5.1
通讯作者：
Natl Birth Defects Prevention Study
中科院分区：
文献类型：
--
作者：
Simeone, Regina M.;Reefhuis, Jennita;Jamieson, Denise J.;Drews-Botsch, Carolyn D.;Lash, Timothy L.;Fisher, Sarah C.;Howley, Meredith M.;Evans, Shannon;Howards, Penelope P.;Natl Birth Defects Prevention Study
关键词：
建议所有妇女，特别是有孕前疾病的妇女，在妊娠早期进行产前护理。我们的目的是确定有孕前健康状况的妇女是否比没有孕前健康状况的妇女在孕早期进入产前护理（延迟进入）的风险更低。我们使用了10890名参与国家出生缺陷预防研究的人的数据，他们都是没有出生缺陷的活产婴儿。妇女在计算机辅助电话采访中报告了孕前状况和进入产前护理的时间。进行多变量logistic回归分析，以评估与没有孕前状况的妇女相比，有孕前状况是否与延迟进入产前护理有关。大约13%的妇女报告延迟进入产前护理，18%的妇女报告怀孕前的状况。延迟进入产前护理与孕前心脏代谢或神经系统疾病无关。患有甲状腺疾病的妇女报告延迟进入产前护理的可能性较小（患病率优势比（OR）， 95%可信区间（CI）： 0.55[0.32, 0.94]），但患有血液和呼吸疾病的妇女报告延迟进入产前护理的可能性更大（OR分别为1.95[1.00,3.82]和1.27[0.95,1.72]）。未来对甲状腺疾病妇女早期产前护理成功与否的研究，可以确定减少其他孕前疾病妇女产前护理延迟的方法。
First trimester entry into prenatal care is recommended for all women, and especially women with pre-pregnancy conditions. Our objective was to determine whether women with pre-pregnancy conditions were at lower risk of entry after the first trimester (delayed entry) into prenatal care than women without a pre-pregnancy health condition. We used data from 10,890 participants in the National Birth Defects Prevention Study who delivered liveborn infants without birth defects. Women reported pre-pregnancy conditions and timing of entry into prenatal care during a computer-assisted telephone interview. Multivariable logistic regression analyses were conducted to evaluate whether having a pre-pregnancy condition was associated with delayed entry into prenatal care compared to women without pre-pregnancy conditions. Approximately 13% of women reported delayed entry into prenatal care, and 18% of women reported a pre-pregnancy condition. Delayed entry into prenatal care was not associated with pre-pregnancy cardiometabolic or neurologic conditions. Women with thyroid conditions were less likely to report delayed entry into prenatal care (prevalence odds ratio (OR), 95% confidence interval (CI): 0.55 [0.32, 0.94]), but women with hematologic and respiratory conditions were more likely to report delayed entry into prenatal care (OR: 1.95 [1.00, 3.82] and 1.27 [0.95, 1.72], respectively), compared to those without any chronic conditions. Future research investigating the success of early prenatal care among women with thyroid conditions could identify ways to reduce delayed prenatal care among women with other pre-pregnancy conditions.
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DOI：
10.2147/ijwh.s98973
发表时间：
2016
期刊：
International journal of women's health
影响因子：
--
作者：
Borgelt LM;Hart FM;Bainbridge JL
通讯作者：
Bainbridge JL
影响因子：
9.7
作者：
Daw, Jamie R.;Winkelman, Tyler N. A.;Admon, Lindsay K.
通讯作者：
Admon, Lindsay K.
影响因子：
7.2
作者：
Braveman, P;Marchi, K;Neuhaus, J
通讯作者：
Neuhaus, J
影响因子：
1.6
作者：
GOLDENBERG, RL;PATTERSON, ET;FREESE, MP
通讯作者：
FREESE, MP
影响因子：
2.5
作者：
Ayoola, Adejoke B.;Nettleman, Mary D.;Canady, Renee B.
通讯作者：
Canady, Renee B.