Characteristics of Women Who Do Not Seek Prenatal Care and Implications for Prevention

Characteristics of Women Who Do Not Seek Prenatal Care and Implications for Prevention
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DOI:
10.1111/j.1552-6909.2009.01004.x
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发表时间:
2009-03-01
影响因子:
1.8
通讯作者:
Rosenthal, Miriam
Rosenthal, Miriam
中科院分区:
医学4区
文献类型:
--
作者:
Friedman, Susan Hatters;Heneghan, Amy;Rosenthal, Miriam

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描述无产前检查妇女的特征及其不寻求产前检查的原因。回顾性记录回顾。城市学术医疗中心。无产前检查的妇女,其怀孕达到第三个三个月,到医院分娩或产后立即7年。记录回顾因素包括社会人口学因素,妊娠/流产/流产史,社会支持,在211名未接受产前检查的妇女中,主要原因是:30%的妇女有滥用药物的问题,29%的妇女否认怀孕,18%的妇女有经济原因,9%的妇女隐瞒怀孕,6%的人认为由于多产,他们不需要产前护理。妇女与物质使用障碍显着更有可能是老年人,失业multipregavidas.Nurses应针对特定群体的妇女进行教育和干预的基础上,他们的理由不寻求产前护理。
To describe characteristics of women without prenatal care and their reasons for not seeking prenatal care.Retrospective record review.Urban, academic medical center.Women without prenatal care whose pregnancies reached the third trimester, who presented to the hospital for delivery or immediately postpartum for a 7 year period.Records were reviewed for factors including socio-demographic factors, history of pregnancy/miscarriage/abortion, social supports, abuse history, history of substance use, toxicology results, history of mental illness or mental retardation, and the reason for lack of prenatal care.Among 211 women with no prenatal care, the primary reasons were noted: 30% had problems with substance use; 29% experienced denial of pregnancy; 18% had financial reasons; 9% concealed pregnancy; and 6% believed they did not need prenatal care due to multiparity. Women with substance use disorders were significantly more likely to be older, unemployed multigravidas.Nurses should target specific groups of women for education and intervention based on their rationale for not seeking prenatal care.