Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 4/2010

01-07-2010

Impact of a Mobile Van on Prenatal Care Utilization and Birth Outcomes in Miami-Dade County

Authors: Erin O’Connell, Guoyan Zhang, Fermin Leguen, Jennifer Prince

Published in: Maternal and Child Health Journal | Issue 4/2010

Login to get access

Abstract

The study aimed to determine if there was a difference in prenatal care utilization and birth outcomes among demographically similar women who used or did not use a mobile van for prenatal care. Mothers who utilized the mobile van at least one time for their prenatal care and delivered between August 2007 through September 2008 were considered the Mobile group (n = 182) and a Comparison group of the same size who delivered within the same time period was randomly matched by sociodemographic characteristics. Birth data was obtained from Florida Department of Health Office of Vital Statistics and from the mobile clinic’s Health Management System (HMS) database. Nearly 95% of mothers in both groups were foreign born, with the majority from Mexico. The evaluation of prenatal care showed that there was a significant difference (P = 0.0006) in the trimester in which mothers began care. Both the Kessner (P = 0.0003) and Kotelchuck (<0.0001) Indices demonstrated a statistically significant difference in that more mothers in the Mobile group had adequate care. Birth weight distribution did not reveal a statistically significant difference (P = 0.0911) however the Mobile group did have a lower percentage of low birth weight infants (4.4% vs. 8.8%). There was a statistically significant difference in the amount of pre-term births (P = 0.0492) between the groups. The results suggest that a mobile van can be used to improve both early access to adequate prenatal care as well as birth outcomes such as prematurity.
Literature
1.
U.S. Census Bureau: State and County QuickFacts. (2008). Population estimates, census of population and housing, small area income and poverty estimates, state and county housing unit estimates, county business patterns, nonemployer statistics, economic census, survey of business owners, building permits, consolidated federal funds report, Revised 2008. http://​quickfacts.​census.​gov/​qfd/​states/​12/​12086.​html.
2.
3.
4.
McCormick, M. C., et al. (1992). The health and developmental status of very low-birth-weight children at school age. JAMA, 267(16), 2204–2208.CrossRefPubMed
5.
6.
Stephenson, T., & Symonds, M. E. (2002). Maternal nutrition as a determinant of birth weight. Archives of Disease in Childhood- Fetal and Neonatal Edition, 86, F4–F6.CrossRefPubMed
7.
Negi, K., et al. (2006). Epidemiological factors affecting low birth weight. Journal of Medical Education, 8, 31–34.
8.
Alexander, G., & Korenbrot, C. (1995). The role of prenatal care in preventing low birth weight. Future of Children, 5(1), 103–120.CrossRefPubMed
9.
Lee, E., & O’Neal, S. (1994). A mobile clinic experience: Nurse practitioners providing care to a rural population. Journal of Pediatric Health Care, 8(1), 12–17.CrossRefPubMed
10.
Reguero, W., & Crane, M. (1994). Project MotherCare: One hospital’s response to the high perinatal death rate in New Haven, CT. Public Health Reports, 109, 647–652.PubMed
11.
Edgerley, L., et al. (2007). Use of a community mobile health van to increase early access to prenatal care. Maternal and Child Health Journal, 11, 235–239.CrossRef
12.
Institute of Medicine, Subcommittee on Nutritional Status and Weight Gain during Pregnancy. (1990). Nutrition during pregnancy. Washington, DC: National Academy of Sciences.
13.
Institute of Medicine, National Academy of Sciences. (1973). Infant deaths, an analysis by maternal risk and health care. Contrasts in health status. Washington, DC: Institute of Medicine.
14.
Alexander, G., & Kotelchuck, M. (1996). Quantifying the adequacy of prenatal care: A comparison of indices. Public Health Reports, 111, 408–418.PubMed
15.
16.
Mobile Health Units. (2006, May). Methodological approach. Geneva, Switzerland: ICRC.
17.
Loue, S. (1992). Access to health care and the undocumented alien. Journal of Legal Medicine, 13, 271–332.CrossRef
18.
Passel, J., & Cohn, D. (2009). A portrait of unauthorized immigrants in the United States. Washington, DC: Pew Hispanic Center. April.
19.
Kuiper, H., et al. (1999). The communicable disease impact of eliminating publicly funded prenatal care for undocumented immigrants. Maternal and Child Health Journal, 3, 39–52.CrossRef
20.
Lu, M. C., et al. (2000). Elimination of public funding of prenatal care for undocumented immigrants in California: A cost/benefit analysis. American Journal of Obstetrics and Gynecology, 182(1), 233–239.CrossRefPubMed
21.
Huntington, J., & Connell, F. A. (1994). For every dollar spent- the cost savings argument for prenatal care. NEJM, 331, 1303–1307.CrossRefPubMed
22.
Page, R. L. (2004). Positive pregnancy outcomes in Mexican immigrants: What can we learn? Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33(6), 783–790.CrossRefPubMed
23.
Cobas, J., et al. (2006). Acculturation and low birthweight infants among Latino women: A reanalysis of HHANES data with structural equation models. American Journal of Public Health, 86, 394–396.CrossRef
24.
Zukevas, A., et al. (2000). Mexican American infant mortality rate: Implications for public policy. Journal of Health Care for the Poor and Underserved, 11, 243–257.
25.
Joseph, K., et al. (2007). Reconciling the high rates of preterm and postterm birth in the United States. American Journal of Obstetrics and Gynecology, 109, 813–822.
26.
Metadata
Title
Impact of a Mobile Van on Prenatal Care Utilization and Birth Outcomes in Miami-Dade County
Authors
Erin O’Connell
Guoyan Zhang
Fermin Leguen
Jennifer Prince
Publication date
01-07-2010
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 4/2010
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-009-0496-8

Other articles of this Issue 4/2010

Maternal and Child Health Journal 4/2010 Go to the issue

OriginalPaper

Pregnancy Intention and Health Behaviors: Results from the Central Pennsylvania Women’s Health Study Cohort

OriginalPaper

Consumption of Alcoholic Beverages Among Pregnant Urban Ugandan Women

OriginalPaper

Associations of Parent Coping, Stress, and Well-Being in Mothers of Children with Diabetes: Examination of Data from a National Sample

ContinuingEducation

The UNC-CH MCH Leadership Training Consortium: Building the Capacity to Develop Interdisciplinary MCH Leaders

OriginalPaper

National Disparities in the Quality of a Medical Home for Children

OriginalPaper

Healthy Eating and Harambee: Curriculum Development for a Culturally-Centered Bio-Medically Oriented Nutrition Education Program to Reach African American Women of Childbearing Age