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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 4/2013

01-05-2013

Disparate Patterns of Prenatal Care Utilization Stratified by Medical and Psychosocial Risk

Authors: Elizabeth E. Krans, Matthew M. Davis, Christie L. Palladino

Published in: Maternal and Child Health Journal | Issue 4/2013

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Abstract

To evaluate patterns of prenatal care utilization stratified by medical and psychosocial risk. A retrospective cohort of 786 pregnant women who subsequently delivered live births from 1999 to 2003 at the University of Michigan were classified into high medical, high psychosocial, high medical and high psychosocial (dual high risk) and low-risk pregnancies. Chi-square and logistic regression analyses assessed the association between risk and prenatal care utilization using the Kotelchuck Index. Of 786 pregnancies, 202 (25.7 %) were high medical risk, 178 (22.7 %) were high psychosocial risk, 227 (28.9 %) were dual high risk and 179 (22.8 %) were low-risk. Over 31 % of dual high risk and 25 % of high medical risk pregnancies received “adequate plus” prenatal care versus 10 % of high psychosocial risk pregnancies. In multivariate analyses, adjusted for risk, race and insurance, high psychosocial risk pregnancies (OR = 1.69; 95 % CI 1.06–2.72) were significantly more likely to receive inadequate prenatal care than care of greater intensity. Many high psychosocial risk pregnancies do not receive adequate prenatal care.
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Metadata
Title
Disparate Patterns of Prenatal Care Utilization Stratified by Medical and Psychosocial Risk
Authors
Elizabeth E. Krans
Matthew M. Davis
Christie L. Palladino
Publication date
01-05-2013
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 4/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-012-1040-9

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