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Open Access 01-12-2017

First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border

Authors: Katherine Selchau, Maricela Babuca, Kara Bower, Yara Castro, Eugenie Coakley, Araceli Flores, Jonah O. Garcia, Maria Lourdes F. Reyes, Yvonne Rojas, Jason Rubin, Deanne Samuels, Laura Shattuck

Published in: Maternal and Child Health Journal | Special Issue 1/2017

Abstract

Background First trimester prenatal care (FTPNC) is associated with improved birth outcomes. U.S.-Mexico border Hispanic women have lower FTPNC than non-border or non-Hispanic women. This study aimed to identify (1) what demographic, knowledge and care-seeking factors influence FTPNC among Hispanic women in border counties served by five Healthy Start sites, and (2) what FTPNC barriers may be unique to this target population. Healthy Starts work to eliminate disparities in perinatal health in areas with high poverty and poor birth outcomes. Methods 403 Hispanic women of reproductive age in border communities of California, Arizona, New Mexico and Texas were surveyed on knowledge and behaviors related to prenatal care (PNC) and basic demographic information. Chi square analyses and logistic regressions were used to identify important relationships. Results Chi square analyses revealed that primiparous women were significantly less likely to start FTPNC than multiparous women (χ² = 6.8372, p = 0.0089). Women with accurate knowledge about FTPNC were more likely to obtain FTPNC (χ² = 29.280, p < .001) and more likely to have seen a doctor within the past year (χ² = 5.550, p = .018). Logistic regression confirmed that multiparity was associated with FTPNC and also that living in Texas was negatively associated with FTPNC (R² = 0.066, F(9,340) = 2.662, p = .005). Among 27 women with non-FTPNC, barriers included late pregnancy recognition (n = 19) and no medical insurance (n = 5). Conclusions This study supports research that first time pregnancies have lower FTPNC, and demonstrated a strong association between delayed PNC and late pregnancy recognition. Strengthened investments in preconception planning could improve FTPNC in this population.

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Title: First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border
Authors: Katherine Selchau
Maricela Babuca
Kara Bower
Yara Castro
Eugenie Coakley
Araceli Flores
Jonah O. Garcia
Maria Lourdes F. Reyes
Yvonne Rojas
Jason Rubin
Deanne Samuels
Laura Shattuck
Publication date: 01-12-2017
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue Special Issue 1/2017
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-017-2374-0

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First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border

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