scholarly journals Paging “Dr. Google”: Does Technology Fill the Gap Created by the Prenatal Care Visit Structure? Qualitative Focus Group Study With Pregnant Women

2014 ◽  
Vol 16 (6) ◽  
pp. e147 ◽  
Author(s):  
Jennifer L Kraschnewski ◽  
Cynthia H Chuang ◽  
Erika S Poole ◽  
Tamara Peyton ◽  
Ian Blubaugh ◽  
...  
Keyword(s):  
Focus Group ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Focus Group Study ◽  
Care Visit ◽  
Prenatal Care Visit

Racial disparities in recurrent preterm delivery risk: mediation analysis of prenatal care timing

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Khalidha Nasiri ◽  
Erica E. M. Moodie ◽  
Haim A. Abenhaim
Keyword(s):  
Prenatal Care ◽  
Racial Disparities ◽  
Preterm Delivery ◽  
Mediation Analysis ◽  
Hispanic Women ◽  
Population Based ◽  
Mediating Effect ◽  
Care Visit ◽  
Binomial Regression ◽  
Prenatal Care Visit

AbstractObjectivesWe estimated the degree to which the association between race and spontaneous recurrent preterm delivery is mediated by the timing of the first prenatal care visit.MethodsA retrospective population-based cohort study was conducted using the U.S. National Center for Health Statistics Natality Files. We identified 644,576 women with a prior PTB who delivered singleton live neonates between 2011 and 2017. A mediation analysis was conducted using log-binomial regression to evaluate the mediating effect of timing of first prenatal care visit.ResultsDuring the seven-year period, 349,293 (54.2%) White non-Hispanic women, 131,296 (20.4%) Black non-Hispanic women, 132,367 (20.5%) Hispanic women, and 31,620 (4.9%) Other women had a prior preterm delivery. The risk of late prenatal care initiation was higher in Black non-Hispanic women, Hispanic women, and Other women (women of other racial/ethnic backgrounds) compared to White non-Hispanic women, and the risk of preterm delivery was higher in women with late prenatal care initiation. Between 8 and 15% of the association between race and spontaneous recurrent preterm delivery acted through the delayed timing of the first prenatal care visit.ConclusionsRacial disparities in spontaneous recurrent preterm delivery rates can be partly, but not primarily, attributed to timing of first prenatal care visit.

Women's Satisfaction with Prenatal Care Settings: A Focus Group Study

Birth ◽  
1996 ◽  
Vol 23 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Arden Handler ◽  
Kristiana Raube ◽  
Michele A. Kelley ◽  
Aida Giachello
Keyword(s):  
Focus Group ◽  
Prenatal Care ◽  
Focus Group Study

scholarly journals Conhecimento de Gestantes Sobre a Síndrome Hipertensiva Gestacional

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Lia Maristela da Silva Jacob ◽  
Daniela Gardano Bucharles Mont’Alverne ◽  
Maura Cristiane e Silva Figueira ◽  
Reginaldo Roque Mafetoni ◽  
Cláudia Jeane Lopes Pimenta ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
High Pressure ◽  
Focus Group ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Cultural Context ◽  
Primary Care Professionals ◽  
In Pregnancy

Este estudo objetiva analisar os saberes de gestantes sobre a síndrome hipertensiva da gestação para criar e validaruma cartilha sobre o tema de acordo com o contexto vivenciado. Trata-se de um estudo descritivo-exploratório,qualitativo, utilizando grupos focais com gestantes assistidas no pré-natal em Fortaleza, Ceará, Brasil. Participaram oitogestantes em acompanhamento do pré-natal de baixo risco. Durante o grupo focal emergiram duas categorias: (Des)saberes sobre a pressão alta na gravidez e Dificuldades no tratamento/acompanhamento. Os resultados apontaramsaberes insuficientes, ocasionando dúvidas sobre as causas, evolução e tratamento das síndromes hipertensivas.Percebe-se a necessidade dos profissionais da atenção básica adequarem estratégias de assistência mais voltadas aossaberes e ao contexto socioeconômico e cultural das gestantes realizando ações educativas que sejam compreendidase possíveis de implementação.Palavras-chave: Gestantes; Hipertensão Induzida pela Gravidez; Promoção à Saúde; Educação em Saúde. AbstractThis study aims to analyze the knowledge of pregnant women about gestational hypertensive syndrome to create andvalidate a booklet about the theme according to the experienced context. This is a descriptive-exploratory, qualitativestudy using focal groups with pregnant women assisted in prenatal care in Fortaleza, Ceará, Brazil. Participants wereeight pregnant women attending low-risk prenatal care. During the focus group two categories emerged: (Des)knowledge about high pressure in pregnancy and Difficulties in treatment/follow-up. The results indicated insufficientknowledge, causing doubts about the causes, evolution and treatment of hypertensive syndromes. It is noticed theneed of the primary care professionals to adapt assistance strategies more focused on the knowledge and thesocioeconomic and cultural context of the pregnant women, carrying out educational actions that are understood andpossible to implement.Keywords: Pregnant Women; Hypertension, Pregnancy-Induced; Health Promotion; Health Education.

scholarly journals Dietary Diversity Practice and its Influencing Factors Among Pregnant Women in Afar Region of Ethiopia: A Cross-sectional Study Design Supplemented by Qualitative Study.

2021 ◽  
Author(s):  
Temesgen Gebeyehu Wondmeneh
Keyword(s):  
Focus Group ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Influencing Factors ◽  
Sampling Method ◽  
Family Income ◽  
Dietary Diversity ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Care Visit

Abstract Background: Women in low-income countries are frequently malnourished when they become pregnant, and the demands of pregnancy can exacerbate nutritional deficiencies, particularly micronutrient deficiencies, with serious health effects on the fetus. Antenatal nutritional supplements can help to improve birth outcomes and maternal health. As a result, determining the magnitude of dietary diversity and its influencing factors among pregnant women in the pastoral region of Afar, where no study has been conducted, is an essential in order to establish an intervention program in the region. Method: A mixed study comprising 241 pregnant women and six focus group discussions was conducted from October 1 to November 10, 2018. Participants in the quantitative study were selected by a systematic sampling method, whereas those in the focus group discussions were chosen by using purposive sampling method. The data was collected using pretested questionnaires administered via face-to-face interviews. The relationship between dietary diversity practice and its affecting factors was investigated using logistic regression analysis. The strength of the association was determined by odds ratio with a 95 % confidence interval. Thematic framework was used to analyse the qualitative data.Results: Seventy-three percent of pregnant women had poor dietary diversity. Dietary diversity was higher in younger pregnant women who were under the age of 20 years (AOR=5.8; at 95% CI: 1.6-13.5) and aged between 21-25 years (AOR=3.9; at 95 percent CI:1.1-12.2) than in older pregnant women with over the age of 30 years. Those participants with a high average family income (above 4500 birr) had a good dietary diversity when compared to those with family income less than 1500 birr (AOR=0.1:95% 39 CI;0.02-0.7) and between 1500-3000 birr (AOR=0.05:95% CI;0.01-0.2). Pregnant women who had one antenatal care visit practiced less dietary diversity than those who had four or more (AOR=0.18: 95 percent CI; 0.04-0.8). Protein-rich foods (meat and eggs), semisolid foods (porridge and cereal soup), milk, fruit (banana) and vegetable (cabbage) 43 were the most commonly avoided foods by pregnant women. These meals were commonly avoided since they produced large babies and were attached to the fetus's body.Conclusion: The majority of study participants had a poor dietary diversity. Pregnant women with a low family income and only one prenatal care visit were less likely than those with a high family income and four or more antenatal care visits to practice dietary diversity, respectively. Most pregnant women avoided high-protein diets, semi-solid foods, milk, vegetable and fruit. Due to the presumptions of producing large fetus and attached to the fetus's body, these foods were avoided.

Identification of Problems and Needs When Designing an mHealth App for Overweight and Obese Pregnant Women to Prevent Excessive Gestational Weight Gain: A Focus Group Study (Preprint)

2020 ◽  
Author(s):  
Ching-Fang Lee ◽  
Li-Kang Chi ◽  
Jian-Pei Huang ◽  
Chen-Ju Lin
Keyword(s):  
Weight Gain ◽  
Focus Group ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Healthcare Providers ◽  
Adverse Outcomes ◽  
Obese Women ◽  
Focus Group Study ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

BACKGROUND Overweight and obese women tend to gain excessive weight and have adverse outcomes during pregnancy. Despite the increasing number of health-related apps, there is still a lack of a user-based app to help prevent excessive gestational weight gain (GWG) and extend the longevity of the changes in behavior needed to maintain a woman’s optimal weight during pregnancy. OBJECTIVE The aim of this study was to identify the problems and needs for designing an mHealth app for obese and overweight pregnant women that they can continue to use to control their GWG. METHODS We used a qualitative interpretive approach and analytical induction to present the findings of three focus group sessions involving 13 overweight and obese pregnant women in Taipei, Taiwan. This study was conducted from July to October 2019. RESULTS Five problems and 10 needs were identified related to the use of an app to control overweight and obese women’s GWG. These problems were 1) an information gap, 2) a lack of support, 3) perceived complications of using the app(s), 4) easily forgetting the app(s), and 5) low motivation. The 10 main needs were 1) prenatal examination, 2) credible information, 3) short and easily understandable information, 4) a network community of peer support, 5) feedback from and interaction with healthcare providers, 6) a convenient and user-friendly interface, 7) goal-setting, 8) evaluation and tracking, 9) reminders, and 10) incentives for systematic celebrations and rewarding success. CONCLUSIONS The results of this study will help in the development of a user-based app that serves as a guide based on evidenced and informative practices. CLINICALTRIAL No

scholarly journals Why Do Women Delay in Seeking Prenatal Care? A Discrete-Time Survival Analysis

2021 ◽  
Vol 6 (2) ◽  
pp. p1
Author(s):  
Ama A. Abrokwah ◽  
Stephen O. Abrokwah
Keyword(s):  
Health Insurance ◽  
Prenatal Care ◽  
National Health Insurance ◽  
National Health ◽  
Survival Data ◽  
Proportional Hazard ◽  
Care Visit ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Prenatal Care Visit

This paper evaluates the effect of access to the Ghana national health insurance on the timing of the first prenatal care visit for pregnant women after controlling for other factors. Due to the voluntary nature of the national health insurance program, insurance status is likely endogenous, this paper therefore uses the Multilevel Multiprocess (MLMP) model and the Mixed Proportional Hazard (MPH) model estimation techniques, which controls for endogeneity in survival data analysis. Results from the estimation shows that access to insurance reduces the delays in receiving prenatal care, and increases the probability of seeking prenatal care.

Frequency of prenatal care visits by ethnic minority mothers and association with infant birthweight in Bac Kan province, Vietnam

2005 ◽  
Vol 35 (2) ◽  
pp. 103-103 ◽  
Author(s):  
Nguyen Thanh Hien ◽  
Hiroshi Ushijima
Keyword(s):  
Prenatal Care ◽  
Ethnic Minority ◽  
Low Birthweight ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Visit ◽  
Prenatal Care Visit

The objective of this cross-sectional study was to evaluate the association between prenatal care visits and infant birthweight among ethnic minority mothers in the mountainous Bac Kan province. This was done by comparing the frequency and timing of first prenatal care visit of 32 mothers with low birthweight (LBW) infants and 32 mothers with normal birthweight (NBW) infants. During pregnancy, mothers of NBW infants underwent 3.4±1 (mean) prenatal care visits and mothers of LBW infants 2.8±0.9 ( P= 0.02). Mothers of NBW infants underwent their first prenatal care visit at 13.1±5.7 weeks of gestation, one week earlier than mothers of LBW infants. The frequency of prenatal care visit are probably associated with a decreased risk of LBW among ethnic minority mothers in Bac Kan province.

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