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Lack of prenatal care in a traditional community: trends and perinatal outcomes

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

To describe the prevalence of lack of prenatal care (LOPC) over the years and to examine the association between LOPC and perinatal complications among Bedouin parturients.

Methods

A retrospective study comparing all singleton births of Bedouin women with and without prenatal care, between the years 1988 and 2009, was conducted. Multiple logistic regression models were used to control for confounders.

Results

Out of 123,506 singleton deliveries, 16.5% (n = 20,402) were of women lacking prenatal care. A gradual increase in the rate of LOPC was noted between the years 2006 and 2009. Using multivariable analyses, controlling for parity, LOPC was found to be significantly associated with preterm delivery (PTD) < 37 weeks (odds ratio (OR) 1.13, 95% CI 1.07–1.19), PTD < 34 weeks (OR 1.53, 95% CI 1.40–1.67), low birth weight < 2,500 g (LBW; OR 1.39, 95% CI 1.32–1.46), very LBW < 1,500 g (OR 1.67, 95% CI 1.49–1.86), and perinatal mortality (OR 1.63, 95% CI 1.47–1.80).

Conclusions

Lack of prenatal care in a traditional community is associated with adverse obstetric outcomes and specifically is an independent risk factor for preterm delivery, low birth weight, and perinatal mortality.

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References

  1. Titaley CR, Hunter CL, Heywood P, Dibley MJ (2010) Why don’t some women attend antenatal and postnatal care services? a qualitative study of community members’ perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia. BMC Pregnancy Childbirth 10:61

    Article  PubMed  Google Scholar 

  2. Palti H, Gofin R, Adler B (2004) Utilization of prenatal care services in larger townships in Israel: should the service be reorganized? Isr Med Assoc J 6(3):138–142

    PubMed  Google Scholar 

  3. Gofin R, Adler B, Palti H (2004) Screening tests in prenatal care: a national study in Israel. Isr Med Assoc J 6(9):535–539

    PubMed  Google Scholar 

  4. Murray JL, Bernfield M (1988) The differential effect of prenatal care on the incidence of low birth weight among blacks and whites in a prepaid health care plan. N Engl J Med 319(21):1385–1391

    Article  PubMed  CAS  Google Scholar 

  5. Gortmaker SL (1979) The effects of prenatal care upon the health of the newborn. Am J Public Health 69(7):653–660

    Article  PubMed  CAS  Google Scholar 

  6. Kogan MD, Alexander GR, Mor JM, Kieffer EC (1998) Ethnic-specific predictors of prenatal care utilization in Hawaii. Paediatr Perinat Epidemiol 12(2):152–162

    Article  PubMed  CAS  Google Scholar 

  7. Raatikainen K, Heiskanen N, Heinonen S (2007) Under-attending free antenatal care is associated with adverse pregnancy outcomes. BMC Public Health 7:268

    Article  PubMed  Google Scholar 

  8. McDonald TP, Coburn AF (1988) Predictors of prenatal care utilization. Soc Sci Med 27(2):167–172

    Article  PubMed  CAS  Google Scholar 

  9. Phillippi JC (2009) Womenʼs perceptions of access to prenatal care in the United States: a literature review. J Midwifery Womens Health 54(9):219–225

    PubMed  Google Scholar 

  10. Delvaux T, Buekens P, Godin I, Boutsen M (2001) Barriers to prenatal care in Europe. Am J Prev Med 21(1):52–59

    Article  PubMed  CAS  Google Scholar 

  11. Ribeiro ER, Guimarães AM, Bettiol H, Lima DD, Almeida ML, de Souza L, Silva AA, Gurgel RQ (2009) Risk factors for inadequate prenatal care use in the metropolitan area of Aracaju, Northeast Brazil. BMC Pregnancy Childbirth 9:31

    Article  PubMed  Google Scholar 

  12. Duarte SJO, de Andrade SM, Mamede MV (2009) Maternal decision on obtaining prenatal care: a study in Brazil. Midwifery 27(2):160–164

    Article  PubMed  Google Scholar 

  13. Pagnini DL, Reichman NE (2000) Psychosocial factors and the timing of prenatal care among women in New Jerseyʼs HealthStart Program. Fam Plan Perspect 32(2):56–64

    Article  CAS  Google Scholar 

  14. Friedman SH, Heneghan A, Rosenthal M (2009) Characteristics of women who do not seek prenatal care and implications for prevention. J Obstet Gynecol Neonatal Nurs 37(2):174–181

    Google Scholar 

  15. Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, Tanner M, Schellenberg D (2009) The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC Pregnancy Childbirth 9:10

    PubMed  Google Scholar 

  16. Downe S, Finlayson K, Walsh D, Lavender T (2009) ‘Weighing up and balancing out’: a meta-synthesis of barriers to antenatal care for marginalised women in high-income countries. BJOG 116:518–529

    Article  PubMed  CAS  Google Scholar 

  17. Dickstein Y, Ohel I, Levy A, Holcberg G, Sheiner E (2008) Lack of prenatal care: an independent risk factor for perinatal mortality among macrosomic newborns. Arch Gynecol Obstet 277(6):511–514

    Article  PubMed  Google Scholar 

  18. Sheiner E, Hallak M, Twizer I, Mazor M, Katz M, Shoham-Vardi I (2001) Lack of prenatal care in two different societies living in the same region and sharing the same medical facilities. J Obstet Gynaecol 21(5):453–458

    Article  PubMed  CAS  Google Scholar 

  19. Sheiner E, Shoham-Vardi I, Weitzman D, Gohar J, Carmi R (1998) Decisions regarding pregnancy termination among Bedouin couples referred to third level ultrasound clinic. Eur J Obstet Gynecol Reprod Biol 76(2):141–146

    Article  PubMed  CAS  Google Scholar 

  20. Ratzon R, Sheiner E, Shoham-Vardi I (2011) The role of prenatal care in recurrent preterm birth. Eur J Obstet Gynecol Reprod Biol 154(1):40–44

    Article  PubMed  Google Scholar 

  21. Borkan JM, Morad M, Shvarts S (2000) Universal health care? The views of Negev Bedouin Arabs on health services. Health Policy Plan 15(2):207–217

    Article  PubMed  CAS  Google Scholar 

  22. Lewando-Hundt G, Shoham-Vardi I, Beckerleg S, Belmaker I, Kassem F, Abu Jaafar A (2001) Knowledge, action and resistance: the selective use of pre-natal screening among Bedouin women of the Negev, Israel. Soc Sci Med 5:561–569

    Article  Google Scholar 

  23. Gottlieb N, Belmaker I, Bilenko N, Davidovitch N (2010) Bedouin–Arab womenʼs access to antenatal care at the interface of physical and structural barriers: a pilot study. Glob Public Health 2:1–14

    Google Scholar 

  24. Lewando-Hundt G, Forman MR (1997) Autonomy, access and care: a study of Palestinian Bedouin of the Negev in Israel. Soc Sci Health 3(2):83–95

    Google Scholar 

  25. Blondel B, Marshall B (1998) Poor antenatal care in 20 French districts: risk factors and pregnancy outcome. J Epidemiol Community Health 52(8):501–506

    Article  PubMed  CAS  Google Scholar 

  26. Simkhada B, Teijlingen ER, Porter M, Simkhada P (2008) Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs 61(3):244–260

    Article  PubMed  Google Scholar 

  27. Chen XK, Wen SW, Yang Q, Walker MC (2007) Adequacy of prenatal care and neonatal mortality in infants born to mothers with and without antenatal high-risk conditions. Aust N Z J Obstet Gynaecol 47(2):122–127

    Article  PubMed  Google Scholar 

  28. Humphrey MD, Keating SM (2004) Lack of antenatal care in far north Queensland. Aust N Z J Obstet Gynaecol 44(1):10–13

    Article  PubMed  Google Scholar 

  29. Ural S, Cox C, Blakemore K, Pressman E, Bienstock J (1998) Lack of prenatal care increases the rate of recurrent preterm delivery and health care costs when compared to university hospital-based prenatal care. Prim Care Update Ob Gyns 5(4):177

    Article  PubMed  Google Scholar 

  30. Twizer I, Sheiner E, Hallak M, Mazor M, Katz M, Shoham-Vardi I (2001) Lack of prenatal care in a traditional society. Is it an obstetric hazard? J Reprod Med 46(7):662–668

    PubMed  CAS  Google Scholar 

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Correspondence to Eyal Sheiner.

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Abu-Ghanem, S., Sheiner, E., Sherf, M. et al. Lack of prenatal care in a traditional community: trends and perinatal outcomes. Arch Gynecol Obstet 285, 1237–1242 (2012). https://doi.org/10.1007/s00404-011-2153-x

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  • DOI: https://doi.org/10.1007/s00404-011-2153-x

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