Comparing Mothers' Reports on the Content of Prenatal Care Received with Recommended National Guidelines for Care
The Public Health Service's Expert Panel on the Content of Prenatal Care Report in 1989 provided detailed guidelines for the components of each prenatal visit. However, the extent to which women were receiving the recommended care when the guidelines were being formulated has yet to be determin...
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| Veröffentlicht in: | Public health reports (1974) 1994-09, Vol.109 (5), p.637-646 |
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| container_title | Public health reports (1974) |
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| creator | Kogan, Michael D. Alexander, Greg R. Kotelchuck, Milton David A. Nagey Brian W. Jack |
| description | The Public Health Service's Expert Panel on the Content of Prenatal Care Report in 1989 provided detailed guidelines for the components of each prenatal visit. However, the extent to which women were receiving the recommended care when the guidelines were being formulated has yet to be determined. The 1988 National Maternal and Infant Health Survey results permit an examination of the proportion of women who reported receiving some of the recommended procedures. Women were asked if they received six of the recommended procedures (blood pressure measurement, urine test, blood test, weight and height taken, pelvic examination, and pregnancy history) in the first two visits, and whether they received seven types of advice or counseling (nutrition; vitamin use; smoking, alcohol, and drug use cessation; breastfeeding; and maternal weight gain) any time during their pregnancy. Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas. Logistic regression analysis indicated that women receiving their care from private offices were significantly less likely to receive all the procedures and advice than women at publicly funded sites of care. This study suggests that recommendations of the Public Health Service's expert panel were not being met. |
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Women were asked if they received six of the recommended procedures (blood pressure measurement, urine test, blood test, weight and height taken, pelvic examination, and pregnancy history) in the first two visits, and whether they received seven types of advice or counseling (nutrition; vitamin use; smoking, alcohol, and drug use cessation; breastfeeding; and maternal weight gain) any time during their pregnancy. Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas. Logistic regression analysis indicated that women receiving their care from private offices were significantly less likely to receive all the procedures and advice than women at publicly funded sites of care. This study suggests that recommendations of the Public Health Service's expert panel were not being met.</description><identifier>ISSN: 0033-3549</identifier><identifier>EISSN: 1468-2877</identifier><identifier>PMID: 7938384</identifier><identifier>CODEN: PHRPA6</identifier><language>eng</language><publisher>Washington, DC: Office of the Assistant Secretary for Health</publisher><subject>Biological and medical sciences ; Breastfeeding ; Chi-Square Distribution ; Female ; Follow-Up Studies ; Gender equality ; General aspects ; Guidelines as Topic ; Health insurance ; Health systems. Social services ; Humans ; Infants ; Logistic Models ; Medicaid ; Medical sciences ; Mothers - statistics & numerical data ; Multivariate Analysis ; P values ; Pregnancy ; Prenatal care ; Prenatal Care - standards ; Prenatal Care - statistics & numerical data ; Public health ; Public health. Hygiene ; Public health. 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Nagey</creatorcontrib><creatorcontrib>Brian W. Jack</creatorcontrib><title>Comparing Mothers' Reports on the Content of Prenatal Care Received with Recommended National Guidelines for Care</title><title>Public health reports (1974)</title><addtitle>Public Health Rep</addtitle><description>The Public Health Service's Expert Panel on the Content of Prenatal Care Report in 1989 provided detailed guidelines for the components of each prenatal visit. However, the extent to which women were receiving the recommended care when the guidelines were being formulated has yet to be determined. The 1988 National Maternal and Infant Health Survey results permit an examination of the proportion of women who reported receiving some of the recommended procedures. Women were asked if they received six of the recommended procedures (blood pressure measurement, urine test, blood test, weight and height taken, pelvic examination, and pregnancy history) in the first two visits, and whether they received seven types of advice or counseling (nutrition; vitamin use; smoking, alcohol, and drug use cessation; breastfeeding; and maternal weight gain) any time during their pregnancy. Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas. Logistic regression analysis indicated that women receiving their care from private offices were significantly less likely to receive all the procedures and advice than women at publicly funded sites of care. This study suggests that recommendations of the Public Health Service's expert panel were not being met.</description><subject>Biological and medical sciences</subject><subject>Breastfeeding</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gender equality</subject><subject>General aspects</subject><subject>Guidelines as Topic</subject><subject>Health insurance</subject><subject>Health systems. Social services</subject><subject>Humans</subject><subject>Infants</subject><subject>Logistic Models</subject><subject>Medicaid</subject><subject>Medical sciences</subject><subject>Mothers - statistics & numerical data</subject><subject>Multivariate Analysis</subject><subject>P values</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal Care - standards</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality of Health Care - statistics & numerical data</subject><subject>Socioeconomic Factors</subject><subject>United States</subject><subject>United States Public Health Service</subject><subject>Womens health</subject><issn>0033-3549</issn><issn>1468-2877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkEtLAzEUhQdRan38A4UsRFcDSZNMJhtBBl9QH4iuh3Ryp02ZSWqSqfjvjVqK3k2453w5h2QnGxNWlPmkFGI3G2NMaU45k_vZQQhLnGZC6CgbCUlLWrJx9l65fqW8sXP04OICfLhAL7ByPgbkLEoKqpyNYCNyLXr2YFVUHaqUh8Q1YNag0YeJi-_N9T1YnYRHFY2zibsdjIbOWAiodf7n2lG216ouwPHmPMzebq5fq7t8-nR7X11N8yUlJOYTzpUmVGslYYYxozNBW8ILLnhRFk0jWiZpAbpgGmYSCBOcl6TFUnMGFEt6mF3-5q6GWQ-6SU_wqqtX3vTKf9ZOmfq_Y82inrt1TRimnJMUcL4J8O59gBDr3oQGuk5ZcEOoRSFEyblI4Onfpm3F5pOTf7bxVWhU13plGxO2GJ1IKXCZsJNfbBmi81ubcZmaCvoFpgKRJQ</recordid><startdate>19940901</startdate><enddate>19940901</enddate><creator>Kogan, Michael D.</creator><creator>Alexander, Greg R.</creator><creator>Kotelchuck, Milton</creator><creator>David A. 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Jack</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j311t-255ad13dda9eb0043b73f156575686cc7f4936ed64deb9e1475581f09d54e3093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Breastfeeding</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gender equality</topic><topic>General aspects</topic><topic>Guidelines as Topic</topic><topic>Health insurance</topic><topic>Health systems. Social services</topic><topic>Humans</topic><topic>Infants</topic><topic>Logistic Models</topic><topic>Medicaid</topic><topic>Medical sciences</topic><topic>Mothers - statistics & numerical data</topic><topic>Multivariate Analysis</topic><topic>P values</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Prenatal Care - standards</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Public health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality of Health Care - statistics & numerical data</topic><topic>Socioeconomic Factors</topic><topic>United States</topic><topic>United States Public Health Service</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kogan, Michael D.</creatorcontrib><creatorcontrib>Alexander, Greg R.</creatorcontrib><creatorcontrib>Kotelchuck, Milton</creatorcontrib><creatorcontrib>David A. 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Jack</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing Mothers' Reports on the Content of Prenatal Care Received with Recommended National Guidelines for Care</atitle><jtitle>Public health reports (1974)</jtitle><addtitle>Public Health Rep</addtitle><date>1994-09-01</date><risdate>1994</risdate><volume>109</volume><issue>5</issue><spage>637</spage><epage>646</epage><pages>637-646</pages><issn>0033-3549</issn><eissn>1468-2877</eissn><coden>PHRPA6</coden><abstract>The Public Health Service's Expert Panel on the Content of Prenatal Care Report in 1989 provided detailed guidelines for the components of each prenatal visit. However, the extent to which women were receiving the recommended care when the guidelines were being formulated has yet to be determined. The 1988 National Maternal and Infant Health Survey results permit an examination of the proportion of women who reported receiving some of the recommended procedures. Women were asked if they received six of the recommended procedures (blood pressure measurement, urine test, blood test, weight and height taken, pelvic examination, and pregnancy history) in the first two visits, and whether they received seven types of advice or counseling (nutrition; vitamin use; smoking, alcohol, and drug use cessation; breastfeeding; and maternal weight gain) any time during their pregnancy. Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas. Logistic regression analysis indicated that women receiving their care from private offices were significantly less likely to receive all the procedures and advice than women at publicly funded sites of care. This study suggests that recommendations of the Public Health Service's expert panel were not being met.</abstract><cop>Washington, DC</cop><pub>Office of the Assistant Secretary for Health</pub><pmid>7938384</pmid><tpages>10</tpages></addata></record> |
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| issn | 0033-3549 1468-2877 |
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| source | Jstor Complete Legacy; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Breastfeeding Chi-Square Distribution Female Follow-Up Studies Gender equality General aspects Guidelines as Topic Health insurance Health systems. Social services Humans Infants Logistic Models Medicaid Medical sciences Mothers - statistics & numerical data Multivariate Analysis P values Pregnancy Prenatal care Prenatal Care - standards Prenatal Care - statistics & numerical data Public health Public health. Hygiene Public health. Hygiene-occupational medicine Quality of Health Care - statistics & numerical data Socioeconomic Factors United States United States Public Health Service Womens health |
| title | Comparing Mothers' Reports on the Content of Prenatal Care Received with Recommended National Guidelines for Care |
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