Factors associated with prenatal care use among peripartum women in the mother-infant rapid intervention at delivery study

JoNell Efantis Potter, Margaret Pereyra, Margaret Lampe, Yvette Rivero, Susan P. Danner, Mardge H. Cohen, Angela Bradley-Byers, Mayris P. Webber, Steven R. Nesheim, Mary Jo O'sullivan, Denise J. Jamieson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To evaluate factors associated with receiving prenatal care among women who present in labor without human immunodeficiency virus documentation using the results of a previous study, Mother-Infant Rapid Intervention at Delivery. Design: Prospective, multicenter study. Setting: Eighteen hospitals in the United States. Participants: The present analysis is based on 667 peripartum women who completed a face-to-face interview after delivery. For purposes of this analysis, human immunodeficiency virus-infected and human immunodeficiency virus-uninfected women were considered together as the "study group." Methods: The original study, Mother-Infant Rapid Intervention at Delivery, offered rapid human immunodeficiency virus testing to women in labor without human immunodeficiency virus testing documentation at 18 hospitals in the United States. This secondary study evaluated factors related to prenatal care, among participants who agreed to an interview after delivery. Results: Interviews were completed by 667 women. Of these, 26.8% reported no prenatal care before admission to labor and delivery. These women were more likely to have been born in the United States, have other children, used alcohol, and reported being unhappy. Those who reported receiving prenatal care were more likely to have had Medicaid, stronger social support, and reported good health. Conclusion: Women who are unlikely to receive prenatal care lack social support and are more likely to have additional social stressors. Medicaid may provide an important safety net to enhance access to care, because those with Medicaid were more likely to receive prenatal care. Further research is necessary to identify nontraditional models of care to enhance outreach to women at risk for no prenatal care.

Original languageEnglish (US)
Pages (from-to)534-543
Number of pages10
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume38
Issue number5
DOIs
StatePublished - 2009

Fingerprint

Peripartum Period
Prenatal Care
Mothers
HIV
Medicaid
Interviews
Social Support
Documentation
Multicenter Studies
Alcohols
Prospective Studies
Safety
Health
Research

Keywords

  • Accessto care
  • HIV testing and pregnancy
  • Perinatal outcomes
  • Prenatal care

ASJC Scopus subject areas

  • Maternity and Midwifery
  • Pediatrics
  • Critical Care

Cite this

Factors associated with prenatal care use among peripartum women in the mother-infant rapid intervention at delivery study. / Potter, JoNell Efantis; Pereyra, Margaret; Lampe, Margaret; Rivero, Yvette; Danner, Susan P.; Cohen, Mardge H.; Bradley-Byers, Angela; Webber, Mayris P.; Nesheim, Steven R.; O'sullivan, Mary Jo; Jamieson, Denise J.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 38, No. 5, 2009, p. 534-543.

Research output: Contribution to journalArticle

Potter, JE, Pereyra, M, Lampe, M, Rivero, Y, Danner, SP, Cohen, MH, Bradley-Byers, A, Webber, MP, Nesheim, SR, O'sullivan, MJ & Jamieson, DJ 2009, 'Factors associated with prenatal care use among peripartum women in the mother-infant rapid intervention at delivery study', JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, vol. 38, no. 5, pp. 534-543. https://doi.org/10.1111/j.1552-6909.2009.01049.x
Potter, JoNell Efantis ; Pereyra, Margaret ; Lampe, Margaret ; Rivero, Yvette ; Danner, Susan P. ; Cohen, Mardge H. ; Bradley-Byers, Angela ; Webber, Mayris P. ; Nesheim, Steven R. ; O'sullivan, Mary Jo ; Jamieson, Denise J. / Factors associated with prenatal care use among peripartum women in the mother-infant rapid intervention at delivery study. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2009 ; Vol. 38, No. 5. pp. 534-543.
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AU - Rivero, Yvette

AU - Danner, Susan P.

AU - Cohen, Mardge H.

AU - Bradley-Byers, Angela

AU - Webber, Mayris P.

AU - Nesheim, Steven R.

AU - O'sullivan, Mary Jo

AU - Jamieson, Denise J.

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