Department of Social Sciences, University of Toronto Scarborough, Scarborough, Ontario, Canada.
PLoS One. 2010 Sep 17;5(9):e12809. doi: 10.1371/journal.pone.0012809.
Prenatal care is considered to be an important component of primary health care. Our study compared prenatal care utilization and rates of adverse birth outcomes for mothers from low- and higher-income areas of New Mexico between 1989 and 1999.
METHODOLOGY/PRINCIPAL FINDINGS: Prenatal care indicators included the number of prenatal care visits and the first month of prenatal care. Birth outcome indicators included low birth weight, premature birth, and births linked with death certificates. The results of our study indicated that mothers from low-income areas started their prenatal care significantly later in their pregnancies between 1989 and 1999, and had significantly fewer prenatal visits between 1989 and 1997. For the most part, there were not significant differences in birth outcome indicators between income groupings.
CONCLUSIONS/SIGNIFICANCE: These findings suggest that while mothers from low-income areas received lower levels of prenatal care, they did not experience a higher level of adverse birth outcomes.
产前保健被认为是初级卫生保健的一个重要组成部分。我们的研究比较了新墨西哥州低收入和高收入地区的母亲在 1989 年至 1999 年间的产前保健利用率和不良分娩结局发生率。
方法/主要发现:产前保健指标包括产前检查次数和开始产前保健的第一个月。分娩结果指标包括低出生体重、早产和与死亡证明相关的分娩。我们的研究结果表明,1989 年至 1999 年间,来自低收入地区的母亲在妊娠后期开始接受产前保健的时间明显较晚,在 1989 年至 1997 年期间接受的产前检查次数明显较少。在大多数情况下,收入群体之间的分娩结果指标没有显著差异。
结论/意义:这些发现表明,尽管来自低收入地区的母亲接受的产前保健水平较低,但她们并没有经历更高水平的不良分娩结局。