McDermott J M, Drews C, Adams M, Berg C, Hill H A, McCarthy B J
MotherCare/JSI, Arlington, VA 22209, USA.
J Nurse Midwifery. 1996 Sep-Oct;41(5):368-76. doi: 10.1016/s0091-2182(96)00058-4.
A longitudinally linked data set for Georgia was used to identify characteristics, including previous prenatal care use and complications at the first birth, associated with prenatal care use in the second pregnancy among 8,224 African-American women. More than 70% of the women who were < 25 years of age at their first birth (younger women) and almost 40% of women who were > or = 25 years at their first birth received inadequate care with at least one of their first two births. Women who received inadequate care in their first pregnancy were more likely to receive inadequate care in their second pregnancy than women who received adequate care in their first pregnancy. Younger women with a history of a stillbirth, neonatal death, or vacuum extraction were less likely to receive inadequate care in their subsequent pregnancy. Although this study was not able to evaluate the content of prenatal care, it suggested that many African-American women may not receive sufficient care to prevent adverse pregnancy outcomes. Women who receive inadequate care in their first pregnancy must be targeted for interventions that help them overcome economic, situational, or attitudinal barriers to receiving adequate care in their next pregnancy.
利用佐治亚州纵向关联数据集，在8224名非裔美国女性中确定与第二次怀孕时产前护理使用情况相关的特征，包括首次生育时的产前护理使用情况及并发症。首次生育时年龄小于25岁的女性（年轻女性）中，超过70%以及首次生育时年龄大于或等于25岁的女性中近40%，在前两次生育中至少有一次接受的护理不足。首次怀孕时接受护理不足的女性，与首次怀孕时接受充分护理的女性相比，第二次怀孕时更有可能接受护理不足。有死产、新生儿死亡或真空吸引史的年轻女性，后续怀孕时接受护理不足的可能性较小。尽管本研究无法评估产前护理的内容，但它表明许多非裔美国女性可能未得到足够护理以预防不良妊娠结局。首次怀孕时接受护理不足的女性必须成为干预目标，帮助她们克服经济、环境或态度上的障碍，以便下次怀孕时获得充分护理。
