No description available.

No description available.

<p><strong>Do women’s sociodemographic characteristics or type of prenatal care provider influence quality of prenatal care?</strong></p> <p><strong>Objective: </strong>This study examined whether sociodemographic characteristics or type of prenatal care provider influenced the quality of prenatal care received by women in Canada. The main predictors of high quality prenatal care received by Canadian women were identified.</p> <p><strong>Methods: </strong>A secondary analysis of data collected for a primary study that developed and tested the Quality of Prenatal Care Questionnaire (QPCQ) was conducted. Women (n=422), recruited from five cities, completed a background questionnaire and the QPCQ. Data analysis involved examining nine sociodemographic variables and one prenatal care provider variable using independent samples t‐ tests, one‐way analysis of variance, and analysis of covariance.</p> <p><strong>Results: </strong>Statistically significant differences in prenatal care quality were noted among women based on language spoken at home, racial background, marital status, family income, and education level. Women receiving midwifery care reported the highest quality of prenatal care, compared to women receiving care from obstetricians who reported lower quality prenatal care. The strongest predictors of high quality prenatal care were type of prenatal care provider and total family income.</p> <p><strong>Conclusions: </strong>Efforts to universally improve quality of prenatal care in Canada require practice, policy, and research initiatives. Incorporating alternative/ancillary prenatal care services has the potential to improve access, psychosocial supports, appropriate referrals, education, and interventions for women receiving lower quality prenatal care. Systemic practice and policy changes to increase midwifery care capacity would enable midwives to provide high quality prenatal care to a larger portion of low risk Canadian women. Shared care models could reduce the burden on obstetricians, enabling them to provide higher quality prenatal care to high risk Canadian women. Future research needs to focus on identifying the efficacy of each prenatal care component and examining their specific effects on birth outcomes.</p> / Master of Science (MSc)

The problem of this study was to determine health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care. Data were collected from Indiana health care professionals using a mailed questionnaire. The results found that 71.7% of respondents do not provide foodborne illness and food safety education during prenatal care, however, 80.6% would like to. Most of the respondents indicated that they do not have the time (71.4%), resources (57 1%), or knowledge (25.7%) to provide this information to patients. Many of the respondents indicated that they have not received information on foodborne illness during pregnancy and are unaware of the recommendations to provide this information during prenatal care. The opinion questions found that most agree that foodborne illness can be serious in pregnancy and would like to learn more about the risks of foodborne illness to pregnant women and the fetus. / Department of Physiology and Health Science

Introduction: Appalachian women have high rates of preterm birth and low birth weight infants. A new format of group prenatal care, known as CenteringPregnancy, decreases the rate of preterm birth and low birth weight when compared with individual care. However, clinics in Appalachia often struggle to recruit women into group care. Theory & Methods: Using critical realism and the middle-range theory of motivation-ease as frameworks, this qualitative study had two research questions: ‘What influences Appalachian women’s choice of traditional prenatal care instead of CenteringPregnancy care?’ and ‘What are Appalachian women’s perceptions of prenatal care and their access to prenatal care?’. Twenty-nine Appalachian women, who had declined CenteringPregnancy care, were interviewed about their perceptions of prenatal care, what facilitated care, and their decision to decline CenteringPregnancy. Verbatim transcripts of these semi-structured interviews, in-depth demographic questionnaires, and field notes were coded and analyzed using conventional (inductive) content analysis. Findings: Two meaning units were identified, information concerning women’s reason(s) for declining CenteringPregnancy and facilitators of prenatal care access. The reasons women provided for declining CenteringPregnancy care fell into three overarching categories, preferred one-to-one care, experienced barriers to Centering, and did not know Centering was an option. The most common reason for declining Centering was a preference for individual care. This category had three subcategories: do not like groups, don’t want to put everything out there with other women, and no need for change from existing care. Women predominately named two facilitators of prenatal care access, insurance and compassionate care. Conclusions: Clinicians should decrease barriers to CenteringPregnancy utilization and should partner with the local community to better market this new model of care. In addition, small modifications in Centering may make the model more appealing and accessible. However, clinicians should continue to provide individual care for women who cannot access group care. Participants stated state-provided insurance greatly facilitated prenatal care which supports the need for ongoing Medicaid funding. Women also stated compassionate care enhanced their ability and desire to get prenatal care. Healthcare providers should renew efforts to provide personalized and unrushed clinical environments to assist women in obtaining needed prenatal care.

Thesis (Dr. P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 1991. / Typescript. Includes bibliographical references (leaves 121-128).

Thesis (M.S.)--University of Michigan, 1981.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.N.)--Memorial University of Newfoundland, School of Nursing, / Typescript. Bibliography: leaves 114-126.