Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care

Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal ca...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Beeckman, Katrien [verfasserIn] Louckx, Fred [verfasserIn] Putman, Koen [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Prenatal care (Mesh) Health behavior model Socioeconomic factors (Mesh) Pregnancy (Mesh) Initiation of care

Übergeordnetes Werk:	Enthalten in: Maternal and child health journal - New York, NY : Plenum Publ., 1997, 15(2010), 7 vom: 27. Juli, Seite 1067-1075
Übergeordnetes Werk:	volume:15 ; year:2010 ; number:7 ; day:27 ; month:07 ; pages:1067-1075

Links:	Volltext

DOI / URN:	10.1007/s10995-010-0652-1

Katalog-ID:	SPR015431657

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520			\|a Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well.
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allfields	10.1007/s10995-010-0652-1 doi (DE-627)SPR015431657 (SPR)s10995-010-0652-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Beeckman, Katrien verfasserin aut Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well. Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213 Louckx, Fred verfasserin aut Putman, Koen verfasserin aut Enthalten in Maternal and child health journal New York, NY : Plenum Publ., 1997 15(2010), 7 vom: 27. Juli, Seite 1067-1075 (DE-627)320583198 (DE-600)2017901-7 1573-6628 nnns volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075 https://dx.doi.org/10.1007/s10995-010-0652-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 15 2010 7 27 07 1067-1075
spelling	10.1007/s10995-010-0652-1 doi (DE-627)SPR015431657 (SPR)s10995-010-0652-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Beeckman, Katrien verfasserin aut Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well. Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213 Louckx, Fred verfasserin aut Putman, Koen verfasserin aut Enthalten in Maternal and child health journal New York, NY : Plenum Publ., 1997 15(2010), 7 vom: 27. Juli, Seite 1067-1075 (DE-627)320583198 (DE-600)2017901-7 1573-6628 nnns volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075 https://dx.doi.org/10.1007/s10995-010-0652-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 15 2010 7 27 07 1067-1075
allfields_unstemmed	10.1007/s10995-010-0652-1 doi (DE-627)SPR015431657 (SPR)s10995-010-0652-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Beeckman, Katrien verfasserin aut Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well. Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213 Louckx, Fred verfasserin aut Putman, Koen verfasserin aut Enthalten in Maternal and child health journal New York, NY : Plenum Publ., 1997 15(2010), 7 vom: 27. Juli, Seite 1067-1075 (DE-627)320583198 (DE-600)2017901-7 1573-6628 nnns volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075 https://dx.doi.org/10.1007/s10995-010-0652-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 15 2010 7 27 07 1067-1075
allfieldsGer	10.1007/s10995-010-0652-1 doi (DE-627)SPR015431657 (SPR)s10995-010-0652-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Beeckman, Katrien verfasserin aut Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well. Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213 Louckx, Fred verfasserin aut Putman, Koen verfasserin aut Enthalten in Maternal and child health journal New York, NY : Plenum Publ., 1997 15(2010), 7 vom: 27. Juli, Seite 1067-1075 (DE-627)320583198 (DE-600)2017901-7 1573-6628 nnns volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075 https://dx.doi.org/10.1007/s10995-010-0652-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 15 2010 7 27 07 1067-1075
allfieldsSound	10.1007/s10995-010-0652-1 doi (DE-627)SPR015431657 (SPR)s10995-010-0652-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Beeckman, Katrien verfasserin aut Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well. Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213 Louckx, Fred verfasserin aut Putman, Koen verfasserin aut Enthalten in Maternal and child health journal New York, NY : Plenum Publ., 1997 15(2010), 7 vom: 27. Juli, Seite 1067-1075 (DE-627)320583198 (DE-600)2017901-7 1573-6628 nnns volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075 https://dx.doi.org/10.1007/s10995-010-0652-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 15 2010 7 27 07 1067-1075
language	English
source	Enthalten in Maternal and child health journal 15(2010), 7 vom: 27. Juli, Seite 1067-1075 volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075
sourceStr	Enthalten in Maternal and child health journal 15(2010), 7 vom: 27. Juli, Seite 1067-1075 volume:15 year:2010 number:7 day:27 month:07 pages:1067-1075
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Prenatal care (Mesh) Health behavior model Socioeconomic factors (Mesh) Pregnancy (Mesh) Initiation of care
dewey-raw	610
isfreeaccess_bool	false
container_title	Maternal and child health journal
authorswithroles_txt_mv	Beeckman, Katrien @@aut@@ Louckx, Fred @@aut@@ Putman, Koen @@aut@@
publishDateDaySort_date	2010-07-27T00:00:00Z
hierarchy_top_id	320583198
dewey-sort	3610
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author	Beeckman, Katrien
spellingShingle	Beeckman, Katrien ddc 610 bkl 44.67 misc Prenatal care (Mesh) misc Health behavior model misc Socioeconomic factors (Mesh) misc Pregnancy (Mesh) misc Initiation of care Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
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topic_title	610 ASE 44.67 bkl Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care Prenatal care (Mesh) (dpeaa)DE-He213 Health behavior model (dpeaa)DE-He213 Socioeconomic factors (Mesh) (dpeaa)DE-He213 Pregnancy (Mesh) (dpeaa)DE-He213 Initiation of care (dpeaa)DE-He213
topic	ddc 610 bkl 44.67 misc Prenatal care (Mesh) misc Health behavior model misc Socioeconomic factors (Mesh) misc Pregnancy (Mesh) misc Initiation of care
topic_unstemmed	ddc 610 bkl 44.67 misc Prenatal care (Mesh) misc Health behavior model misc Socioeconomic factors (Mesh) misc Pregnancy (Mesh) misc Initiation of care
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title	Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
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title_full	Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
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author_browse	Beeckman, Katrien Louckx, Fred Putman, Koen
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title_sort	predisposing, enabling and pregnancy-related determinants of late initiation of prenatal care
title_auth	Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
abstract	Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well.
abstractGer	Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well.
abstract_unstemmed	Abstract Prenatal care is important for the health and wellbeing of women and their babies. There is international consensus that prenatal care should begin in the first trimester. This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencing difficulties getting a first appointment. When adjusting for all determinants, our multivariate analyses showed that late initiation was associated with non-European origin, low income and not having a regular obstetrician. This study shows that late initiation of prenatal care is associated with predisposing and enabling determinants. In order to ensure timely initiation of care, policy-makers should focus on encouraging women to have a regular prenatal care provider before pregnancy and taking steps in lowering out-of-pocket fees for low-income women. Future research is needed to examine whether these determinants are associated with initiation of care only or whether they play a role in the pregnancy follow-up as well.
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title_short	Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
url	https://dx.doi.org/10.1007/s10995-010-0652-1
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up_date	2024-07-03T16:10:36.598Z
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Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care

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