The effect of family planning participation on prenatal care use and low birth weight.
Fam Plann Perspect
; 24(5): 214-8, 1992.
Article
en En
| MEDLINE
| ID: mdl-1426183
ABSTRACT
PIP: To determine the effects of prior use of family planning services on birth weight and adequacy of prenatal care, researchers compared data on 14,338 low-income women who gave birth in North Carolina during 1989-1990 and had earlier attended family planning services at public health clinics with data on 30,761 low-income women who also gave birth in 1989-1990 but did not use family planning services. Both groups of women basically matched in terms of education, Medicaid coverage, marital status, smoking history, medical risk factors, and previous incompleted pregnancy, or infant or child mortality. Most women who used family planning services were black (64% vs. 48.1%). 18-year old and younger women who used family planning services had fewer births than those who did not use family planning services (7.2% vs. 14.7% for whites and 9.6% vs. 19.7% for blacks; p .001). Further, women who used family planning services were more likely to participate in the food supplementation program referred to as WIC (89.9% vs. 86.6% for blacks and 87.9% vs. 81.7% for whites; p .001) and in the maternity care coordination program for Medicaid recipients (59.4% vs. 52.9% for blacks and 50.2% vs. 44.1% for whites; p .001). Moreover, they tended to receive earlier and more adequate prenatal care (51.6% receiving no are in 1st trimester vs. 58.3% receiving care in 1st trimester for blacks, and 40% vs. 47.1% for whites, and 51.6% vs. 58.3% for blacks and 40% vs. 47.1% for whites; p .001 respectively). They were also less likely to deliver a low birth weight (LBW) infant than those who did not use these services, but the difference was only significant for blacks (13.1% for no visits vs. 12.2% for any visit [p .05] and 11.6% for at least 3 visits [p .1]); for whites, 7.9% for no visits vs. 7.4% for any visit and at least 3 visits. Despite the possibility of self selection bias, these findings indicate that family planning services reduce the incidence of LBW and improve use of prenatal health services.
Palabras clave
Acceptor Characteristics; Acceptors; Adolescent Pregnancy; Age Factors; Americas; Biology; Birth Intervals; Birth Weight; Blacks--women; Body Weight; Comparative Studies; Cultural Background; Delivery Of Health Care; Demographic Factors; Developed Countries; Economic Factors; Ethnic Groups; Family Planning; Family Planning Clinic Attendance; Family Planning Program Evaluation; Family Planning Programs; Fertility; Fertility Measurements; Food Supplementation; Health; Health Services; Low Birth Weight; Low Income Population--women; Macroeconomic Factors; Maternal Age; Maternal Health Services; Maternal-child Health Services; North America; North Carolina; Northern America; Nutrition Programs; Organization And Administration; Parental Age; Physiology; Population; Population Characteristics; Population Dynamics; Prenatal Care; Primary Health Care; Program Effectiveness; Program Evaluation; Programs; Public Health; Public Sector; Reproductive Behavior; Research Methodology; Retrospective Studies; Social Class; Socioeconomic Factors; Socioeconomic Status; Studies; United States; Whites--women
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Prenatal
/
Recién Nacido de Bajo Peso
/
Servicios de Planificación Familiar
Tipo de estudio:
Observational_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Adolescent
/
Adult
/
Humans
/
Newborn
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Fam Plann Perspect
Año:
1992
Tipo del documento:
Article
Pais de publicación:
Estados Unidos