THE ASSOCIATION BETWEEN PRECONCEPTION CARE RECEIPT AND THE TIMELINESS AND ADEQUACY OF PRENATAL CARE: AN EXAMINATION OF MULTISTATE DATA FROM PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) 2009-2011

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Wally, M. (2015). THE ASSOCIATION BETWEEN PRECONCEPTION CARE RECEIPT AND THE TIMELINESS AND ADEQUACY OF PRENATAL CARE: AN EXAMINATION OF MULTISTATE DATA FROM PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) 2009-2011. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

Prenatal care (PNC) is a critical preventive health service for pregnant women and infants. Also, preconception care is recommended for all women of reproductive age. This study aimed to examine preconception care and its association with timeliness and adequacy of PNC. This retrospective cohort study used data from a large sample of U.S. first-time mothers (n=13,509) who participated in the 2009-2011 Pregnancy Risk Assessment Monitoring System in 10 states. Logistic regression was used to calculate odds ratios and 95% confidence intervals to model the association between preconception care receipt and the two PNC outcomes, as well as the association between preconception advice regarding folic acid, weight, smoking, and drinking, and the PNC outcomes. Women who received preconception care had statistically significant increased odds of timely (OR=1.30, 95% CI: 1.08, 1.57) and adequate PNC (OR=1.26, 95% CI: 1.05, 1.52) as compared to women who did not receive preconception care after adjustment for confounders. Preconception advice regarding specific topics was not associated with timely/adequate PNC. Given that untimely and inadequate PNC are associated with adverse birth outcomes, the observed associations provide further justification for implementing preconception care in all women of reproductive age. Future studies should investigate how specific components of preconception care are associated with PNC timeliness/adequacy, health behaviors during pregnancy, and birth outcomes.

Details
Author

Wally, Meghan

Title

THE ASSOCIATION BETWEEN PRECONCEPTION CARE RECEIPT AND THE TIMELINESS AND ADEQUACY OF PRENATAL CARE: AN EXAMINATION OF MULTISTATE DATA FROM PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) 2009-2011

Physical Description

1 online resource (59 pages) : PDF

Date

2015

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

Prenatal care (PNC) is a critical preventive health service for pregnant women and infants. Also, preconception care is recommended for all women of reproductive age. This study aimed to examine preconception care and its association with timeliness and adequacy of PNC. This retrospective cohort study used data from a large sample of U.S. first-time mothers (n=13,509) who participated in the 2009-2011 Pregnancy Risk Assessment Monitoring System in 10 states. Logistic regression was used to calculate odds ratios and 95% confidence intervals to model the association between preconception care receipt and the two PNC outcomes, as well as the association between preconception advice regarding folic acid, weight, smoking, and drinking, and the PNC outcomes. Women who received preconception care had statistically significant increased odds of timely (OR=1.30, 95% CI: 1.08, 1.57) and adequate PNC (OR=1.26, 95% CI: 1.05, 1.52) as compared to women who did not receive preconception care after adjustment for confounders. Preconception advice regarding specific topics was not associated with timely/adequate PNC. Given that untimely and inadequate PNC are associated with adverse birth outcomes, the observed associations provide further justification for implementing preconception care in all women of reproductive age. Future studies should investigate how specific components of preconception care are associated with PNC timeliness/adequacy, health behaviors during pregnancy, and birth outcomes.

Genre

masters theses

Subjects--Topics

Public health

Degree

M.S.

Keywords

Epidemiology
Maternal Health
Preconception Care
Prenatal Care

Subject Area

Public Health

Advisor(s)

Brunner Huber, Larissa

Committee Members

Issel, L. Michele
Thompson, Michael

Degree Note

Thesis (M.S.)--University of North Carolina at Charlotte, 2015.

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This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). For additional information, see http://rightsstatements.org/page/InC/1.0/.

Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Wally_uncc_0694N_10839

Permalink

http://hdl.handle.net/20.500.13093/etd:192