This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Maternal Reports of Health Behavior Advice and Initial Prenatal Care Procedures

Michael D. Kogan, PhD; Greg R. Alexander, ScD, MPH; Milton Kotelchuck, PhD, MPH; David A. Nagey, MD, PhD

JAMA. 1994;271(17):1340-1345.

Abstract
Objective.
—Numerous studies have found a relationship between the quantity of prenatal care received and birth outcomes. Few studies have had the opportunity to examine the content of prenatal care. This study examined the relationship between two components of the content of prenatal care: maternal reports of health behavior advice received and initial prenatal care procedures performed during the first two visits and low birth weight in a national sample of women. Advice and initial procedures were categorized based on the recommendations of the US Public Health Service Expert Panel on the Content of Prenatal Care.

Design.
—Interview survey of a nationally representative sample of women who had live births in 1988.

Participants.
—A total of 9394 women, with data from the National Maternal and Infant Health Survey.

Main Outcome Measure.
—Low birth weight (<2500 g) as reported on the birth certificate.

Results.
—After controlling for other sociodemographic, utilization, medical, and behavioral factors, women who reported not receiving all the types of advice recommended by the Expert Panel on the Content of Prenatal Care were more likely to have a low—birth-weight infant compared with women who reported receiving the optimal level of advice (odds ratio=1.38; 95% confidence interval, 1.18 to 1.60). There were no differences between women who reported receiving all the recommended initial prenatal care procedures and those who reported not receiving all recommended prenatal care (odds ratio=1.00; 95% confidence interval, 0.87 to 1.14).

Conclusion.
—These data suggest that women who report receiving sufficient health behavior advice as part of their prenatal care are at lower risk of delivering a low—birth-weight infant.

(JAMA. 1994;271:1340-1345)

Author Affiliations
From the Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Md (Dr Kogan); the Department of Maternal and Child Health, University of Minnesota, Minneapolis (Dr Alexander); the Department of Maternal and Child Health, University of North Carolina, Chapel Hill (Dr Kotelchuck); and the Departments of Obstetrics and Gynecology and Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore (Dr Nagey).

Footnotes
The opinions expressed in this article are solely those of the authors and do not necessarily reflect the views or policies of the institutions with which the authors are affiliated.

Reprint requests to Centers for Disease Control and Prevention, National Center for Health Statistics, 6525 Belcrest Rd, Room 840, Hyattsville, MD 20782 (Dr Kogan).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Empowering women to obtain high quality care: evidence from an evaluation of Mexico's conditional cash transfer programme
Barber and Gertler
Health Policy Plan 2009;24:18-25.
ABSTRACT | FULL TEXT  

Variations In Prenatal Care Quality For The Rural Poor In Mexico
Barber et al.
Health Aff (Millwood) 2007;26:w310-w323.
ABSTRACT | FULL TEXT  

Differences In Access To High-Quality Outpatient Care In Indonesia
Barber et al.
Health Aff (Millwood) 2007;26:w352-w366.
ABSTRACT | FULL TEXT  

Prepregnancy Health Status and the Risk of Preterm Delivery
Haas et al.
Arch Pediatr Adolesc Med 2005;159:58-63.
ABSTRACT | FULL TEXT  

Providing health care to low-income women: a matter of trust
Sheppard et al.
Fam Pract 2004;21:484-491.
ABSTRACT | FULL TEXT  

Ethnicity and Prenatal Health Promotion Content
Vonderheid et al.
West J Nurs Res 2003;25:388-404.
ABSTRACT  

Structure, Process, and Satisfaction with Obstetricians: An Analysis of Mainland Puerto Ricans
Oropesa et al.
Med Care Res Rev 2002;59:412-439.
ABSTRACT  

Prenatal Care Use Among Selected Asian American Groups
Yu et al.
AJPH 2001;91:1865-1868.
ABSTRACT | FULL TEXT  

Even if You Were Successful, How Would You Know?
Berkanovic et al.
Health Promot Pract 2001;2:314-320.
ABSTRACT  

The Status of Prenatal Care among Medicaid Managed Care Patients in Connecticut
van Hoof et al.
Eval Health Prof 2000;23:409-421.
ABSTRACT  

Sociocultural and behavioral influences on weight gain during pregnancy
Hickey
Am. J. Clin. Nutr. 2000;71:1364S-1370.
ABSTRACT | FULL TEXT  

Infant Health Care Use and Maternal Depression
Mandl et al.
Arch Pediatr Adolesc Med 1999;153:808-813.
ABSTRACT | FULL TEXT  

Benefits and Limitations of Prenatal Care
Kogan et al.
JAMA 1998;280:2071-2073.
FULL TEXT  

Prevention of Preterm Birth
McGregor et al.
NEJM 1998;339:1858-1860.
FULL TEXT  

Prevention of Premature Birth
Goldenberg and Rouse
NEJM 1998;339:313-320.
FULL TEXT  

The Association Between Adequacy of Prenatal Care Utilization and Subsequent Pediatric Care Utilization in the United States
Kogan et al.
Pediatrics 1998;102:25-30.
ABSTRACT | FULL TEXT  

The Changing Pattern of Prenatal Care Utilization in the United States, 1981-1995, Using Different Prenatal Care Indices
Kogan et al.
JAMA 1998;279:1623-1628.
ABSTRACT | FULL TEXT  

Prenatal Lactation Advice and Intention to Breastfeed: Selected Maternal Characteristics
Sable and Patton
J Hum Lact 1998;14:35-40.
ABSTRACT  

The Effects of Insurance Coverage on the Quality of Prenatal Care
Klinkman et al.
Arch Fam Med 1997;6:557-566.
ABSTRACT  

Effect of Frequency of Prenatal Care Visits on Perinatal Outcome Among Low-Risk Women: A Randomized Controlled Trial
McDuffie et al.
JAMA 1996;275:847-851.
ABSTRACT  

Familial Aggregation of Low Birth Weight among Whites and Blacks in the United States
Wang et al.
NEJM 1995;333:1744-1749.
ABSTRACT | FULL TEXT  

Changes in Survival Patterns of Very Low-Birth-Weight Infants From 1980 to 1993
Roth et al.
Arch Pediatr Adolesc Med 1995;149:1311-1317.
ABSTRACT  

What Component of Prenatal Care Is Responsible for Improved Outcome?
Wallach
JAMA 1995;274:611-612.
ABSTRACT