Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies.
Objective: Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 7; pp. 943 - 953 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143507770&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143507770 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jul2020 vid: 24 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 143507770 143507770 143507770 10.1007/s10995-020-02937-z 143507770 ppf: 943 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. aug: au: Ludwig, Angelique Miani, Céline Breckenkamp, Jürgen Sauzet, Odile Borde, Theda Doyle, Ina-Merle Brenne, Silke Höller-Holtrichter, Chantal David, Matthias Spallek, Jacob Razum, Oliver affil: Department of Epidemiology & International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany sug: subj: Prenatal Care Methods Prenatal Care Utilization Childbirth Education Expectant Mothers Education Immigrants Psychosocial Factors Expectant Mothers Psychosocial Factors Socioeconomic Factors Health Resource Utilization Human Germany Secondary Analysis Multiple Logistic Regression Health Promotion Interviews Female Adolescence Adult Descriptive Statistics Linear Regression Data Analysis Software Confidence Intervals Odds Ratio Turkiye Educational Status Income Adolescent: 13-18 years Adult: 19-44 years Female ab: Objective: Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga or gymnastics courses. Studies suggest that various types of non-medical ANC carry benefits for both the women and their babies. Little is known about the uptake of non-medical ANC among different socioeconomic population subgroups, but one may expect lower utilization among socio-economically disadvantaged women. We analyzed factors contributing to the utilization of non-medical ANC in general and antenatal classes in particular. Methods: Baseline data of the Bielefeld BaBi birth cohort (2013–2016) and the Berlin perinatal study (2011–2012) were analyzed. Comparing the two cohorts allowed to increase the socio-economic and migration background variance of the study population and to capture the effect of the local context on uptake of services. Multivariate logistic regression analyses were performed to study associations between the uptake of non-medical ANC and socio-economic and migration status. Results: In Berlin and Bielefeld, being a first generation migrant and having lower levels of education were associated with lower non-medical ANC uptake. In Berlin, being a 2nd generation woman or having a low income was also associated with lower uptake. Conclusions for Practice: Our study suggests that non-medical ANC remains in some part the prerogative of non-migrant, well-educated and economically privileged women. Since differences in non-medical ANC have the potential to create inequalities in terms of birth outcomes and maternal health during pregnancy and post-partum, more efforts are needed to promote the use of non-medical ANC by all population groups. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|