The effect of pregnancy intention on important maternal behaviors and satisfaction with care in a socially and economically at-risk population

Larry Humbert, Robert M. Saywell, Terrell W. Zollinger, Caitlin F. Priest, Michael K. Reger, Komal Kochhar

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

This study examined the association of pregnancy intention with maternal behaviors and the woman's perceived satisfaction with her prenatal and delivery care. Face-to-face interviews with 478 primarily Medicaid eligible women in Indianapolis, Indiana during their postpartum hospital stay were conducted to assess their degree of satisfaction with prenatal care and pregnancy intention, stratified into wanting to be pregnant now, later or never. Behaviors and characteristics influencing utilization of prenatal care were obtained from linked birth certificate data. A greater proportion of younger women (15-29) wanted to be pregnant later, a greater proportion of African- Americans never wanted to be pregnant, a greater proportion of divorced and never married women wanted to be pregnant later or never, and as parity increased the percentage of women never wanting to be pregnant increased. Multivariate analyses found that women never wanting to be pregnant were twice as likely to underutilize prenatal care, twice as likely to smoke while pregnant, half as likely to utilize WIC services and half as likely to recommend their providers to pregnant friends or relatives compared to women with a planned pregnancy, controlling for confounding variables. Finally, women wanting to be pregnant later were half as likely to rate their overall hospital care and prenatal care provider as high. Providers assessing their patients' pregnancy intention could better identify those women needing additional support services to adopt healthier behaviors and improve satisfaction with care. This study also demonstrated the value of more specific definitions of pregnancy intention.

Original languageEnglish (US)
Pages (from-to)1055-1066
Number of pages12
JournalMaternal and Child Health Journal
Volume15
Issue number7
DOIs
StatePublished - Oct 1 2011

Fingerprint

Maternal Behavior
Prenatal Care
Pregnancy
Birth Certificates
Confounding Factors (Epidemiology)
Divorce
Medicaid
Family Planning Services
Parity
Smoke
African Americans
Postpartum Period
Length of Stay
Multivariate Analysis
Interviews

Keywords

  • Delivery and hospital care satisfaction
  • Maternal behavior
  • Pre-natal care satisfaction
  • Pre-natal care utilization
  • Pregnancy intention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

The effect of pregnancy intention on important maternal behaviors and satisfaction with care in a socially and economically at-risk population. / Humbert, Larry; Saywell, Robert M.; Zollinger, Terrell W.; Priest, Caitlin F.; Reger, Michael K.; Kochhar, Komal.

In: Maternal and Child Health Journal, Vol. 15, No. 7, 01.10.2011, p. 1055-1066.

Research output: Contribution to journalArticle

Humbert, Larry ; Saywell, Robert M. ; Zollinger, Terrell W. ; Priest, Caitlin F. ; Reger, Michael K. ; Kochhar, Komal. / The effect of pregnancy intention on important maternal behaviors and satisfaction with care in a socially and economically at-risk population. In: Maternal and Child Health Journal. 2011 ; Vol. 15, No. 7. pp. 1055-1066.
@article{a67f89e5a8374484a492b5aba5f3aaa2,
title = "The effect of pregnancy intention on important maternal behaviors and satisfaction with care in a socially and economically at-risk population",
abstract = "This study examined the association of pregnancy intention with maternal behaviors and the woman's perceived satisfaction with her prenatal and delivery care. Face-to-face interviews with 478 primarily Medicaid eligible women in Indianapolis, Indiana during their postpartum hospital stay were conducted to assess their degree of satisfaction with prenatal care and pregnancy intention, stratified into wanting to be pregnant now, later or never. Behaviors and characteristics influencing utilization of prenatal care were obtained from linked birth certificate data. A greater proportion of younger women (15-29) wanted to be pregnant later, a greater proportion of African- Americans never wanted to be pregnant, a greater proportion of divorced and never married women wanted to be pregnant later or never, and as parity increased the percentage of women never wanting to be pregnant increased. Multivariate analyses found that women never wanting to be pregnant were twice as likely to underutilize prenatal care, twice as likely to smoke while pregnant, half as likely to utilize WIC services and half as likely to recommend their providers to pregnant friends or relatives compared to women with a planned pregnancy, controlling for confounding variables. Finally, women wanting to be pregnant later were half as likely to rate their overall hospital care and prenatal care provider as high. Providers assessing their patients' pregnancy intention could better identify those women needing additional support services to adopt healthier behaviors and improve satisfaction with care. This study also demonstrated the value of more specific definitions of pregnancy intention.",
keywords = "Delivery and hospital care satisfaction, Maternal behavior, Pre-natal care satisfaction, Pre-natal care utilization, Pregnancy intention",
author = "Larry Humbert and Saywell, {Robert M.} and Zollinger, {Terrell W.} and Priest, {Caitlin F.} and Reger, {Michael K.} and Komal Kochhar",
year = "2011",
month = "10",
day = "1",
doi = "10.1007/s10995-010-0646-z",
language = "English (US)",
volume = "15",
pages = "1055--1066",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "7",

}

TY - JOUR

T1 - The effect of pregnancy intention on important maternal behaviors and satisfaction with care in a socially and economically at-risk population

AU - Humbert, Larry

AU - Saywell, Robert M.

AU - Zollinger, Terrell W.

AU - Priest, Caitlin F.

AU - Reger, Michael K.

AU - Kochhar, Komal

PY - 2011/10/1

Y1 - 2011/10/1

N2 - This study examined the association of pregnancy intention with maternal behaviors and the woman's perceived satisfaction with her prenatal and delivery care. Face-to-face interviews with 478 primarily Medicaid eligible women in Indianapolis, Indiana during their postpartum hospital stay were conducted to assess their degree of satisfaction with prenatal care and pregnancy intention, stratified into wanting to be pregnant now, later or never. Behaviors and characteristics influencing utilization of prenatal care were obtained from linked birth certificate data. A greater proportion of younger women (15-29) wanted to be pregnant later, a greater proportion of African- Americans never wanted to be pregnant, a greater proportion of divorced and never married women wanted to be pregnant later or never, and as parity increased the percentage of women never wanting to be pregnant increased. Multivariate analyses found that women never wanting to be pregnant were twice as likely to underutilize prenatal care, twice as likely to smoke while pregnant, half as likely to utilize WIC services and half as likely to recommend their providers to pregnant friends or relatives compared to women with a planned pregnancy, controlling for confounding variables. Finally, women wanting to be pregnant later were half as likely to rate their overall hospital care and prenatal care provider as high. Providers assessing their patients' pregnancy intention could better identify those women needing additional support services to adopt healthier behaviors and improve satisfaction with care. This study also demonstrated the value of more specific definitions of pregnancy intention.

AB - This study examined the association of pregnancy intention with maternal behaviors and the woman's perceived satisfaction with her prenatal and delivery care. Face-to-face interviews with 478 primarily Medicaid eligible women in Indianapolis, Indiana during their postpartum hospital stay were conducted to assess their degree of satisfaction with prenatal care and pregnancy intention, stratified into wanting to be pregnant now, later or never. Behaviors and characteristics influencing utilization of prenatal care were obtained from linked birth certificate data. A greater proportion of younger women (15-29) wanted to be pregnant later, a greater proportion of African- Americans never wanted to be pregnant, a greater proportion of divorced and never married women wanted to be pregnant later or never, and as parity increased the percentage of women never wanting to be pregnant increased. Multivariate analyses found that women never wanting to be pregnant were twice as likely to underutilize prenatal care, twice as likely to smoke while pregnant, half as likely to utilize WIC services and half as likely to recommend their providers to pregnant friends or relatives compared to women with a planned pregnancy, controlling for confounding variables. Finally, women wanting to be pregnant later were half as likely to rate their overall hospital care and prenatal care provider as high. Providers assessing their patients' pregnancy intention could better identify those women needing additional support services to adopt healthier behaviors and improve satisfaction with care. This study also demonstrated the value of more specific definitions of pregnancy intention.

KW - Delivery and hospital care satisfaction

KW - Maternal behavior

KW - Pre-natal care satisfaction

KW - Pre-natal care utilization

KW - Pregnancy intention

UR - http://www.scopus.com/inward/record.url?scp=81855224873&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81855224873&partnerID=8YFLogxK

U2 - 10.1007/s10995-010-0646-z

DO - 10.1007/s10995-010-0646-z

M3 - Article

C2 - 20652384

AN - SCOPUS:81855224873

VL - 15

SP - 1055

EP - 1066

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 7

ER -