Prenatal care : reaching mothers, reaching infants / / Sarah S. Brown, editor ; Committee to Study Outreach for Prenatal Care, Division of Health Promotion and Diseases Prevention, Institute of Medicine

• Pubblicazione: Washington, D.C., : National Academy Press, 1988
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (264 pages)
• Disciplina: 362.1/982
• Soggetto topico: Prenatal care; Women's health services
• Altri autori: BrownSarah S
• Note generali: Bibliographic Level Mode of Issuance: Monograph
• Nota di bibliografia: Includes bibliographies and index.
• Nota di contenuto: Prenatal Care -- Copyright -- Acknowledgments -- Contents -- Summary -- STUDY FOCUS -- DEMOGRAPHIC RISK FACTORS -- Minority Status -- Age -- Education -- Birth order -- Marital status -- Income -- Geographic location -- BARRIERS TO THE USE OF PRENATAL CARE -- Financial Barriers -- Inadequate System Capacity -- Organization, Practices, and Atmosphere of Prenatal Services -- Cultural and Personal Barriers -- BARRIERS TO CARE: WOMEN'S AND PROVIDERS' PERSPECTIVES -- MULTIVARIATE ANALYSIS -- IMPROVING THE USE OF PRENATAL CARE: PROGRAM EXPERIENCE -- Program Implementation and Evaluation -- CONCLUSIONS AND RECOMMENDATIONS -- SPECIFIC RECOMMENDATIONS -- Introduction -- STUDY FOCUS -- STUDY METHOD -- ORGANIZATION OF THE REPORT -- THE VALUE OF PRENATAL CARE: AN UNDERLYING ASSUMPTION -- REFERENCES AND NOTES -- Chapter 1 Who Obtains Insufficient Prenatal Care? -- TERMINOLOGY AND MEASURES -- CURRENT PATTERNS OF USE -- Racial and Ethnic Subgroups -- Age -- Education -- Birth Order -- Marital Status -- Income -- RELATIONSHIPS AMONG DEMOGRAPHIC RISK FACTORS -- GEOGRAPHIC POCKETS OF NEED -- TRENDS IN THE USE OF PRENATAL CARE -- SUMMARY -- REFERENCES AND NOTES -- Chapter 2 Barriers to the Use of Prenatal Care -- FINANCIAL BARRIERS -- Private Insurance -- Eligibility for Coverage -- Scope and Depth of Coverage -- Patient Cost-Sharing -- Medicaid -- Uninsured Women -- INADEQUATE SYSTEM CAPACITY -- Services in Organized Settings -- Maternity Care Providers -- Malpractice -- ORGANIZATION, PRACTICES, AND ATMOSPHERE OF PRENATAL SERVICES -- Links Among Services -- Medicaid Application Procedures -- Classic Barriers to Access -- CULTURAL AND PERSONAL BARRIERS -- SUMMARY -- REFERENCES AND NOTES -- Chapter 3 Women's Perceptions of Barriers to Care -- SELECTION AND SYNTHESIS OF STUDIES -- Studies of Women with Insufficient Prenatal Care. ; Studies of Women with No Prenatal Care -- Studies of Adolescents -- Limitations -- PROVIDER PERSPECTIVES -- MULTIVARIATE ANALYSIS -- SUMMARY -- REFERENCES -- Chapter 4 Improving the Use of Prenatal Care: Program Experience -- SELECTION AND CLASSIFICATION OF PROGRAMS -- THE PROGRAMS STUDIED -- Programs That Reduce Financial Barriers -- Programs That Increase System Capacity -- Programs That Improve Institutional Practices -- Programs That Conduct Casefinding -- Programs That Provide Social Support -- OBSERVATIONS ON PROGRAM EFFECTIVENESS -- PROGRAM DESIGN AND MANAGEMENT -- COMMON DIFFICULTIES IN PROGRAM IMPLEMENTATION AND MAINTENANCE -- Finding Financial and Community Support -- Recruiting and Keeping Personnel -- Dealing with Bureaucracies -- Planning and Sustaining Programs -- Other Problems -- PROGRAM EVALUATION -- SUMMARY -- REFERENCES AND NOTES -- Chapter 5 Conclusions and Recommendations -- REVISING THE NATION'S MATERNITY CARE SYSTEM: A LONG-TERM GOAL -- DEVELOPING A COMPREHENSIVE, MULTIFACTED PROGRAM: A SHORT-TERM GOAL -- FINANCIAL BARRIERS -- INADEQUATE SYSTEM CAPACITY -- INSTITUTIONAL ORGANIZATION, PRACTICES, AND ATMOSPHERE -- PUBLIC INFORMATION AND EDUCATION -- THE ROLE OF OUTREACH: A GENERAL FRAMEWORK -- CASEFINDING -- SOCIAL SUPPORT -- MANAGEMENT AND EVALUATION -- RESEARCH -- A NOTE TO FUNDERS -- SUMMARY -- REFERENCES AND NOTES -- Appendix A Summaries of the 31 Programs Studied -- TYPE 1: PROGRAMS TO REDUCE FINANCIAL BARRIERS -- Healthy Start Program-Massachusetts -- Prenatal-Postpartum Care Program-Michigan -- TYPE 2: PROGRAMS TO INCREASE SYSTEM CAPACITY -- Obstetrical Access Pilot Project-California -- Perinatal Program-Lea County, New Mexico -- Prenatal Care Assistance Program-New York State -- Prevention of Low Birthweight Program-Onondaga County, New York -- TYPE 3: PROGRAMS TO IMPROVE INSTITUTIONAL PRACTICES. ; Maternity and Infant Care Projects-Ohio and North Carolina -- Improved Pregnancy Outcome Project-Two Counties in North Carolina -- Improved Child Health Project-Two Areas of Mississippi -- Child Survival Project, Columbia-Presbyterian Medical Center-New York City -- Development of a Perinatal System in Shelby County, Tennessee -- TYPE 4: PROGRAMS THAT CONDUCT CASEFINDING -- Central Harlem Outreach Program-New York City -- Community Health Advocacy Program-New York City -- The Better Babies Project-Washington, D.C. -- The Maternity and Infant Outreach Project-Hartford, Connecticut -- Pregnancy Healthline-New York City -- The 961-BABY Telephone Information and Referral Service-Detroit, Michigan -- Concern for Health Options: Information, Care and Education (CHOICE)-Philadelphia, Pennsylvania -- The Free Pregnancy Testing and Prenatal Care Advocate Program-Tulsa, Oklahoma -- The Special Supplemental Food Program for Women, Infants, and Children (WIC)-Six Studies -- Baby Showers-Seven Counties in Michigan -- TYPE 5: PROGRAMS THAT PROVIDE SOCIAL SUPPORT -- Resource Mothers-Three Counties in South Carolina -- Comprehensive Service Programs for Pregnant Adolescents-A Summary of Six Programs -- Improving Institutional Arrangements -- Casefinding -- Social Support -- Evaluation -- The Prenatal and Infancy Home Visiting Program-Elmira, New York -- The Grannies Program-Bibb County, Georgia -- REFERENCES AND NOTES -- Appendix B Prenatal Care Outreach: An International Perspective -- STUDY COUNTRIES -- ADEQUACY OF DATA -- CHARACTERISTICS OF STUDY COUNTRIES -- Demographics -- Teenage Childbearing -- Household Income -- National Finances -- Health Care Financing and Delivery -- MATERNITY-RELATED SERVICES -- Public Clinics -- Number of Prenatal Visits -- Home Visiting -- Incentives to Participate in Prenatal Care -- Home Deliveries -- Hospital Deliveries. ; Continuity of Care -- MATERNITY-RELATED BENEFITS -- CONCLUSIONS -- REFERENCES -- Appendix C The Medical Malpractice Crisis and Poor Women -- CAUSES OF THE INCREASE IN MALPRACTICE INSURANCE COSTS -- Medical Advances and the Demise of the Locality Rule -- Large Awards -- Substandard Physicians -- Contingency Fees -- Insurance Companies -- Underfinancing of Maternity Care -- RESPONSE BY PROVIDERS OF OBSTETRICAL CARE -- Cessation of Obstetrical Practice -- Impact on Providers of Maternity Care to the Poor -- Rejection of High-Risk Women -- Rejection of Underfinanced Women -- STATE RESPONSES -- CONCLUSION AND RECOMMENDATIONS -- REFERENCES AND NOTES -- Index.
• Sommario/riassunto: Prenatal care programs have proven effective in improving birth outcomes and preventing low birthweight. Yet over one-fourth of all pregnant women in the United States do not begin prenatal care in the first 3 months of pregnancy, and for some groups--such as black teenagers--participation in prenatal care is declining. To find out why, the authors studied 30 prenatal care programs and analyzed surveys of mothers who did not seek prenatal care. This new book reports their findings and offers specific recommendations for improving the nation's maternity system and increasing the use of prenatal care programs.
• Titolo autorizzato: Prenatal care
• ISBN: 9786610214679; 9781280214677; 1280214678; 9780309542890; 0309542898; 9780585142869; 0585142866
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910963605403321
• Lo trovi qui: Univ. Federico II