Prenatal Health Care among Low-Income Minority Women

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Two-thirds of infants die during the first month of life due to low birth weight (Lia-Hoagberg et al, 1990). One reason for this outcome is primarily due to difficulties in accessing prenatal care. Prenatal health care encompasses the health of women in both pre and post childbearing years and provides the support for a healthy lifestyle for the mother and fetus and/or infant. This form of care plays an important role in the prevention of poor birth outcomes, such as prematurity, low birth weight and infant mortality, where education, risk assessment, treatment of complications, and monitoring of fetus development are vital (McKenzie, Pinger,& Kotecki, 2012). Although every woman is recommended to receive prenatal health care, low-income and disadvantaged minority women do not seek care due to structural and individual barriers. Cook, Selig, Wedge, and Gohn-Baube (1999) stated that an essential part of the country’s public health agenda is to improve access to prenatal care, particularly for economically disadvantaged women. I agree with this statement because access to care is very important for the outcome of a healthy mother and child. Improving access to prenatal care for disadvantaged women will not only save lives but also lighten the high financial, social, and emotional costs of caring for low weight babies. Some of the barriers that these women face are mainly structural where the availability of care is limited; the cost of care is a financial burden; and the time to seek care is problematic due to being single mothers working more than one job (Lia-Hoagberb, 1990). Additionally, there is the issue of prenatal care being delivered differently depending on one’s race. A study found that White mothers delivering ve... ... middle of paper ... ....Med, 30(4), 487-495. Loveland Cook, C.A., Selig, K.L., Wedge, B.J., & Gohn-Baube, E.A. (1999). Access barriers and the use of prenatal care by low-income, inner-city women. Social Work, 44(2), 129-139. McKenzie, J.F., Pinger, R.R., & Kotecki, J.E. (2012). An introduction to community health. Sadbury, MA: Jones & Barlett Learning. Paul, D.A., Locke, R., Zook, K., Leef, K.H., Stefano, J.L. & Colmorgan, G. (2006). Racial differences in prenatal care of mothers delivering very low birth weight infants. Journal of Perinatology, 26, 74-78. Schaffer, M.A. & Lia-Hoagberg, B. (1997). Effects of social support on prenatal care and health behaviors of low-income women. JOGNN, 26, 433-440. Sword, W. (1999). A socio-ecological approach to understanding barriers to prenatal care for women of low income. Jourcal of Advanced Nursing, 29(5), 1170-1177.

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