Journal of Obstetric, Gynecologic & Neonatal Nursing
CLINICAL ISSUESPrenatal Care: Limitations and Opportunities
Section snippets
History of prenatal care
In 1902, J.W. Ballantyne, a Scottish physician, introduced modern prenatal care when he asserted that prevention, in order to be truly preventive, must be antenatal (Ballantyne, 1902). In the late 19th century, this visionary had observed that while much was done for mothers and babies during labor and birth, these activities did little or nothing to reduce the morbidity and mortality of congenital anomalies, multiple births, and fetal diseases. He identified maternal exposures including
Comprehensive prenatal care
In the 1980s, in response to evidence that increased utilization of prenatal care was associated with lower rates of prematurity (a questionable association as previously discussed), prenatal care for low‐income women was made more accessible by creating a new category of Medicaid, known as Medicaid for Pregnant Women (MPW). Under this Medicaid expansion, a woman could qualify for publicly funded prenatal care at 135% to 185% of the federal poverty level, depending on the option chosen by the
Conclusions
Prenatal care is a tradition that deserves critical examination, but little has occurred since the work of the PHS Expert Panel on the Content of Prenatal Care (PHS, 1989) was published 17 years ago. Inordinate amounts of public and personal resources continue to be expended on a tradition of care that has not proven itself equal to the perinatal health issues of today. Calls to rigorously examine the tradition have received little support from professional groups, and efforts to redesign
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Cited by (45)
Women's Perceived Quality of Care and Self-Reported Empowerment With CenteringPregnancy Versus Individual Prenatal Care
2019, Nursing for Women's HealthCitation Excerpt :For example, prenatal care historically has focused on prevention of eclampsia, low birth weight, and preterm birth (Alexander & Kotelchuck, 2001). The traditional prenatal approach is based on standards developed in the 1920s, with the exception of an increase in number of visits (Moos, 2006). The goal of prenatal care is to detect, treat, and prevent potential health problems, yet the current one-on-one prenatal care model has been criticized for remaining unfocused, fragmented, and inefficient (Rising & Quimby, 2017; Risisky, Asghar, Chaffee, & DeGennaro, 2013).
A realist synthesis of social connectivity interventions during transition to parenthood: The value of relationships
2017, Applied Nursing ResearchCitation Excerpt :However, there are formal programs that have created positive social connections as part of a more structured service approach. Public health nurses and those in primary care have a long history of providing both clinical aspects of prenatal care and educational classes (Canadian Public Health Association, 2010; Moos, 2006). One type of program that has been implemented is to combine clinical care provided by a physician, nurse, or midwife with prenatal classes all in one group experience.
Which Pregnant Adolescents Would be Interested in Group-Based Care, and Why?
2015, Journal of Pediatric and Adolescent GynecologyCitation Excerpt :Prenatal care services are provided with the goal to minimize preventable complications and optimize maternal and fetal health.6,7 Traditionally, the primary focus within prenatal care systems is physical health monitoring,6 although ideally, comprehensive models of prenatal care would also include education and psychosocial support.8–10 This is especially critical for pregnant adolescents to address the dramatic transitions and challenges they experience.11,12
Predictors of Quitting Dual Use of Electronic Cigarettes and Cigarettes During Pregnancy
2024, Journal of Women's HealthRelationship between Perceived Quality of Prenatal Care and Maternal/Infant Health Outcomes
2022, Southern Medical JournalFinancial burden due to non-compliance of ultrasound with national standards in pregnant women with low-risk pregnancy covered by the health centers of Isfahan, 2019
2022, Iranian Journal of Obstetrics, Gynecology and Infertility