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Prenatal Care and Culture

Prenatal Care and Culture. BIO 125 Analysis of a Public Health Threat Richard Chien , Jacqueline Hofer, Randell Rueda , Hannah Shin. “You're taking a risk, like driving without a license...". http://www.empowher.com/media/video/why-prenatal-care-important-dr-dicampli-video. Problem.

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Prenatal Care and Culture

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  1. Prenatal Care and Culture BIO 125 Analysis of a Public Health Threat Richard Chien, Jacqueline Hofer, RandellRueda, Hannah Shin

  2. “You're taking a risk, like driving without a license..." http://www.empowher.com/media/video/why-prenatal-care-important-dr-dicampli-video

  3. Problem • Too few women are getting late or no prenatal care. • The primary goal of prenatal care is to keep you and your baby safe and healthy. • Babies of mothers who do not get prenatal care are 3x more likely to have a low birth weight and 5x more likely to die than those born to mothers who do get care.1 • Pregnancy-related mortality ratio 4x greater than did white women with any care.2 • Black women with no care were 2.2 x more likely to experience a pregnancy-related death than were black women who had any care.2 1Womenshealth.gov 2Pregnancy Related Mortality in the US, Feb 2003

  4. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  5. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  6. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  7. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005

  8. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  9. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005

  10. Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  11. Ethnicity-Age-Adjusted Late/No Prenatal Care for Merced County 1998-2006 Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  12. Ethnicity-Age-Adjusted Late/No Prenatal Care Rates for New York, 1998-2006 Standardized Population: United States Census 2000 Population = 281421906 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2003-2006, on CDC WONDER Online Database, March 2009 • Source: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 1995-2002, on CDC WONDER On-line Database, November 2005 • NOTE: Data from 2003-2006 contains birth certificate data in which ethnicity demographics were "not on certificate," which explains for the unadjustable or unaccountable drop in the values for all ethnicities from 2003-2006

  13. Intervention • Organizational - Prenatal and postpartumnurse home visitation3 • Community - Healthy Steps Program: Delivery of the prenatal component: 3 home visits and telephonefollow-up during mothers' 2nd and 3rd trimesters4 • Individual - Home Visiting by Paraprofessionals and by Nurses5 3Improving the Delivery of Prenatal Care and Outcomes of Pregnancy: A Randomized Trial of Nurse Home Visitation Jan 1986 4PrePare: a program of enhanced prenatal services within health-maintenance organization settings Feb 2001 5Home Visiting by Paraprofessionals and by Nurses: A Randomized, Controlled Trial Sept 2002

  14. Recommendation • Organizational: Mobile community prenatal care van • Community: support groups facilitated by experienced mothers, overseen by physician • Encouragement to the individual through advertisements, flyers etc. • Within workplace: providing mother going on maternity leave with information regarding PNC, community or county programs available

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