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Prenatal hospitalization and compliance with guidelines for prenatal care.

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Title: Prenatal hospitalization and compliance with guidelines for prenatal care.
Authors: Haas JS (AUTHOR), Berman S (AUTHOR), Goldberg AB (AUTHOR), Lee LWK (AUTHOR), Cook EF (AUTHOR)
Source: American Journal of Public Health. Jun96, Vol. 86 Issue 6, p815-819. 5p.
Subjects: Prenatal care, Hospital care, Maternal health services, Pregnancy
Geographic Terms: United States
Abstract: OBJECTIVES: This study examined the relationship between compliance with the US Public Health Service guidelines for prenatal care and the rate of prenatal hospitalization. METHODS: For all women admitted to a Boston referral center during January and February 1993 with a pregnancy of at least 18 weeks gestation (n = 1400), a proportional hazards model was used to examine factors associated with prenatal hospitalization. RESULTS: Prenatal hospitalization occurred during 248 (17.7%) pregnancies. The median length of stay for all prenatal admissions was 4 days; the medial total charge was $5667. Prior medical and obstetrical problems were strongly associated with prenatal hospitalization. After adjustment for age, race, and medical and obstetrical complications, women who received less than 70% of the prenatal care recommended were significantly more likely to be hospitalized (relative risk [RR] = 2.14, 95% confidence interval [CI] 1.50, 3.06). CONCLUSIONS: Prenatal hospitalization is a common, costly complication of pregnancy. Because of its association with compliance with the Public Health Service guidelines for the content of prenatal care, prenatal hospitalization may be a sentinel indicator of inadequate prenatal care amenable to intervention. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prenatal hospitalization and compliance with guidelines for prenatal care.
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  Data: <searchLink fieldCode="AR" term="%22Haas+JS%22">Haas JS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berman+S%22">Berman S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldberg+AB%22">Goldberg AB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee+LWK%22">Lee LWK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cook+EF%22">Cook EF</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jun96, Vol. 86 Issue 6, p815-819. 5p.
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  Data: <searchLink fieldCode="DE" term="%22Prenatal+care%22">Prenatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Maternal+health+services%22">Maternal health services</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: This study examined the relationship between compliance with the US Public Health Service guidelines for prenatal care and the rate of prenatal hospitalization. METHODS: For all women admitted to a Boston referral center during January and February 1993 with a pregnancy of at least 18 weeks gestation (n = 1400), a proportional hazards model was used to examine factors associated with prenatal hospitalization. RESULTS: Prenatal hospitalization occurred during 248 (17.7%) pregnancies. The median length of stay for all prenatal admissions was 4 days; the medial total charge was $5667. Prior medical and obstetrical problems were strongly associated with prenatal hospitalization. After adjustment for age, race, and medical and obstetrical complications, women who received less than 70% of the prenatal care recommended were significantly more likely to be hospitalized (relative risk [RR] = 2.14, 95% confidence interval [CI] 1.50, 3.06). CONCLUSIONS: Prenatal hospitalization is a common, costly complication of pregnancy. Because of its association with compliance with the Public Health Service guidelines for the content of prenatal care, prenatal hospitalization may be a sentinel indicator of inadequate prenatal care amenable to intervention. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.86.6.815
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      – Code: eng
        Text: English
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      – SubjectFull: Prenatal care
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Maternal health services
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      – SubjectFull: Pregnancy
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            – D: 01
              M: 06
              Text: Jun96
              Type: published
              Y: 1996
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