Improving Access to Antenatal Care for Aboriginal Women in South Australia: Evidence from a Population-Based Study

Birth
Stephanie Janne BrownJane S Yelland

Abstract

Aboriginal and Torres Strait Islander women are two to three times more likely to experience adverse maternal and perinatal outcomes than non-Aboriginal women in Australia. Persisting health inequalities are at least in part explained by late and/or inadequate access to antenatal care. This study draws on data collected in a population-based study of 344 women giving birth to an Aboriginal infant between July 2011 and June 2013 in South Australia to investigate factors associated with engagement in antenatal care. About 79.8 percent of mothers accessed antenatal care in the first trimester of pregnancy, and 90 percent attended five or more antenatal visits. Compared with women attending mainstream regional services, women attending regional Aboriginal Family Birthing Program services were more likely to access antenatal care in the first trimester (Adj OR 2.5 [1.0-6.3]) and markedly more likely to attend a minimum of five visits (Adj OR 4.3 [1.2-15.1]). Women attending metropolitan Aboriginal Family Birthing Program services were also more likely to attend a minimum of five visits (Adj OR 12.2 [1.8-80.8]) compared with women attending mainstream regional services. Women who smoked during pregnancy were less likely to attend a v...Continue Reading

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Citations

Sep 15, 2016·Australian and New Zealand Journal of Public Health·Jane YellandStephanie Brown
Sep 14, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Katherine CollinsShailender Mehta
Jul 17, 2021·The International Journal of Health Planning and Management·Haylee FoxEmily Callander

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