Prenatal care among mothers involved with child protection services in Manitoba: a retrospective cohort study

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Elizabeth Wall-WielerLeslie L Roos

Abstract

Prenatal care is one of the most widely used preventive health services; however, use varies substantially. Our objective was to examine prenatal care among women with a history of having a child placed in out-of-home care, and whether their care differed from care among women who did not. We used linkable administrative data to create a population-based cohort of women whose first 2 children were born in Manitoba, Canada, between Apr. 1, 1998, and Mar. 1, 2015. We measured the level of prenatal care using the Revised Graduated Prenatal Care Utilization Index, which categorizes care into 5 groups: intensive, adequate, intermediate, inadequate and no care. We compared level of prenatal care for women whose first child was placed in care with level of prenatal care for women who had no contact with care services, using 2 multinomial logistic regression models to calculate odds ratios (ORs). In a cohort of 52 438 mothers, 1284 (2.4%) had their first child placed in out-of-home care before conception of their second child. Mothers whose first child was placed in care had much higher rates of inadequate prenatal care during the pregnancy with their second child than mothers whose first child was not placed in care (33.0% v. 13.4%). ...Continue Reading

Citations

Dec 11, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Robin LennoxElizabeth Shaw
Jul 3, 2021·International Journal of Environmental Research and Public Health·Colleen M DavisonImaan Bayoumi
Jan 18, 2022·BMC Pregnancy and Childbirth·Caroline Fidan Tyler DoenmezAlexandra Nychuk

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