Conference Abstract Compendium Examples from the ... - CityMatCH

2009 CityMatCH Urban MCH Leadership ConferenceWomen were asked about barriers to PNC. The most common were transportation (25.4%) and clinichours (22.3%). Women with chronic conditions had a mean of 1.87 barriers, whereas women withoutchronic conditions averaged 1.57 barriers. Women with chronic illness were 1.2 times more likely to havea barrier than women without chronic illness (95% CI, 0.6-2.6). Women diagnosed with chronicconditions before pregnancy were 1.5 times more likely to begin PNC after the first trimester [definedhere as after 12 weeks (95% CI, 0.3-1.4)] and 2.1 times more likely to delay PNC until after half waythrough pregnancy (95% CI, 0.2-1.4).LIMITATIONSData on presence or absence of chronic conditions were based on self-report. Women may have had prepregnancychronic conditions but did not report them or may have had undiagnosed conditions.Participants are not a random sample of all low-income pregnant women in the target communities.Finally, due to small sample size, estimates were unstable.CONCLUSIONS/LIMITATIONSLow-income women with chronic illness appear more likely to have barriers and delay PNC entry. Inorder to actualize PNC benefits, efforts to connect women to care as early in pregnancy as possible areessential. Health outreach prior to pregnancy might be the most important strategy.90