ArticleMaternal and child health journal1998
Pregnancy intentions, pregnancy attitudes, and the use of prenatal care in Missouri.
Article in Maternal and child health journal, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- A systematic review of non-binary measures of pregnancy perceptions, attitudes and reactions, and associated outcomes.BMC pregnancy and childbirth · 2025Pooled it
- Pregnancy, Birth, Neonatal, and Mental Health Outcomes Are Minimally Associated with Pregnancy Ambivalence.Studies in family planning · 2026Article
- Maternal childhood adversity and pregnancy intentions as predictors of pregnancy happiness.Journal of reproductive and infant psychology · 2024Article
- Prenatal care utilization in pregnant women who consider but do not have abortions.BMC pregnancy and childbirth · 2022Observational
- Abortion Surveillance - United States, 2018.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2020Article
- Level of Happiness and Its Associated Factors Among Pregnant Women in South Gondar Zone Hospitals, North Central Ethiopia.International journal of women's health · 2020Article
- Abortion Surveillance - United States, 2014.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2018Article
- Abortion Surveillance - United States, 2015.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2018Article
- Pregnancy intentions-a complex construct and call for new measures.Fertility and sterility · 2016Article
- Risk Factors Associated with Very Low Birth Weight in a Large Urban Area, Stratified by Adequacy of Prenatal Care.Maternal and child health journal · 2016Article
- Medicaid family planning waivers in 3 States: did they reduce unwanted births?Inquiry : a journal of medical care organization, provision and financing · 2015Article
- Evaluation of the SCKnowIQ tool and reproductive CHOICES intervention among young adults with sickle cell disease or sickle cell trait.Clinical nursing research · 2014Article
- Barriers, motivators and facilitators related to prenatal care utilization among inner-city women in Winnipeg, Canada: a case-control study.BMC pregnancy and childbirth · 2014Article
- Are Hispanic Women Happier About Unintended Births?Population research and policy review · 2012Article
- Feto-infant health and survival: does paternal involvement matter?Maternal and child health journal · 2010Review
- Adolescent pregnancy intentions and pregnancy outcomes: a longitudinal examination.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2004Article
- Defining dimensions of pregnancy intendedness.Maternal and child health journal · 2000Article
- Pregnancy intention and pregnancy happiness: are they different?Maternal and child health journal · 2000Article
- Women's Health Decline Following (Some) Unintended Births: A Prospective Study.Demographic researchArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThis study uses data from 2378 mothers of live-born infants from the NICHD/Missouri Maternal and Infant Health Survey to examine the relationship between pregnancy intention and adequacy of prenatal care.
methodsPregnancy intention was measured using traditional classifications of mistimed and unwanted pregnancies as well as additional measures of women's attitudes about their pregnancies. Odds ratios for inadequate prenatal care and its component parts (initiation of care and receipt of services) were calculated using multiple logistic regression in separate models and in a combined model for the measures of intention and attitude.
resultsWomen's attitudes about their pregnancies were associated with inadequate prenatal care, including both inadequate initiation of care and inadequate receipt of services. Traditional measures of intendedness were significantly related only to inadequate initiation of care. Women who were unhappy about the pregnancy (OR = 1.44), unsure that they wanted to be pregnant (OR = 2.81), or denied their pregnancies (OR = 4.82) were more likely to have inadequate prenatal care than women who did not have these attitudes. Women who were unhappy about being pregnant (OR = 1.86), unsure that they wanted to be pregnant (OR = 3.44), or who denied the pregnancy (OR = 6.69) were more likely to have inadequate initiation of care. Women who were unsure that they wanted to be pregnant (OR = 1.95) or who denied their pregnancies (OR = 2.47) were more likely to have received inadequate care once they had entered care.
conclusionsThis study suggests that attitudes about pregnancy may be a psychosocial barrier to women obtaining early and continuous prenatal care. Pregnancy attitudes should be assessed and appropriate services provided to improve women's utilization of prenatal care. New measures of pregnancy attitude, beyond the traditional intention measures, can be useful in assessing pregnancy wantedness and identifying women to target for these services.
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