ArticleMaternal and child health journal2016
Working Towards Safe Motherhood: Delays and Barriers to Prenatal Care for Women in Rural and Peri-Urban Areas of Georgia.
Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Examining the Role of Discrimination in Prenatal Care Utilization: A Systematic Review Using the Social-Ecological Model.Research in nursing & health · 2026Pooled it
- Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature.Primary health care research & development · 2023Pooled it
- A systematic review of the qualitative literature on barriers to high-quality prenatal and postpartum care among low-income women.Health services research · 2022Pooled it
- Risk Factors for Loss of Hospital-Based Obstetric Care in Rural and Urban Hospitals.JAMA health forum · 2026Article
- Maternal Health Workforce Expansion and Local Childbirths.JAMA network open · 2026Article
- Use and Out-of-Pocket Costs of Antenatal Fetal Surveillance for Patients With Chronic Conditions.O&G open · 2026Article
- Sociodemographic and Health-Seeking Factors Associated with First-Trimester Prenatal Care: A Cross-Sectional Study of PRAMS Data.Healthcare (Basel, Switzerland) · 2026Article
- Unveiling the Challenges and Solutions: A Scoping Review of Maternal Healthcare Access in Rural Georgia.Cureus · 2025Review
- "I Live in a Doula Desert": A Community-Engaged Study of Doula Care in Rural Georgia.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Prenatal Care Utilization and Birth Outcomes After Expansion of the National Health Service Corps.Obstetrics and gynecology · 2024Article
- Evaluating Prenatal Care Compliance and Barriers to Prenatal Care Among Pregnant Individuals in Forsyth County, North Carolina.North Carolina medical journal · 2024Article
- Facilitators and barriers to seeking and engaging with antenatal care in high-income countries: A meta-synthesis of qualitative research.Health & social care in the community · 2022Review
- A qualitative study of rural healthcare providers' views of social, cultural, and programmatic barriers to healthcare access.BMC health services research · 2022Article
- Reduced rate of postpartum readmissions among homeless compared with non-homeless women in New York: a population-based study using serial, cross-sectional data.BMJ quality & safety · 2022Article
- Multiparous Black and Latinx Women Face More Barriers to Prenatal Care than White Women.Journal of racial and ethnic health disparities · 2021Article
- Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19.Frontiers in sociology · 2021Article
- Geographic, Health Care Access, Racial Discrimination, and Socioeconomic Determinants of Maternal Mortality in Georgia, United States.International journal of MCH and AIDS · 2021Article
- The Influence of Four Constructs of Social Support on Pregnancy Experiences in Group Prenatal Care.Women's health reports (New Rochelle, N.Y.) · 2021Article
- Geospatial variation in caesarean delivery.Nursing open · 2020Observational
- Positive Deviance to Address Health Equity in Quality and Safety in Obstetrics.Clinical obstetrics and gynecology · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives Georgia has the highest rate of maternal mortality in the United States, and ranks 40th for infant mortality. The Georgia Maternal and Infant Health Research Group was formed to investigate and address the shortage of obstetric care providers outside the Atlanta area. Because access to prenatal care (PNC) can improve maternal and infant health outcomes, we used qualitative methods to identify the access barriers experienced by women who live in rural and peri-urban areas of the state. Methods We conducted semi-structured, in-depth interviews with 24 mothers who gave birth between July and August 2013, and who live in either shortage or non-shortage obstetric care service areas. We also conducted key informant interviews with four perinatal case managers, and analyzed all data using applied thematic analysis. We then utilized Thaddeus and Maine's "Three Delays to Care" theoretical framework structure to describe the recognized barriers to care. Results We identified delays in a woman's decision to seek PNC (such as awareness of pregnancy and stigma); delays in accessing an appropriate healthcare facility (such as choosing a doctor and receiving insurance coverage); and delays in receiving adequate and appropriate care (such as continuity of care and communication). Moreover, many participants perceived low self-worth and believed this influenced their PNC exchanges. Conclusion As a means of supporting Georgia's pregnant women who face barriers and delays to PNC, these data provide a rationale for developing contextually relevant solutions to both mothers and their providers.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.