Evidence map›Paper›PMID 29208354›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers.

Sheryl L Coley, Jasmine Y Zapata, Rebecca J Schwei, Glen Ellen Mihalovic, Maya N Matabele, Elizabeth A Jacobs, Cynthie K Anderson

Abstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Physician Referrals During Prenatal Care.Maternal and child health journal · 2021
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  18. High Black infant mortality in Wisconsin: factors associated with the ongoing racial inequity.Journal of perinatology : official journal of the California Perinatal Association · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sheryl L ColeyHealth Disparities Research Scholars Program, University of Wisconsin Madison, Madison, Wisconsin; Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin. Electronic address: scoley2@wisc.edu.
Jasmine Y ZapataDepartment of Pediatrics, University of Wisconsin Madison, Madison, Wisconsin; Preventive Medicine and Public Health Residency Program, University of Wisconsin Madison, Madison, Wisconsin.
Rebecca J SchweiDepartment of Medicine, University of Wisconsin Madison, Madison, Wisconsin; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison, Madison, Wisconsin.
Glen Ellen MihalovicDepartment of Medicine, University of Wisconsin Madison, Madison, Wisconsin.
Maya N MatabeleDepartment of Medicine, University of Wisconsin Madison, Madison, Wisconsin; University of Wisconsin Milwaukee, Milwaukee, Wisconsin.
Elizabeth A JacobsDepartment of Medicine, University of Wisconsin Madison, Madison, Wisconsin; Dell Medical School, University of Texas Austin, Austin, Texas.
Cynthie K AndersonDepartment of Obstetrics & Gynecology, University of Wisconsin Madison, Madison, Wisconsin.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Health Disparities Research Scholars Training Program-RenewalT32HD049302 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Maureen S Durkin · 2007 to 2026
$5.6M
NCATS NIH HHS UL1 TR000427NICHD NIH HHS T32 HD049302
6 · The paper itself

Abstract

introductionAfrican American mothers and other mothers of historically underserved populations consistently have higher rates of adverse birth outcomes than White mothers. Increasing prenatal care use among these mothers may reduce these disparities. Most prenatal care research focuses on prenatal care adequacy rather than concepts of quality. Even less research examines the dual perspectives of African American mothers and prenatal care providers. In this qualitative study, we compared perceptions of prenatal care quality between African American and mixed race mothers and prenatal care providers.

methodsPrenatal care providers (n = 20) and mothers who recently gave birth (n = 19) completed semistructured interviews. Using a thematic analysis approach and Donabedian's conceptual model of health care quality, interviews were analyzed to identify key themes and summarize differences in perspectives between providers and mothers.

findingsMothers and providers valued the tailoring of care based on individual needs and functional patient-provider relationships as key elements of prenatal care quality. Providers acknowledged the need for knowing the social context of patients, but mothers and providers differed in perspectives of "culturally sensitive" prenatal care. Although most mothers had positive prenatal care experiences, mothers also recalled multiple complications with providers' negative assumptions and disregard for mothers' options in care.

conclusionsExploring strategies to strengthen patient-provider interactions and communication during prenatal care visits remains critical to address for facilitating continuity of care for mothers of color. These findings warrant further investigation of dual patient and provider perspectives of culturally sensitive prenatal care to address the service needs of African American and mixed race mothers.

Indexed as

Black or African AmericanHealthcare DisparitiesPerceptionQuality of Health CareAdultCommunicationFemaleHumansMothersPregnancyPrenatal CareProfessional-Patient RelationsQualitative ResearchVulnerable Populations

Identifiers

PMID29208354
PMCPMC5835403

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Registered trials

None linked

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.