ArticleBMJ open2020
Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health literacy interventions for pregnant women with limited language proficiency in the country they live in: a systematic review.BMC public health · 2024Pooled it
- Patterns of maternal and child health services utilization and associated socioeconomic disparities in sub-Saharan Africa.Nature communications · 2025Article
- Development of Mothers' Health Literacy: Findings From the KUNO-Kids Study.Health literacy research and practice · 2023Article
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Authors and funding
7 authors.
Funding
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Abstract
objectivesTo investigate mothers' knowledge and utilisation of antenatal and perinatal support services as well as predictors of knowledge and service utilisation.
designCross-sectional study.
settingProspective birth cohort in Regensburg, Eastern Bavaria, Germany.
participants2455 mothers after delivery. OUTCOME MEASURES: Participants' knowledge of distinct antenatal and perinatal support services (poor vs good, defined by median split). Participants' use of antenatal services provided by midwife (yes, no) and of any other antenatal support services (yes, no).
resultsThe vast majority of mothers knew at least some support services. Two-thirds of women (68.4%) reported to have used the services provided by midwives. 23.6% of women reported to have used at least one of the other antenatal services. Good knowledge of services was associated with higher education (OR 1.37, 95% CI 1.13 to 1.67), no migration background (OR 2.26, 95% CI 1.76 to 2.90), better health literacy (OR 1.04, 95% CI 1.03 to 1.06), while being primiparous (OR 0.72, 95% CI 0.60 to 0.86) and being unmarried/living with a partner (OR 0.71, 95% CI 0.57 to 0.89) reduced the chance. Predictors of service utilisation differed with regard to the services considered.
conclusionsOverall, mothers had a good level of knowledge of antenatal and perinatal support services. However, we found that some groups of women were less well informed. This inequality in social predictors of knowledge of services was also partly reflected in differences in service utilisation during pregnancy.
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