Factors Influencing Prenatal Care among Low-income Jamaican Women

Government health policy in Jamaica encourages prenatal care from the first trimester of pregnancy; however, low-income women continue to obtain prenatal care late in pregnancy, if at all. This research analyzed prevailing patterns of prenatal care in Kingston, the capital of Jamaica. Women attending prenatal clinics and postpartum patients at the primary maternity hospital in Kingston, as well as pregnant women in two low-income neighborhoods in the Kingston environs, were interviewed to determine factors influencing their use of prenatal care services. Women were aware that prenatal care was necessary; but for many women, an occasional visit served as sufficient assessment. Neither financial constraints nor an unpopular blood donation requirement constrained women from seeking early prenatal care; in the absence of alternative low cost maternity care options, the widespread dissatisfaction with conditions at the public maternity hospital did not affect women's use of hospital prenatal or delivery services. Contrary to expectations, multiparous women had more prenatal visits than did primiparas. The cultural construction of pregnancy as life cycle event rather than pathological condition may account for expressed indifference to medical surveillance during pregnancy

Environmental health · Family medicine · Government (linguistics) · Obstetrics · Population · Pregnancy · Prenatal care · Global Maternal and Child Health · Medicine

• La participation des femmes de milieux économiquement faibles aux services prénatals

  Daniel Turcotte, Geneviève Lessard et al.•Canadian Journal of Program…•2001

  Incluir item

• A cultural model of pregnancy

  Open Access•Víctor M Torres•The Social Science Journal•2005

  Incluir item

• Psychological and sociological barriers to prenatal care

  Open Access•Marycatherine Augustyn, Lois A Maiman•Women s Health Issues•1994

  Incluir item

• Pregnancy and childbirth among the amish

  Open Access•Karla Campanella, Jill E Korbin et al.•Social Science & Medicine•1993

  Incluir item

• Endangering safe motherhood in Mozambique

  Open Access•Rachel R Chapman•Social Science & Medicine•2003

  Incluir item

• Transformations in maternity services in Jamaica

  Open Access•Carolyn Sargent, Joan Rawlins et al.•Social Science & Medicine•1992

  Incluir item

• Under-users of antenatal care

  Open Access•Affette Mccaw-Binns, Janet La Grenade et al.•Social Science & Medicine•1995

  Incluir item

• Chikotsa-Secrets, Silence, and Hiding

  Open Access•Rachel R Chapman•Medical Anthropology Quarterly•2006

  Incluir item

• Seeking Early Care

  Open Access•Carole A Winston, Carla A Winston et al.•Medical Anthropology Quarterly•2000

  Incluir item

• Ways of Knowing about Birth in Three Cultures

  Open Access•Carolyn Sargent, Grace Bascope et al.•Medical Anthropology Quarterly•1996

  Incluir item

• "Who's Judging the Quality of Care? Indigenous Maya and the Problem of "Not Being Attended

  Nicole S Berry•Medical Anthropology•2008

  Incluir item

• Patterns of contraceptive use in Kingston and St Andrew, Jamaica, 1970-1977

  Open Access•Wilma Bailey, Dorian Powell•Social Science & Medicine•1982

  Incluir item

• Spatial patterns of use of health services in the Kingston Metropolitan Area, Jamaica

  Open Access•Wilma Bailey, David R Phillips•Social Science & Medicine•1990

  Incluir item