Document Detail

Scheduling the first prenatal visit: office-based delays.
MedLine Citation:
PMID:  20643391     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to evaluate the office-based component of delayed entry into prenatal care. STUDY DESIGN: Phone numbers for all obstetrics offices in a single state were obtained from a commercial list. A research assistant who posed as a newly pregnant, fully insured woman asked each clinic when she should come in for her first prenatal visit. RESULTS: Information was provided by 239 of the 279 (86%) offices. The recommended appointment times ranged from immediately (4 weeks of gestation) to 10.6 weeks, which averaged 6.37 weeks. Twenty-five percent of clinics recommended a first appointment at >/=8 weeks. Scheduling calls were not a source of prenatal advice: <5% of clinics asked about smoking, alcohol, or medical condition; 88% of clinics did not mention vitamins. CONCLUSION: Office-based delays in scheduling the first prenatal visit occur in a substantial proportion of clinics, even for fully insured women. There is a need for a standard source of advice in early pregnancy.
Mary D Nettleman; Jennifer Brewer; Misty Stafford
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  203     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  207.e1-3     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI 48823, USA.
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MeSH Terms
Appointments and Schedules*
Cross-Sectional Studies
Gestational Age
Health Services Accessibility
Medical History Taking / statistics & numerical data
Office Visits / statistics & numerical data*
Patient Simulation
Prenatal Care*
United States
Vitamins / therapeutic use
Reg. No./Substance:
Comment In:
Am J Obstet Gynecol. 2010 Sep;203(3):e1-4   [PMID:  20816141 ]
Am J Obstet Gynecol. 2010 Sep;203(3):192-3   [PMID:  20816145 ]

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