Factors affecting satisfaction and patient expectations of prenatal care among refugee pregnant women: A cross-sectional study

The care satisfaction of pregnant women is very important for maternal and newborn health. This study aimed to examine the and affecting factors relationships among prenatal care satisfaction, prenatal breastfeeding self-efficacy and readiness for newborn hygienic care. This cross-sectional study was conducted in a hospital with 320 pregnant women. Data were collected using a personal information form, Prenatal Care Satisfaction Scale (PCSS), Prenatal Breastfeeding Self-Efficacy Scale (PBSS), and Scale for Readiness of Pregnant Women to Hygienic Care of the Newborn (SRPHN). Mann-Whitney U, Kruskal Wallis-H, and Spearman’s Correlation tests were used to analyze the data. The PCSS, PBSS and SRPHN mean scores were 72.32 ± 9.83, 87.01 ± 7.94 and 62.73 ± 9.08, respectively. There was a positive correlation between prenatal care satisfaction and prenatal breastfeeding self-efficacy and readiness for neonatal hygienic care. Prenatal care satisfaction was affected by income and health support. Prenatal breastfeeding self-efficacy was influenced by educational status, income status, family structure, previous breastfeeding duration, and regular follow-up visits. Age, marriage duration, educational status, number of pregnancies, number of children, previous mode of delivery, and regular follow-up visits affected readiness for newborn hygienic care. Holistic care and well-planned education should be provided to women to improve prenatal care satisfaction, breastfeeding self-efficacy, and readiness for newborn hygienic care.

Prenatal Care Visits and Associated Costs for Treatment-Seeking Women With Depressive Disorders

This study aimed to determine whether a history of depressive disorders is associated with use and costs of prenatal care among pregnant women in Taiwan. Participants were mothers with singleton births between 2004 and 2006 (N=23,290), some of whom (N=614) had received care for depression in the year before conception but not during pregnancy. The mean number of prenatal care visits was 8.50 and associated costs were $NT 51,187 for pregnant women with a history of depressive disorders and 9.17 visits and $NT 27,998, respectively, for those without such a history. After adjustment for age, monthly income, medical conditions, and obstetric complications, mothers with a history of depression were significantly less likely to receive prenatal care (relative risk=.94, 95% confidence interval=.92-.97, p<.001). However, women with a history of depression had $NT 22,494 higher prenatal care costs than mothers without a history of depression. Pregnant women with a history of depressive disorders had fewer prenatal care visits but higher prenatal care costs. Physicians should consider screening to identify pregnant women with a history of depressive disorders.

This study aims to examine the satisfaction levels of Syrian migrant pregnant women living in Mardin with prenatal care services and the factors influencing their satisfaction. This is a cross-sectional study. The population of the study consisted of Syrian pregnant women who applied to Mardin Training and Research Hospital between August 15 and September 16, 2023. A total of 146 Syrian pregnant women who met the inclusion criteria participated in the study. The sociodemographic information form and the Prenatal Care Satisfaction Scale were used as data collection tools. The rate of those who received prenatal care from a midwife/nurse is 80.1% and those who received less than 4 prenatal care was 89.7%. The most common reason for not receiving adequate prenatal care was lack of information with a rate of 39.7%. The mean score of the PCSS was 73.39 ± 14.78. The study findings indicate that lack of information is one of the major barriers to healthcare access for migrant pregnant women. In addition, receiving prenatal care services from midwives/nurses affected satisfaction with prenatal care.

ABSTRACTObjective:This study aims to examine the satisfaction levels of Syrian migrant pregnantwomen living in Mardin with prenatal care services and the factorsinfluencing their satisfaction.Method:This is a cross-sectional study. The population of the study consisted ofSyrian pregnant women who applied to Mardin Training and Research Hospitalbetween August 15 and September 16, 2023. A total of 146 Syrian pregnantwomen who met the inclusion criteria participated in the study. Thesociodemographic information form and the Prenatal Care Satisfaction Scalewere used as data collection tools.Results:The rate of those who received prenatal care from a midwife/nurse is 80.1%and those who received less than 4 prenatal care was 89.7%. The most commonreason for not receiving adequate prenatal care was lack of information witha rate of 39.7%. The mean score of the PCSS was 73.39 ± 14.78.Conclusion:The study findings indicate that lack of information is one of the majorbarriers to healthcare access for migrant pregnant women. In addition,receiving prenatal care services from midwives/nurses affected satisfactionwith prenatal care.

BackgroundPrenatal primary nursing care contributes to improving the health outcomes of mothers and unborn babies. Some pregnant women in contexts of vulnerability experience prenatal nursing care in a positive way, while some do not. A better understanding of factors influencing this experience could help improve prenatal nursing care. The aim of this study was to describe factors influencing the prenatal primary nursing care experience of pregnant women in contexts of vulnerability.MethodsThorne’s qualitative interpretative descriptive approach was used. Twenty-four pregnant women in contexts of vulnerability were recruited in local community service centers in Quebec, Canada, using purposive and snowball samplings, to carry out a semi-structured interview. Participants were 16 years old and over, in their second or third trimester, or had given birth in the previous year, and received prenatal nursing care through community health services. Data collection methods included a logbook, sociodemographic questionnaire and semi-structured interview on vulnerable pregnant women’s experience with prenatal primary nursing care. The Qualitative Analysis Guide of Leuven guided the inductive thematic analysis, following a constant comparative iterative process.ResultsThe women’s experience was initially influenced by the fulfillment of their needs and expectations. These stem from their previous or current pregnancy experiences, their motivation to receive prenatal care, their family concerns as well as their contexts of vulnerability. From the pregnant women’s perspective, the main factors that influenced their experience were the nurse’s approach, characteristics and interventions that all impact on their relationship with nurses, as well as the prenatal primary care organization, including the modalities of prenatal care (i.e. schedule, setting, duration, number and frequency of meetings), the continuity and the program’s prenatal care services, such as referral to a nutritionist, social worker or other services.ConclusionsA conceptual framework is proposed to describe relationships among the factors distributed in three dimensions that influence the experience of pregnant women in contexts of vulnerability and to guide nurses in the improvement of prenatal primary care. Considering the complexity of this experience, a person-centered approach is mandatory to promote a positive experience, equity and a better use of services.

to understand the satisfaction of pregnant women with diabetes who took insulin during pregnancy and prenatal care performed through outpatient and inpatient follow-up. a qualitative approach with analysis of 30 pregnant women who underwent prenatal care and participated in a clinical trial study carried out by the research group of the Perinatal Diabetes Research Center of the Hospital das Clínicas, of the Faculdade de Medicina de Botucatu. The data were collected through interviews and analyzed from content analysis. from the category Satisfaction, the following subcategories emerged: facilities and difficulties faced in prenatal care performed through outpatient or inpatient follow-up, demonstrating that the pregnant women were satisfied with the prenatal care offered regardless of the type of follow-up. there was satisfaction in both care, but in outpatient care some structural, technical and administrative difficulties were identified, requiring reassessment, in order to guarantee service agility.

BackgroundOral diseases are considered a silent epidemic including among pregnant women. Given the prevalence of oral conditions among pregnant women and the reported association with adverse pregnancy outcomes, there have been suggestions for the inclusion of preventive oral care in routine prenatal care. However, due to the different administrative and funding structure for oral health and prenatal care in Canada, progress towards this integration has been slow. Our study sought to qualitatively explore the views of pregnant women in British Columbia (BC) on the strategies for integrating preventive oral health care into prenatal care services.MethodsA qualitative approach was utilized involving semi-structured interviews with fourteen (14) purposefully selected pregnant women in Vancouver and Surrey, BC. The interviews were audio-recorded and transcribed. The transcripts were analyzed using an inductive thematic approach. Study validity was ensured via memoing, field-notes, and member checking.ResultsInterviews ranged from 28 to 65 min producing over 140 pages of transcripts. Analysis resulted in three major themes: oral health experiences during pregnancy, perspectives on integration and integrated prenatal oral care, and strategies for addressing prenatal oral health care. A majority of participants were supportive of integrating preventive oral care in routine prenatal services, with referrals identified as a critical strategy. Oral health education was recognized as important before, during, and after pregnancy; oral health assessments should therefore be included in the prenatal care checklist. Limited funding was acknowledged as a barrier to oral health care access, which may explain why few participants visited their dentists during pregnancy. Interprofessional education surfaced as a bridge to provide prenatal oral health education.ConclusionPregnant women interviewed in this study support the inclusion of educational and preventive oral care during prenatal care, although their views differed on how such inclusion can be achieved in BC. They advocated the establishment of a referral system as an acceptable strategy for providing integrated prenatal oral health care.

Finding a Medical Home for Perinatal Depression: How Can We Bridge the Postpartum Gap?

Background: Pregnancy period is one of the most important periods for mother and infant, and the maternal and fetal health during this period is of paramount importance. This study aimed to evaluate the satisfaction with prenatal (also known as antenatal) care services among pregnant women attending healthcare centers in the capital of Lorestan province (Khorramabad, west Iran).Methods: This cross-sectional (descriptive-analytical) study evaluated the satisfaction with benefitting from prenatal care services among pregnant women in the last months of pregnancy. The research sample was selected using a multistage sampling method involving a combination of stratified, cluster, and random sampling. The required data were gathered using a three-part questionnaire, including information regarding demographic survey questions, information about the extent to which pregnant women in Khorramabad benefit from prenatal care services, and the degree of pregnant women's satisfaction with prenatal care. Independent t-test and one-way analysis of variance (ANOVA) were used to analyze the data.Results: According to the obtained results, the mean score of benefiting from and satisfaction with prenatal care services was high. The difference in the score of benefitting from services was statistically significant in terms of type of pregnancy and a history of stillbirth (p &lt;0.05). The number of children, occupation, and type of pregnancy were statistically significant, and these factors produced the mean satisfaction score (p &lt;0.05).Conclusion: To increase the rate of benefiting from and satisfaction with prenatal care services among pregnant women, the health authorities of the region should take effective practical and educational measures to improve the quality-of-care delivery, train health service providers, and complete and equip prenatal centers.Keywords: Satisfaction; Care; Pregnant women; Healthcare centers Editorial Expression of Concern20 June 2025: Following publication of this paper, the internal audit (consequent to concerns on quality raised by Web of Science) notified Advancements in Life Sciences about suspected plagiarism. By this Editorial Expression of Concern, we alert the scientific community of the errors as we reconcile the records.Editorial Note25 June 2025: While rerunning the Turnitin originality analysis, a similarity index of 49% was found for this article (40% from a single source). Editorial board of Advancements in Life Sciences has started the process of retracting this article due to the above post-publication findings. The process shall be concluded after registering responses from the authors. Meanwhile, full text of the article shall remain unavailable for citations (this notice has been updated following insights derived from relevant COPE cases and the industry standards). Show of cause notice has also been issued to the concerned editorial team member.Rescinded: Editorial Expression of Concern23 July 2025: Editorial expression of concern issued on 20 June 2025 is hereby rescinded on account of author's explanation of the found similarity. Author's justification reads "I would like to sincerely confirm that the similarity identified—specifically with the article titled “Evaluation of the Utilization Rate of and Satisfaction with Prenatal Care among Pregnant Women Referred to Khorramabad Therapeutic Health Centers in 2020”—is indeed the result of a technical issue. This manuscript had been previously submitted to another journal (name redacted), but it was withdrawn before publication due to author request and lack of final confirmation from the editorial process. It appears that despite the withdrawal, a version of the manuscript file may have inadvertently remained accessible through the journal’s backend server or archive, leading to the match found in the Turnitin similarity analysis. As such, I respectfully confirm that the current article submitted to Advancements in Life Sciences is our original and unpublished work, and that the detected similarity stems from the aforementioned technical lapse, not from any form of unethical duplication". Concluding remarks: The inquiry team concurs with the authors as it could not find the article highlighted in the Turnitin Originality Analysis report either in the other journal's referred issue or elsewhere on the internet. With this rescinding note, a signed declaration from authors is also being made available here. Editorial office may be contacted for more details, if required.

BackgroundPregnant women in American Samoa have a high risk of complications due to overweight and obesity. Prenatal care can mitigate the risk, however many women do not seek adequate care during pregnancy. Low utilization of prenatal care may stem from low levels of satisfaction with services offered. Our objective was to identify predictors of prenatal care satisfaction in American Samoa.MethodsA structured survey was distributed to 165 pregnant women receiving prenatal care at the Lyndon B Johnson Tropical Medical Center, Pago Pago. Women self-reported demographic characteristics, pregnancy history, and satisfaction with prenatal care. Domains of satisfaction were extracted using principal components analysis. Scores were summed across each domain. Linear regression was used to examine associations between maternal characteristics and the summed scores within individual domains and for overall satisfaction.ResultThree domains of satisfaction were identified: satisfaction with clinic services, clinic accessibility, and physician interactions. Waiting ≥ 2 h to see the doctor negatively impacted satisfaction with clinic services, clinic accessibility, and overall satisfaction. Living > 20 min from the clinic was associated with lower clinic accessibility, physician interactions, and overall satisfaction. Women who were employed/on maternity leave had lower scores for physician interactions compared with unemployed women/students. Women who did not attend all their appointments had lower overall satisfaction scores.ConclusionsSatisfaction with clinic services, clinic accessibility and physician interactions are important contributors to prenatal care satisfaction. To improve patient satisfaction prenatal care clinics should focus on making it easier for women to reach clinics, improving waiting times, and increasing time with providers.

The authors of this paper focus on the health care services received by pregnant women and infants, and consider the ways in which these services affect child health outcomes. They examine the impact of prenatal, obstetrical, and neonatal care on two measures of infant health: the rate of low birth weight births and the rate of infant mortality. There is strong evidence that these two outcomes respond favorably to the application of appropriate health services, particularly prenatal care and neonatal intensive care. The delivery of prenatal care in the United States needs improvement: slightly more than 76% of women received early care in 1989, and discrepancies in prompt receipt of care among different ethnic and economic groups are large and persistent. Improved distribution of prenatal care services could have a significant impact on the rate of low birth weight births and infant deaths. In addition, expanded regionalization of prenatal, obstetric, and neonatal care in a coordinated approach to the entire continuum of gestation, labor, delivery, and early development holds out the promise of continued improvement in infant health. Health care initiatives need to focus more on the needs of poor families and of mothers and infants with special problems, especially high-risk pregnancies resulting from maternal substance abuse and pregnancies complicated by HIV infection. The authors describe advances in obstetrical technology and neonatology, and conclude that efforts to identify programs and activities which offer the greatest potential for improving newborn survival with the least investment should have high priority. C hildren are developing organisms. They continually grow and differentiate from one physical and psychological state to the next. An understanding of childhood health status, therefore, begins with an understanding of the conditions out of which children emerge. Intrauterine and neonatal environments are crucial determinants of a child’s well-being. A mother’s health throughout pregnancy, the process of labor and delivery, and a child’s experiences during the first critical hours and days of life will influence health status for months and years afterward. Moreover, poor birth outcomes have been associated with impeded cognitive development, reductions in years of formal schooling completed, and lower levels of lifetime earnings and other measures of economic well-being. Recognition of these principles has led policy analysts to give increasing attention to prenatal and neonatal health care services. In this paper we focus on health care services received by pregnant women and infants, and consider the ways in which these services affect child health outcomes. For our purposes, these services include prenatal medical care received by women during the course of their pregnancies, obstetrical care received at the time of delivery, and medical care received by newborn infants during the first 28 days of life (the neonatal period). We consider trends in these services over time, differentials in the receipt of these services among various groups in the population, and the impact utilization of these services has on child health outcomes. Two population outcome measures to which we devote particular attention are rates of low birth weight (LBW) and infant mortality. A low birth weight baby is one born weighing less than 2,500 grams (about 51⁄2 pounds). The LBW rate is the number of such births per 1,000 live births in the population in a given year. The infant mortality rate is measured by the annual number of deaths among children in the first year of life per 1,000 live births. Because LBW babies have a higher risk of death than normal weight babies, these two rates are closely related. Though birth weight and infant mortality each have a genetic component, birth weight depends very much upon the length and quality of the fetal experience during pregnancy while infant mortality depends also upon the type of care, medical and otherwise, that a child receives after birth. Therefore, these two measures may tell us much about the effectiveness of prenatal and neonatal care. We begin with a discussion of prenatal care and its relationship to low birth weight and then proceed to a consideration of obstetrical and neonatal care and how they affect infant mortality. We shall also mention some promising new technologies being applied in the field of

Partnership between early childhood development interventions and primary health care services can help catalyse health care uptake by socially vulnerable families. This study aimed to assess the real-life effects of a large-scale home visiting programme [Primeira Infância Melhor (PIM)] in Brazil on the use of preventive (prenatal visits, well child visits, dentist visits and vaccination) and recovery (emergency room visits and hospitalization) health services. A quasi-experiment nested in a population-based birth cohort study was conducted. The intervention group was firstly defined as all children enrolled in PIM up to age 6 months, and afterwards stratified between those enrolled during pregnancy or after birth up to 6 months. Children receiving PIM were matched with controls on propensity scores based on 27 confounders to estimate effects on health service use from prenatal to age 2 years. Double adjustment was applied in outcome Quasi-Poisson regressions. No evidence was found for effects of PIM starting anytime up to 6 months (262 pairs), or for the children enrolled only after birth (133 pairs), on outcomes occurring after age 6 months. When the programme started during pregnancy (129 pairs), there was a 13% higher prevalence of adequate prenatal visits (prevalence ratio = 1.13; 95% confidence interval 1.01-1.27), but no effect on use of any other health service. Sensitivity analyses suggested longer participation in the programme with reduced visitor turnover might improve its impact on prenatal visits. Integration between PIM and primary health care was not adequate to affect overall patterns of contacts with health services. Nevertheless, prenatal home visits showed potential to increase health service contact during a sensitive period of development, indicating the need to start such programmes before birth, when there is more time for maternal care, and family engagement in a network of services is facilitated.

Status of prenatal and postnatal visits in western China in the background of the new Chinese health system reform: two cross-sectional surveys

Prenatal care, although necessary, is known as one of the most expensive services in health care system. As a result, it is unlikely that pregnant women can afford to visit a health care professional for the duration of their pregnancy unless they have satisfactory health insurance coverage. This may be problematic for low‐income pregnant women who cannot afford health insurance, as their limited access to prenatal health care can result in reduced intake of folic acid, lowering their overall nutritional status and adversely affecting their baby. The purpose of this study is to analyze whether access to health insurance and prenatal care among pregnant women are associated with their nutritional status, especially folic acid intake. The data come from the six repeated waves of the National Health and Nutrition Examination Survey (NHANES) from 2003–2014, and the study population includes women who are currently pregnant (n=746). The study estimates folic acid intake and overall nutritional status among pregnant women based on their access to health insurance and prenatal care using the multivariate regression models. Access to health insurance and prenatal care are positively associated with women's nutritional status during their pregnancy, specifically related to their folic acid intake. Furthermore, pregnant women without health insurance do not seem to have adequate access to prenatal care and her nutritional status during pregnancy. A large part of the nutritional status of pregnant women is their folic acid intake since it is a key nutrient in pregnant women's diet and also provides benefits to their health status and their baby. Without proper prenatal care, pregnant women are less likely to have its recommended intake. This study may shed light on the importance of proper access to prenatal care and adequate nutrition intake during women's pregnancy. Moreover, pregnant women, health insurance providers and health care providers could better work together in order to recognize the complementary effect of carefree access to prenatal care and healthy nutrient intake throughout pregnancy.