Postnatal care in low-income urban African American women: relationship to level of prenatal care sought

J Perinatol. 2000 Jan-Feb;20(1):34-40. doi: 10.1038/


Objective: This study examined the relationship between level of prenatal care utilization and postnatal patterns of health care behavior among high-risk minority women. The primary hypothesis was that prenatal care utilization predicts subsequent levels of both the maternal and child health services used in the postnatal period.

Methods: The study population consisted of 297 low-income African American women who were recruited at delivery at an urban tertiary medical center in the Mid-Atlantic region. They were followed monthly for 1 year using telephone interviews to determine their use of maternal and child health services. Four levels of prenatal care were identified retrospectively based on reviews of health records and screening interviews using the Kessner Index. Data regarding pregnancy outcomes, maternal postnatal visits, and well-child and acute care child visits were collected.

Results: Women who sought inadequate or no prenatal care had greater infant morbidity and mortality in the postnatal period and significantly lower levels of attendance at maternal postnatal visits, well-child visits, immunization completions, and acute care visits.

Conclusion: This study confirms that the level of prenatal care is indicative of the level of postnatal care women seek for themselves and their children in the first year after delivery.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Attitude to Health / ethnology*
  • Black or African American*
  • Data Collection
  • Female
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Male
  • Outcome Assessment, Health Care
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Philadelphia
  • Postnatal Care / standards
  • Postnatal Care / statistics & numerical data*
  • Poverty
  • Pregnancy
  • Prenatal Care / standards
  • Prenatal Care / statistics & numerical data*
  • Prospective Studies
  • Quality Assurance, Health Care
  • Retrospective Studies
  • Sampling Studies
  • Urban Population