Prenatal Care Initiation Among Pregnant Teens in the United States: An Analysis Over 25 Years
Received 16 April 2007; accepted 24 August 2007. published online 28 January 2008.
Abstract
Purpose
To examine changes in the initiation of prenatal care by teenage girls in the United States between 1978 and 2003.
Methods
Using birth certificate data collected by the National Center for Health Statistics from 1978, 1983, 1988, 1993, 1998, and 2003 we described initiation of prenatal care in preteens (aged 10–14 years), young adolescents (aged 15–16), and older adolescents (aged 17–19) by the trimester in which care began.
Results
Although all three age groups showed trends toward earlier prenatal care, shifts to earlier prenatal care were mainly the result of more girls starting care in the first trimester and fewer in the second trimester. Younger teens were more likely to delay prenatal care or to receive no prenatal care for every year studied. Less education and prior births were also associated with increased likelihood of receiving delayed care.
Conclusions
Shifts in timing of prenatal care initiation occurred in the U.S from 1978 to 2003. Much of the change corresponded to expanded eligibility in Medicaid coverage, suggesting that lack of health care coverage was a significant impediment to early prenatal care.
Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina
Address correspondence to: William J. Hueston, M.D., Department of Family Medicine, Medical University of South Carolina, PO Box 250192, Charleston, SC 29425.
ABSTRACT