Inadequate prenatal care within the study was defined as “(a) having no prenatal care; or (b) prenatal care that began in the third trimester; or (c) prenatal care that was first initiated in the first or second trimester but with a low number of visits” (Heaman et al., 2014, p. 3). Inadequate prenatal care that was initiated in the first or second trimester was further broken down. Women that delivered at 34+ weeks and had only 1-4 prenatal visits, women that delivered at 32-33 weeks with only 1-3 visits, women that delivered at 30-31 weeks with 1-2 visits, and women that delivered at or less than 29 weeks gestation with only 1 visit all were considered to have received inadequate prenatal care (Heaman et al., 2014). …show more content…
Understanding the personal factors that may act as a barrier, motivator or facilitator for each woman will contribute to building effective, strength-based interventions to improve utilization of prenatal care (Heaman et al., 2014).
The Prenatal Care at School (PAS) program is a new model of prenatal care that involves local health care providers and school personnel working together to combine school time with prenatal care (Griswold, Nasso, Swider, Ellison, Griswold, & Brooks, 2013). To allow teenage mothers to attend both school and their prenatal appointments, health care providers and the school personnel brought the prenatal care to students, incorporating group prenatal care and teaching students about their bodies, babies, and upcoming labour and delivery (Griswold et al., 2013). This shows that accessibility seems to be a large barrier in adequate prenatal care, regardless of the population. Nurses can collaborate with other professionals in the community to bring group prenatal care and teaching to areas easily accessible for expectant mothers. Just as the PAS program offers, nurses may work with other health care professionals to bring basic prenatal care to women not in high school. Places such as community centres, or an elementary school for those women that may miss prenatal appointments due to lack of child care for their school aged children, may be chosen for a group prenatal care