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The association between inadequate prenatal care and future healthcare use among offspring in the Bedouin population
Author(s) -
EstisDeaton Asia,
Sheiner Eyal,
Wainstock Tamar,
Landau Daniella,
Walfisch Asnat
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12314
Subject(s) - medicine , offspring , prenatal care , population , retrospective cohort study , pediatrics , pregnancy , cohort , incidence (geometry) , health care , obstetrics , environmental health , surgery , genetics , physics , optics , economics , biology , economic growth
Objective To evaluate the impact of inadequate prenatal care on long‐term morbidity among the offspring of an ethnic minority population. Methods A retrospective population‐based cohort analysis was performed among all Bedouin women with singleton pregnancies who delivered in a tertiary medical center in Israel between January 1, 1991, and January 1, 2014. Morbidity was defined as pediatric hospitalization across six distinct disease categories before 18 years of age. The cumulative morbidity rates were compared for offspring born following pregnancies with either inadequate (<3 visits to prenatal care facility) or adequate prenatal care. RESULTS Overall, 127 396 neonates were included; 19 173 (15.0%) were born following inadequate prenatal care. Pediatric hospitalizations for all morbidities other than cardiovascular ones were less frequent among the inadequate prenatal care group than the adequate prenatal care group ( P< 0.05). Survival curves demonstrated a lowered cumulative incidence for all morbidities in the inadequate prenatal care group, with the exception of cardiovascular disease. Conclusion Inadequate prenatal care correlated with reduced pediatric hospitalization rates among offspring, possibly owing to a lack of child healthcare service utilization within the Bedouin population.