1. Patterns of reproductive health care among the poor of San Antonio, Texas
- Author
-
Martin Hw, Gibbs Ce, and Gutierrez M
- Subjects
Program evaluation ,medicine.medical_specialty ,Prenatal care ,Social class ,Consumer education ,Pregnancy ,Infant Mortality ,Ethnicity ,medicine ,Humans ,Maternal Health Services ,Fetal Death ,Mexico ,Poverty ,Socioeconomic status ,business.industry ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,Prenatal Care ,medicine.disease ,Texas ,Pregnancy Complications ,Contraception ,Attitude ,Socioeconomic Factors ,Family planning ,Family Planning Services ,Family medicine ,Female ,business ,Developed country ,Research Article - Abstract
A study was conducted to help understand the social demographic characteristics of the patients served by the inpatient obstetrical services of the Bexar County Hospital District the only provider of such care for medically indigent women in San Antonio. Also under investigation were the patterns of antepartum and family planning care traced by the patients; the major deterrents to utilization of such care; and the relationships between perinatal morbidity and mortality under the existing patterns of prenatal care and underutilization. Fewer than 1/2 the patients made first antepartum visit after 20 weeks gestation. Patients generally either sought confirmation of the pregnancy or medical attention for treatment of a specific symptom. 42% of the patients interviewed had used a contraceptive although it was often discontinued for nonmedical reasons. Major deterrents to obtaining care were transportation to and from the clinic; child care while attending the clinic; and clinic charges and restrictions. The most frequent suggestion offtered by the patients was an increased effort in consumer education.
- Published
- 1974