Reduced prevalence of small-for-gestational-age and preterm birth for women of low socioeconomic position: a population-based cohort study comparing antenatal midwifery and physician models of care.
Daphne N McRaePatricia A JanssenSaraswathi VedamMaureen MayhewDeborah MpofuUlrich TeucherNazeem MuhajarinePublished in: BMJ open (2018)
Antenatal midwifery care in British Columbia, Canada, was associated with lower odds of SGA birth, PTB and LBW, for women of low socioeconomic position, compared with physician models of care. Results support the development of policy to ensure antenatal midwifery care is available and accessible for women of low socioeconomic position. Future research is needed to determine the underlying mechanisms linking midwifery care to better birth outcomes for women of low socioeconomic position.
Keyphrases
- preterm birth
- gestational age
- healthcare
- palliative care
- polycystic ovary syndrome
- quality improvement
- pregnant women
- pregnancy outcomes
- birth weight
- low birth weight
- primary care
- emergency department
- pain management
- mental health
- public health
- affordable care act
- risk factors
- type diabetes
- skeletal muscle
- insulin resistance
- body mass index
- weight loss
- metabolic syndrome
- glycemic control