Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies.

Ludwig A, Miani Vial C, Breckenkamp J, Sauzet O, Borde T, Doyle I-M, Brenne S, Höller-Holtrichter C, David M, Spallek J, Razum O (2020)
Maternal and child health journal 24: 943–952.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Ludwig, Angelique; Miani Vial, CélineUniBi; Breckenkamp, JürgenUniBi; Sauzet, OdileUniBi; Borde, Theda; Doyle, Ina-Merle; Brenne, Silke; Höller-Holtrichter, ChantalUniBi; David, Matthias; Spallek, Jacob; Razum, OliverUniBi
Abstract / Bemerkung
OBJECTIVE: Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga or gymnastics courses. Studies suggest that various types of non-medical ANC carry benefits for both the women and their babies. Little is known about the uptake of non-medical ANC among different socioeconomic population subgroups, but one may expect lower utilization among socio-economically disadvantaged women. We analyzed factors contributing to the utilization of non-medical ANC in general and antenatal classes in particular.; METHODS: Baseline data of the Bielefeld BaBi birth cohort (2013-2016) and the Berlin perinatal study (2011-2012) were analyzed. Comparing the two cohorts allowed to increase the socio-economic and migration background variance of the study population and to capture the effect of the local context on uptake of services. Multivariate logistic regression analyses were performed to study associations between the uptake of non-medical ANC and socio-economic and migration status.; RESULTS: In Berlin and Bielefeld, being a first generation migrant and having lower levels of education were associated with lower non-medical ANC uptake. In Berlin, being a 2nd generation woman or having a low income was also associated with lower uptake.; CONCLUSIONS FOR PRACTICE: Our study suggests that non-medical ANC remains in some part the prerogative of non-migrant, well-educated and economically privileged women. Since differences in non-medical ANC have the potential to create inequalities in terms of birth outcomes and maternal health during pregnancy and post-partum, more efforts are needed to promote the use of non-medical ANC by all population groups.
Stichworte
Non-medical antenatal care; Migration background; Education; Socioeconomic status; Pregnancy
Erscheinungsjahr
2020
Zeitschriftentitel
Maternal and child health journal
Band
24
Seite(n)
943–952
eISSN
1573-6628
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Universität Bielefeld im Rahmen des DEAL-Vertrags gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2943413

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Ludwig A, Miani Vial C, Breckenkamp J, et al. Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. Maternal and child health journal. 2020;24:943–952.
Ludwig, A., Miani Vial, C., Breckenkamp, J., Sauzet, O., Borde, T., Doyle, I. - M., Brenne, S., et al. (2020). Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. Maternal and child health journal, 24, 943–952. https://doi.org/10.1007/s10995-020-02937-z
Ludwig, Angelique, Miani Vial, Céline, Breckenkamp, Jürgen, Sauzet, Odile, Borde, Theda, Doyle, Ina-Merle, Brenne, Silke, et al. 2020. “Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies.”. Maternal and child health journal 24: 943–952.
Ludwig, A., Miani Vial, C., Breckenkamp, J., Sauzet, O., Borde, T., Doyle, I. - M., Brenne, S., Höller-Holtrichter, C., David, M., Spallek, J., et al. (2020). Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. Maternal and child health journal 24, 943–952.
Ludwig, A., et al., 2020. Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. Maternal and child health journal, 24, p 943–952.
A. Ludwig, et al., “Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies.”, Maternal and child health journal, vol. 24, 2020, pp. 943–952.
Ludwig, A., Miani Vial, C., Breckenkamp, J., Sauzet, O., Borde, T., Doyle, I.-M., Brenne, S., Höller-Holtrichter, C., David, M., Spallek, J., Razum, O.: Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies. Maternal and child health journal. 24, 943–952 (2020).
Ludwig, Angelique, Miani Vial, Céline, Breckenkamp, Jürgen, Sauzet, Odile, Borde, Theda, Doyle, Ina-Merle, Brenne, Silke, Höller-Holtrichter, Chantal, David, Matthias, Spallek, Jacob, and Razum, Oliver. “Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies.”. Maternal and child health journal 24 (2020): 943–952.
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2020-07-23T12:12:42Z
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