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Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study
OBJECTIVES: To investigate mothers’ knowledge and utilisation of antenatal and perinatal support services as well as predictors of knowledge and service utilisation. DESIGN: Cross-sectional study. SETTING: Prospective birth cohort in Regensburg, Eastern Bavaria, Germany. PARTICIPANTS: 2455 mothers a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592309/ https://www.ncbi.nlm.nih.gov/pubmed/33109648 http://dx.doi.org/10.1136/bmjopen-2020-037745 |
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author | Brandstetter, Susanne Rothfuß, David Seelbach-Göbel, Birgit Melter, Michael Kabesch, Michael Apfelbacher, Christian |
author_facet | Brandstetter, Susanne Rothfuß, David Seelbach-Göbel, Birgit Melter, Michael Kabesch, Michael Apfelbacher, Christian |
author_sort | Brandstetter, Susanne |
collection | PubMed |
description | OBJECTIVES: To investigate mothers’ knowledge and utilisation of antenatal and perinatal support services as well as predictors of knowledge and service utilisation. DESIGN: Cross-sectional study. SETTING: Prospective birth cohort in Regensburg, Eastern Bavaria, Germany. PARTICIPANTS: 2455 mothers after delivery. OUTCOME MEASURES: Participants’ knowledge of distinct antenatal and perinatal support services (poor vs good, defined by median split). Participants’ use of antenatal services provided by midwife (yes, no) and of any other antenatal support services (yes, no). RESULTS: The vast majority of mothers knew at least some support services. Two-thirds of women (68.4%) reported to have used the services provided by midwives. 23.6% of women reported to have used at least one of the other antenatal services. Good knowledge of services was associated with higher education (OR 1.37, 95% CI 1.13 to 1.67), no migration background (OR 2.26, 95% CI 1.76 to 2.90), better health literacy (OR 1.04, 95% CI 1.03 to 1.06), while being primiparous (OR 0.72, 95% CI 0.60 to 0.86) and being unmarried/living with a partner (OR 0.71, 95% CI 0.57 to 0.89) reduced the chance. Predictors of service utilisation differed with regard to the services considered. CONCLUSIONS: Overall, mothers had a good level of knowledge of antenatal and perinatal support services. However, we found that some groups of women were less well informed. This inequality in social predictors of knowledge of services was also partly reflected in differences in service utilisation during pregnancy. |
format | Online Article Text |
id | pubmed-7592309 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-75923092020-10-29 Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study Brandstetter, Susanne Rothfuß, David Seelbach-Göbel, Birgit Melter, Michael Kabesch, Michael Apfelbacher, Christian BMJ Open Health Services Research OBJECTIVES: To investigate mothers’ knowledge and utilisation of antenatal and perinatal support services as well as predictors of knowledge and service utilisation. DESIGN: Cross-sectional study. SETTING: Prospective birth cohort in Regensburg, Eastern Bavaria, Germany. PARTICIPANTS: 2455 mothers after delivery. OUTCOME MEASURES: Participants’ knowledge of distinct antenatal and perinatal support services (poor vs good, defined by median split). Participants’ use of antenatal services provided by midwife (yes, no) and of any other antenatal support services (yes, no). RESULTS: The vast majority of mothers knew at least some support services. Two-thirds of women (68.4%) reported to have used the services provided by midwives. 23.6% of women reported to have used at least one of the other antenatal services. Good knowledge of services was associated with higher education (OR 1.37, 95% CI 1.13 to 1.67), no migration background (OR 2.26, 95% CI 1.76 to 2.90), better health literacy (OR 1.04, 95% CI 1.03 to 1.06), while being primiparous (OR 0.72, 95% CI 0.60 to 0.86) and being unmarried/living with a partner (OR 0.71, 95% CI 0.57 to 0.89) reduced the chance. Predictors of service utilisation differed with regard to the services considered. CONCLUSIONS: Overall, mothers had a good level of knowledge of antenatal and perinatal support services. However, we found that some groups of women were less well informed. This inequality in social predictors of knowledge of services was also partly reflected in differences in service utilisation during pregnancy. BMJ Publishing Group 2020-10-26 /pmc/articles/PMC7592309/ /pubmed/33109648 http://dx.doi.org/10.1136/bmjopen-2020-037745 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Health Services Research Brandstetter, Susanne Rothfuß, David Seelbach-Göbel, Birgit Melter, Michael Kabesch, Michael Apfelbacher, Christian Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title | Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title_full | Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title_fullStr | Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title_full_unstemmed | Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title_short | Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health study |
title_sort | information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the kuno-kids health study |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592309/ https://www.ncbi.nlm.nih.gov/pubmed/33109648 http://dx.doi.org/10.1136/bmjopen-2020-037745 |
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