The Impact of Adequate Prenatal Care in a Developing Country: testing the WHO recommendations

@article{Garrido2009TheIO,
  title={The Impact of Adequate Prenatal Care in a Developing Country: testing the WHO recommendations},
  author={Gissele Gajate Garrido},
  journal={California Center for Population Research},
  year={2009}
}
Deficient birth outcomes entail greater mortality risks, and higher probabilities of poor future health. This study is the first statistical examination of the effect of the World Health Organization’s recommended number of prenatal care visits for developing countries on birth outcomes. This study accounts for the endogenous nature of prenatal care decisions by using an instrumental variables approach based on the accessibility of prenatal services. Using the CLHN Survey I construct a measure… 

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TLDR
A typology of selection processes in prenatal care utilization is developed, identifying four distinct types of selection and their possible biasing effects on estimates of prenatal care efficacy.

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The need for prenatal care to be tailored to each woman's circumstances and the importance of developing a delivery plan appropriate to the woman's situation are highlighted.

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TLDR
The ultimate success of prenatal care in substantially reducing current low birth weight percentages in the United States may hinge on the development of a much broader and more unified conception of prenatal Care than currently prevails.

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TLDR
The effect of mothers with less healthy fetuses making more prenatal care visits, known as 'adverse selection' in prenatal care, is shown.

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TLDR
Prenatal care appears to be but a modest tool in reducing the incidence of low birthweight due to retarded fetal growth, and maternal anthropometrics were found to greatly increase the rate of fetal growth for all mothers, though more so for white than black mothers.

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TLDR
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Adequacy of prenatal care and pregnancy outcome

TLDR
Investigation of adequacy of prenatal care in young gravidas confirmed that inadequate prenatal care is associated with an increased risk of preterm delivery.
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