Understanding Low-Income African American Women's Expectations, Preferences, and Priorities in Prenatal Care

In Family and Community Health, Judy Shea and colleagues seek to better understand low-income African-American women’s views on prenatal care. The analysis is the result a focus group study using a community-based participatory research framework. Shea and colleagues find that that friends/family and the baby’s health were the top factors that encouraged prenatal care attendance. Barriers to getting prenatal care included insurance, transportation, and ambivalence as to its importance. Facilitators included transportation services, social support, and education about available resources. In a “perfect system,” women wanted continuity of care, personal connection, and caring/respect from providers. The authors propose that group prenatal care could offer the social support system and continuity of care that women seek.