Abstract
Purpose: Asthma is one of the most common chronic health conditions experienced by pregnant patients, and exacerbation of asthma may place patients at an increased risk of delivery complications. Considering prenatal care(PNC) has been previously shown to improve maternal child health, our objective was to identify associations between prenatal care visits and the prevalence of uncontrolled asthma.
Design Methods: We performed a cross-sectional analysis of the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data, collected from 2016-2022 to assess differences in PNC among mothers with and without an asthma diagnosis.
Results: The PRAMS phase 8 sample contained responses from 106,700 individuals who provided responses to asthma questions. Among this sample, 12,119 (10.86%) individuals reported having an asthma diagnosis—representing approximately 5,526,955 new mothers in the United States. From the subsample of selected states that asked if individuals reported an asthma problem during pregnancy, 1606 (of 18,118; 8.2%) reported affirmatively.
Among the larger sample, we found a significant association between having an asthma diagnosis and the reported month of PNC initiation (P = .006), frequency of PNC visits (P = .001), place of birth (P < .001). Significance association was also found in the Kessner (P = .008) and Kotelchuck (P < .001) indices, which characterize the adequacy of prenatal care. No significant associations were observed between groups among patient satisfaction indicators.
Conclusion: Our results indicate that mothers with a diagnosis of asthma were more likely to have adequate PNC with earlier initiation of PNC compared to those without. With concerns for increased asthma exacerbations and pregnancy complications, expanding the discussion of asthma management during prenatal care may maximize improvement in maternal child health. More aggressive asthma management in prenatal visits may enhance patient education and active treatment of asthma in pregnancy.
Design Methods: We performed a cross-sectional analysis of the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data, collected from 2016-2022 to assess differences in PNC among mothers with and without an asthma diagnosis.
Results: The PRAMS phase 8 sample contained responses from 106,700 individuals who provided responses to asthma questions. Among this sample, 12,119 (10.86%) individuals reported having an asthma diagnosis—representing approximately 5,526,955 new mothers in the United States. From the subsample of selected states that asked if individuals reported an asthma problem during pregnancy, 1606 (of 18,118; 8.2%) reported affirmatively.
Among the larger sample, we found a significant association between having an asthma diagnosis and the reported month of PNC initiation (P = .006), frequency of PNC visits (P = .001), place of birth (P < .001). Significance association was also found in the Kessner (P = .008) and Kotelchuck (P < .001) indices, which characterize the adequacy of prenatal care. No significant associations were observed between groups among patient satisfaction indicators.
Conclusion: Our results indicate that mothers with a diagnosis of asthma were more likely to have adequate PNC with earlier initiation of PNC compared to those without. With concerns for increased asthma exacerbations and pregnancy complications, expanding the discussion of asthma management during prenatal care may maximize improvement in maternal child health. More aggressive asthma management in prenatal visits may enhance patient education and active treatment of asthma in pregnancy.
| Original language | American English |
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| Pages | 42 |
| State | Published - 13 Sep 2024 |
| Event | 2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health - Oklahoma State University College of Osteopathic Medicine at the Cherokee Nation, Tahlequah, United States Duration: 13 Sep 2024 → 13 Sep 2024 |
Conference
| Conference | 2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health |
|---|---|
| Abbreviated title | STRIDE 2024 |
| Country/Territory | United States |
| City | Tahlequah |
| Period | 13/09/24 → 13/09/24 |