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 after de...
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| Format: | Article |
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BMJ Publishing Group
2020-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/10/e037745.full |
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| author | Christian Apfelbacher Susanne Brandstetter David Rothfuß Birgit Seelbach-Göbel Michael Melter Michael Kabesch |
| author_facet | Christian Apfelbacher Susanne Brandstetter David Rothfuß Birgit Seelbach-Göbel Michael Melter Michael Kabesch |
| author_sort | Christian Apfelbacher |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-ad710464b4ab4dbfb88d9ff94b5f4f48 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ad710464b4ab4dbfb88d9ff94b5f4f482024-11-16T19:15:06ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2020-037745Information on, knowledge and utilisation of support services during pregnancy and after childbirth: cross-sectional analyses of predictors using data from the KUNO-Kids health studyChristian Apfelbacher0Susanne Brandstetter1David Rothfuß2Birgit Seelbach-Göbel3Michael Melter4Michael Kabesch51Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto von Guericke University Magdeburg, Magdeburg, GermanyUniversity Children’s Hospital Regensburg (KUNO-Clinics), University of Regensburg, Regensburg, GermanyCoordinating Center for Early Interventions, City of Regensburg, Regensburg, GermanyClinic of Obstetrics and Gynecology St Hedwig, University of Regensburg, Regensburg, GermanyUniversity Children’s Hospital Regensburg (KUNO-Clinics), University of Regensburg, Regensburg, GermanyWissenschafts- und Entwicklungscampus Regensburg, University Children`s Hospital Regensburg (KUNO-Clinics) at St Hedwig Hospital of the order of St John, Regensburg, GermanyObjectives 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.https://bmjopen.bmj.com/content/10/10/e037745.full |
| spellingShingle | Christian Apfelbacher Susanne Brandstetter David Rothfuß Birgit Seelbach-Göbel Michael Melter Michael Kabesch 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 BMJ Open |
| 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 |
| url | https://bmjopen.bmj.com/content/10/10/e037745.full |
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