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West J Nurs Res. 2022 Jan;44(1):42-49. doi: 10.1177/01939459211043941. Epub 2021 Sep 15.

Pregnant Black Women and Emergency Department Utilization: Assessing Self-Reported Receipt of Prenatal Counseling.

Western journal of nursing research

Inara Ismailova, Emily Yagihashi, Nadia Saadat, Dawn Misra

Affiliations

  1. Wayne State University School of Medicine, Detroit, MI, USA.
  2. Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA.

PMID: 34521290 DOI: 10.1177/01939459211043941

Abstract

There is limited literature on emergency department (ED) use among pregnant women. In this article, we examined the associations between prenatal counseling with the use of the ED during pregnancy. In our cohort of Black women in the Metro Detroit area, we found that approximately 70.5% of the women had an ED visit at some point during pregnancy. In unadjusted models of prevalence ratios, we found women reporting receipt of prenatal counseling regarding fetal movement, what to do about baby's movement slowing down, and smoking (but not what to do about smoking) were at statistically significantly greater risk of ED utilization during pregnancy. Adjustment for confounders slightly weakened the associations for counseling about baby's movement or smoking, so that the associations were no longer statistically significant. These findings call for further research on ED utilization among this population, especially differentiating urgent versus non-urgent use of the ED during pregnancy.

Keywords: Black women; ED visits; Emergency department; Emergency department utilization; Health; Health education; Pregnancy; Pregnant Black women; Prenatal care; Prenatal counseling

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