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Child Health USA 2013 An illustrated collection of current and historical data, published annually.

Counseling Received During Prenatal Care

Narrative

Prenatal care visits are an opportunity for a health care provider to discuss a variety of health and safety topics with the expectant mother. This can include such topics as injury prevention, genetic screening, infant care, and domestic violence.

In 2009-2010, more than three quarters of recent mothers in a 30-state area reported that their doctor had discussed at least one of the following topics with them during a prenatal visit: safe use of medications while pregnant (88.8 percent), genetic testing (86.7 percent), what to do in the case of early labor (82.2 percent) and signs of preterm labor (78.5 percent). Illegal drug use was discussed with 64.3 percent of expectant mothers, while approximately half (52.2 percent) received counseling on seat belt use. Public health efforts to increase prenatal counseling on seat belt use remain critical for reducing the number of traffic related deaths and hospitalizations that occur during pregnancy.1

Alcohol use was more likely to be discussed with those who had Medicaid coverage than any other type of insurance. Women with private insurance (62.3 percent) were the least likely to receive counseling on smoking during pregnancy compared to women with Medicaid coverage, other types of insurance, or no insurance (82.6, 75.2, and 70.1 percent, respectively).

Physical abuse by a husband or partner was discussed with half of all women. Women with private insurance (40.7 percent) were the least likely to have received counseling on this issue, while women with Medicaid coverage were the most likely (61.5 percent). The proportion of women to receive counseling on domestic abuse also varied by maternal age, ranging from 61.7 percent of women aged 19 years or younger to about 43 percent of women aged 30 years and older (data not shown in graph images or in data tables on this site). Studies have shown that women in need of counseling on domestic abuse, breastfeeding, and preterm labor are not more likely to receive this information than those without reported risk factors, such as having had a previous preterm birth.2

1 Sirin H, Weiss HB, Sauber-Schatz EK, Dunning K. Seat belt use, counseling, and motor vehicle injury during pregnancy: results from a mult-state population based survey. 2007;11(5):505-510.

2 Petersen R, Connelly A, Martin SL, Kupper LL. Preventive counseling during prenatal care: Pregnancy Risk Assessment Monitoring Systems (PRAMS). American Journal of Preventive Medicine. 2001;20(4):245-250.

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Graphs

This image is described in the Data section.

topics discussed graph

This image is described in the Data section.

topics discussed by insurance graph

Data

Topics Discussed by Health Care Provider During Prenatal Care Visits, 2009–2010*

Percent of Mothers:

  • Safe medication use 88.8
  • Genetic testing 86.7
  • What to do if labor begins early 82.2
  • Signs of preterm labor 78.5
  • Illegal drug use 64.3
  • Seat belt use 52.2

*Includes data from a total of 30 states and New York City; 25 states contributed both years. Mothers completed surveys between 2 and 9 months postpartum.

Source: Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System, 2009-2010. Analysis conducted by the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention.

Topics Discussed by Health Care Provider During Prenatal Care Visits, by Insurance Type, 2009-2010*
Topics Discussed Percent of Recent Mothers with Private Insurance Percent of Recent Mothers with Medicaid Percent of Recent Mothers with Other Percent of Recent Mothers with No Insurance Total
*Includes data from a total of 30 states and New York City; 25 states contributed both years. Mothers completed surveys between 2 and 9 months postpartum.
Source: Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System, 2009-2010. Analysis conducted by the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention.
Breastfeeding 77.4 89.6 87.5 81.1 82.9
HIV Testing 69.8 82.5 75.4 70.6 75.4
Alcohol use 65.4 81.4 75.9 71.4 72.7
Smoking 62.3 82.6 75.2 70.1 71.5
Depression 67.1 75.0 72.5 61.9 70.3
Physical Abuse 40.7 61.5 57.0 47.6 50.4