title: Comprehensive interdisciplinary care: making a difference in pregnancy outcomes for Hispanic women.
abstract: Hispanic women constitute one of the fastest growing and most diverse groups in the United States, representing many countries of origin and cultural practices. The purpose of this evaluation study, using an ex post facto design, was to examine well-being during pregnancy and pregnancy outcomes for a cohort of 113 Hispanic women receiving perinatal care at the clinic of a community hospital in an old industrial city in the Northeast. The received adequacy of prenatal care for the study sample women was very high. The low-birthweight rate was lower than for the study hospital, the study city, the state, and the entire United States. The results of this study demonstrate the favorable effects of a comprehensive, interdisciplinary, and culturally sensitive model of prenatal care on these women's well-being and birth outcomes. Findings also support the need for an outreach program targeted at hard-to-reach women in the inadequate, received-care group and women with later initiation of care.
authors.affiliation: Department of Nursing, University of Massachusetts Lowell, USA.
authors.forename: C W
authors.initials: CW
authors.lastname: Pearce
authors.forename: J W
authors.initials: JW
authors.lastname: Hawkins
authors.forename: D
authors.initials: D
authors.lastname: Carver-Chase
authors.forename: R
authors.initials: R
authors.lastname: Ebacher
authors.forename: S
authors.initials: S
authors.lastname: Matta
authors.forename: A
authors.initials: A
authors.lastname: Sullivan
authors.forename: V J
authors.initials: VJ
authors.lastname: Vawter
authors.forename: C
authors.initials: C
authors.lastname: Vincent
authors.forename: K A
authors.initials: KA
authors.lastname: Windle
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D015331:Cohort Studies; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007231:Infant, Newborn; D015403:Nursing Evaluation Research / Q000379:methods; D010298:Parity; D010348:Patient Care Team; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000208:ethnology*; D011295:Prenatal Care / Q000592:standards*; D011787:Quality of Health Care; D012648:Self Care