title: Perceived barriers to prenatal care services.
abstract: OBJECTIVE
  The purpose of this study was to determine barriers to prenatal care services and to determine if barriers differed by demographic characteristics in a low-income population.
  
  
  METHODS
  Descriptive correlational study with 110 women who sought prenatal care after the 20th week of gestation.
  
  
  RESULTS
  Two items were major barriers to seeking prenatal care: long waiting times at the time of appointments and the cost of getting care. Significant relationships were found based on the age and race of the women.
  
  
  CONCLUSIONS
  Some identifiable variables prevented these women from seeking early prenatal care; however, the barriers identified are amenable to change. Strategies to reduce barriers could include providing more culturally competent care, more timely appointments, better use of the woman's time when appointments are kept, educating women in the community about the availability of low-cost care, and assistance at prenatal care sites for facilitating completion of insurance and financial applications. Barriers to prenatal care varied by demographic group; therefore, identifying the characteristics of the group being served seems important in efforts to decrease barriers to care.
authors.affiliation: University of Missouri--Kansas City, School of Nursing, Missouri, USA. Beckmannc@umkc.edu
authors.forename: C A
authors.initials: CA
authors.lastname: Beckmann
authors.forename: T A
authors.initials: TA
authors.lastname: Buford
authors.forename: J B
authors.initials: JB
authors.lastname: Witt
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001294:Attitude to Health; D003710:Demography; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D015146:Midwestern United States; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011295:Prenatal Care / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data; D012938:Social Perception; D014505:Urban Population / Q000706:statistics & numerical data