title: Experiences, utilisation and outcomes of maternity care in England among women from different socio-economic groups: findings from the 2010 National Maternity Survey.
abstract: OBJECTIVE
  The objective of this analysis was to explore the healthcare-seeking behaviours and experiences of maternity care among women from different socio-economic groups in order to improve understanding of why socially disadvantaged women have poorer maternal health outcomes in the UK.
  
  
  METHODS
  Secondary analysis of a national survey of women conducted 3 months after they had given birth.
  
  
  METHODS
  England.
  
  
  METHODS
  A total of 5332 women.
  
  
  METHODS
  Logistic regression analysis to investigate differences in outcomes among different socio-economic groups, classified by the Index of Multiple Deprivation (IMD).
  
  
  METHODS
  Healthcare-seeking behaviours, outcomes and experiences of maternity care.
  
  
  RESULTS
  With each increase in IMD quintile (decrease in socio-economic position), women were shown to be 25% (adjusted odds ratio [aOR] 0.75; 95% confidence interval [95% CI] 0.63-0.90) less likely to have had any antenatal care and 15% (aOR 0.85; 95% CI 0.80-0.90) less likely to have had a routine postnatal check-up. They were 4% (aOR 1.04; 95% CI 0.99-1.10) more likely to have had an antenatal hospital admission, 7% (aOR 1.07; 95% CI 0.99-1.16) more likely to have been transferred during labour and 4% (aOR 1.04; 95% CI 0.99-1.09) more likely to have had a caesarean birth, although these results were not statistically significant. With decreasing socio-economic position women were more likely to report that they were not treated respectfully or spoken to in a way they could understand by doctors and midwives.
  
  
  CONCLUSIONS
  This analysis suggests the need for a focusing of professionals and services towards pregnant women from lower socio-economic groups and more targeted maternal public health education towards socially disadvantaged women.
authors.affiliation: National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.|Department of Obstetrics and Gynaecology, Monash Health, Melbourne, Vic., Australia.
authors.forename: A
authors.initials: A
authors.lastname: Lindquist
authors.affiliation: National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
authors.forename: J J
authors.initials: JJ
authors.lastname: Kurinczuk
authors.affiliation: National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
authors.forename: M
authors.initials: M
authors.lastname: Redshaw
authors.affiliation: National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
authors.forename: M
authors.initials: M
authors.lastname: Knight
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000706:statistics & numerical data; D004522:Educational Status; D004739:England / Q000453:epidemiology; D005260:Female; D019538:Health Care Surveys; D006266:Health Education; D006297:Health Services Accessibility / Q000941:ethics / Q000706:statistics & numerical data*; D054624:Health Status Disparities; D006801:Humans; D007231:Infant, Newborn; D057226:Information Seeking Behavior; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D008880:Midwifery / Q000706:statistics & numerical data; D008913:Minority Groups / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome; D037841:Pregnant People; D011295:Prenatal Care / Q000592:standards; D011369:Professional-Patient Relations; D012923:Social Class; D011795:Surveys and Questionnaires
keywords: Index of multiple deprivation; UK; maternity care; socio-economic