Pregnant Black Women and Emergency Department Utilization: Assessing Self-Reported Receipt of Prenatal Counseling.
Inara Ismailova, Emily Yagihashi, Nadia Saadat and 1 others
PMID 34521290WHAT IT FOUND
After adjustment, the links between prenatal counseling and emergency department visits were no longer clear.
Before adjustment, counseling about fetal movement slowing or smoking had been linked to more visits.
Key findings
01After adjustment for age and smoking, the significant associations for what to do about fetal movement slowing down and for smoking were no longer statistically significant.
02Reported prenatal counseling about fetal movement slowing down and about smoking was associated with greater odds of emergency department use in unadjusted analysis.
03About 70.5% of the women, or 994, had an emergency department visit during pregnancy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study could not tell whether emergency department visits were urgent or non-urgent. Prenatal counseling was self-reported after birth, so recall and understanding may have affected the answers. The analysis was secondary, so the researchers could not return to records for more detail. The sample was limited to Black women in one Detroit-area hospital, and most were insured with Medicaid. The adjusted associations for what to do about fetal movement slowing down and smoking were no longer statistically significant. The study could not show that counseling caused emergency department use.
Declared interests
The supplied text does not include an author conflict statement. The article is marked as Research Support, N.I.H., Extramural.
The easy way to misread this
Do not conclude that prenatal counseling causes emergency department visits. The study was observational, could not separate urgent from non-urgent visits, and the adjusted associations were no longer statistically significant.