Browsing by Subject "prenatal care"
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Item PROMOTING HEALTHY PREGNANCY BEHAVIORS AMONG KAREN BURMESE REFUGEES(2013-04-12) Board, AmyPurpose: To identify gaps in knowledge and access to pregnancy-related care for Karen Burmese refugee women in Fort Worth, to identify a natural leader within this population, and to design a culturally appropriate educational intervention to enhance healthy pregnancy behavior. Methods: Through collaboration with local refugee resettlement agencies, the Karen were identified as a particularly vulnerable refugee population with regard to accessing proper prenatal care. Focus groups were designed to identify the baseline level of pregnancy knowledge and access to care. The March of Dimes curriculum was selected to translate into Karen and to adapt according to the specific cultural and educational needs of this group. Through discussion with key players in the Karen community, a natural leader within the population was identified to facilitate future education classes. Picture-based pre- and post-test materials were developed to accommodate the low-literacy rates of the population. The lay health worker model is used as a guide for focus group and intervention implementation. Results: A natural community leader within this population was identified to conduct focus groups and the education-based intervention. Discussions with leadership in the Karen community were integrated into an existing knowledge base about the population from a refugee resettlement agency perspective as well as from prior research experience with this group. It was concluded that conducting outreach for the focus groups and intervention should occur within the context of the Karen church to maximize acceptance of the project within the community. Focus groups will be initiated in March. The results will be used to tailor March of Dimes curriculum to meet the needs of a unique population at risk of poor prenatal outcomes and maternal health. Conclusions: Utilization of a natural community leader within the context of the lay health worker model is an ideal approach for properly identifying and tailoring interventions among the Karen Burmese due to its unique ability to overcome cultural and linguistic barriers.Item PROMOTING HEALTHY PREGNANCY BEHAVIORS AMONG KAREN BURMESE REFUGEES(2014-03) Board, Amy; Raines-Milenkov, Amy; Thein, Emelda; Anderson, RalphPurpose (a): To identify baseline understanding of healthy pregnancy behaviors as well as gaps in knowledge and access to pregnancy-related care for Karen Burmese refugee women in Fort Worth. Methods (b): Focus groups were designed to identify the baseline level of pregnancy knowledge and access to care. Discussion with key players in the Karen community led to the selection a natural leader within the population to conduct the focus groups, which were held on two different days and times in the apartment complex where the majority of the population resides. Results (c): Respondents shared both positive and negative reactions regarding delivering a baby in the U.S based upon their personal experiences or stories they had heard from friends and relatives who had given birth. Positive responses included the ability to receive an epidural to relieve labor pain, access to prenatal vitamins, vaccines, and medicines, and the sentiment that in America, doctors are able to use tests and technology to make sure the baby receives good care. Negative responses included a lack of proper or culturally sensitive interpretation at provider visits, lack of proper information sharing by staff about the purposes of and alternatives for medical procedures, and long wait times at the hospital before receiving care. Barriers cited to receiving proper care include transportation, lack of insurance coverage, limited English proficiency, and anxiety about not being able to navigate the health system. Conclusions (d): Karen Burmese women in Fort Worth view the American health care system with a mixture of gratitude and trepidation. Full integration and use of this system for early access to prenatal care will involve outreach and education efforts among the Karen as well as greater understanding and flexibility on the part of health care providers.Item Providers' Satisfaction with Provision of Prenatal Care During the COVID-19 Pandemic(2021-05) Zulifqar, Bisma A.; Fulda, Kimberly; Franks, Susan; Hodge, Lisa M.Pregnant women are among a high-risk patient population for contracting COVID-19, but they still require adequate prenatal care throughout pregnancy to ensure optimal health for both the fetus and mother. Many prenatal appointments have transitioned to telemedicine visits due to the contagious nature of COVID-19. Provider satisfaction is an important metric to study as there is an association between provider satisfaction, the quality of care they provide, and patient satisfaction. Thus, understanding provider satisfaction with providing prenatal care via various visit types and factors that determine this satisfaction is fundamental, especially as there are limited studies on provider satisfaction with prenatal care. A survey questionnaire was disseminated to prenatal care providers through email and online methods. The questionnaire was developed from an adapted provider satisfaction theoretical framework to evaluate health care professionals' satisfaction with delivering prenatal care using telemedicine. The adapted model assesses five main components: Professionals' Demographics, Care Setting, Intrinsic Factors, Motivations, and Experiences. Twenty-six physicians completed the survey questionnaire. Demographics factors, such as provider age and providers years in practice, compared with categories of audio telehealth and video telehealth satisfaction did not have statistically significant differences. 100% of providers reported being satisfied with their overall ability to provide prenatal care, and 92.3% reported being satisfied with the overall prenatal care provided after the onset of the COVID-19 pandemic. 63.6% of providers reported satisfaction with their ability to provide appropriate prenatal care via telehealth. 60% of providers reported being satisfied with video telehealth prenatal care provided compared to 36% being satisfied with audio telehealth prenatal care provided. 48% of providers reported that they will continue to use telehealth prenatal care visits after the COVID-19 pandemic. Statistical analysis used to compare continuation of telehealth use in the future to certain demographic factors, provider age and provider years in practice, found that neither provider age nor years of practice were statistically different. Prenatal care provider demographics, experiences, motivations, and intrinsic factors were not associated with providers' satisfaction of provision of prenatal care, and providers reported differing satisfaction between prenatal care visit types.