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Article

Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility

by
Simona Raluca Iacoban
1,2,
Madalina Piron-Dumitrascu
1,2,3,
Camil Laurentiu Bohiltea
3,4,
Ioan Dumitru Suciu
3,
Silviu Cristian Voinea
5,6,* and
Nicolae Suciu
1,2,3
1
Department of Obstetrics, Gynecology and Neonatology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
2
Department of Obstetrics and Gynecology, Polizu Clinical Hospital, Bucharest, Romania
3
Department of Obstetrics and Gynecology, Alessandrescu-Rusescu National Institute of Mother and Child Health, Bucharest, Romania
4
Department of Pediatrics, Discipline of Medical Genetics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
5
Department of Oncological Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
6
Department of General Surgery, Alexandru Trestioreanu Oncology Institute, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2024, 11(2), 402-411; https://doi.org/10.22543/2392-7674.1541
Submission received: 14 May 2024 / Revised: 14 June 2024 / Accepted: 21 June 2024 / Published: 31 October 2024

Abstract

Objectives. This study aimed to assess the impact of socio-economic factors on prenatal care accessibility and outcomes and to evaluate the effectiveness of specialized integrative prenatal care in mitigating these disparities. Materials and Methods. A prospective cohort study was conducted between 2020 and 2023 in Bucharest, Romania, involving 100 pregnant women. Participants were equally divided into two groups that received standard and specialized prenatal care. Data were collected through structured interviews, medical record reviews, and standardized questionnaires at multiple time points during pregnancy and postpartum. Results. Women receiving integrative care had longer gestation periods (37.8 vs. 37.6 weeks), higher average birth weights (3.3 kg vs. 3.14 kg), and fewer complications during labor (10% vs. 12.5%) compared to the standard care group. Socio-economic status significantly influenced outcomes, with lower income and education levels associated with shorter gestation periods and lower birth weights. Stronger support systems correlated with better mental health and improved pregnancy outcomes. Conclusions. Integrative prenatal care, which addresses both medical and psychosocial needs, significantly improves pregnancy outcomes, particularly for women of lower socio-economic status. Targeted interventions are essential to ensure equitable maternal and neonatal health outcomes.
Keywords: socioeconomic status; prenatal care; targeted intervention; birth outcomes socioeconomic status; prenatal care; targeted intervention; birth outcomes

Share and Cite

MDPI and ACS Style

Iacoban, S.R.; Piron-Dumitrascu, M.; Bohiltea, C.L.; Suciu, I.D.; Voinea, S.C.; Suciu, N. Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility. J. Mind Med. Sci. 2024, 11, 402-411. https://doi.org/10.22543/2392-7674.1541

AMA Style

Iacoban SR, Piron-Dumitrascu M, Bohiltea CL, Suciu ID, Voinea SC, Suciu N. Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility. Journal of Mind and Medical Sciences. 2024; 11(2):402-411. https://doi.org/10.22543/2392-7674.1541

Chicago/Turabian Style

Iacoban, Simona Raluca, Madalina Piron-Dumitrascu, Camil Laurentiu Bohiltea, Ioan Dumitru Suciu, Silviu Cristian Voinea, and Nicolae Suciu. 2024. "Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility" Journal of Mind and Medical Sciences 11, no. 2: 402-411. https://doi.org/10.22543/2392-7674.1541

APA Style

Iacoban, S. R., Piron-Dumitrascu, M., Bohiltea, C. L., Suciu, I. D., Voinea, S. C., & Suciu, N. (2024). Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility. Journal of Mind and Medical Sciences, 11(2), 402-411. https://doi.org/10.22543/2392-7674.1541

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