Promoting Healthy Births – The Challenge of Expanding Early Care

Premature childbirth increases the risk of death or a lifetime of disability and nearly always drives up cost. Early care for expectant mothers can help increase the chances of a healthy, full-term pregnancy. Now that the Supreme Court had upheld national health reform and its mandate to carry health insurance, we might hope to see more expectant mothers receiving care early in their pregnancies. Studies suggest that access to health insurance isn’t the only factor, however.

The nation had set a goal for 2010: 90% of pregnant women getting care in the first trimester of pregnancy. In New York and in the Rochester area, we’re not close: in 2010, 79% of mothers in our region started prenatal care that early, higher than the state rate of 73% but largely unchanged over the past decade.[1] Generally speaking, rates of early access to prenatal care haven’t changed much over the past decade, and neither have rates of problems that prenatal care helps prevent, such as low birth weight. Even more troubling, low-income and minority women tend to be less likely to start care early, another stubborn pattern. Read more »