Effects of prenatal care on maternal postpartum behaviors

Nancy E. Reichman, Hope Corman, Kelly Noonan, Ofira Schwartz-Soicher

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Most research on the effectiveness of prenatal care has focused on birth outcomes and has found small or no effects. It is possible, however, that prenatal care is "too little too late" to improve pregnancy outcomes in the aggregate, but that it increases the use of pediatric health care or improves maternal health-related parenting practices and, ultimately, child health. We use data from the Fragile Families and Child Wellbeing birth cohort study that have been augmented with hospital medical record data to estimate effects of prenatal care timing on pediatric health care utilization and health-related parenting behaviors during the first year of the child's life. We focus on maternal postpartum smoking, preventive health care visits for the child, and breastfeeding. We use a multi-pronged approach to address the potential endogeneity of the timing of prenatal care. We find that first trimester prenatal care appears to decrease maternal postpartum smoking by about 5 percentage points and increase the likelihood of 4 or more well-baby visits by about 1 percentage point, and that it may also have a positive effect on breastfeeding. These findings suggest that there are benefits to standard prenatal care that are generally not considered in evaluations of prenatal care programs and interventions.

Original languageEnglish (US)
Pages (from-to)171-197
Number of pages27
JournalReview of Economics of the Household
Volume8
Issue number2
DOIs
StatePublished - Jun 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Social Sciences (miscellaneous)
  • Economics and Econometrics

Keywords

  • Breastfeeding
  • First trimester care
  • Pediatric care
  • Postpartum smoking
  • Prenatal care
  • Smoking
  • Well-baby care

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