Maternal and Child Health Journal

, Volume 17, Issue 2, pp 189–199

Effects of Prenatal Care on Child Health at Age 5

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

Abstract

The broad goal of contemporary prenatal care is to promote the health of the mother, child, and family through the pregnancy, delivery, and the child’s development. Although the vast majority of mothers giving birth in developed countries receive prenatal care, past research has not found compelling evidence that early or adequate prenatal care has favorable effects on birth outcomes. It is possible that prenatal care confers health benefits to the child that do not become apparent until after the perinatal period. Using data from a national urban birth cohort study in the US, we estimate the effects of prenatal care on four markers of child health at age 5—maternal-reported health status, asthma diagnosis, overweight, and height. Prenatal care, defined a number of different ways, does not appear to have any effect on the outcomes examined. The findings are robust and suggest that routine health care encounters during the prenatal period could potentially be used more effectively to enhance children’s health trajectories. However, future research is needed to explore the effects of prenatal care on additional child health and developmental outcomes as well as the effects of preconceptional and maternal lifetime healthcare on child health.

Keywords

Prenatal care timing Prenatal care adequacy Child health outcomes 

References

  1. 1.
    Kirkham, C., Harris, S., & Grzybowski, S. (2005). Evidence-based prenatal care: Part I. general prenatal care and counseling issues. American Family Physician, 71, 1307–1316.PubMedGoogle Scholar
  2. 2.
    Buekens, P., Kotelchuck, M., Blondel, B., Kristensen, F. B., Chen, J. H., & Masuy-Stroobant, B. (1993). A comparison of prenatal care use in the United States and Europe. American Journal of Public Health, 83, 31–36.PubMedCrossRefGoogle Scholar
  3. 3.
    Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker F., Kirmeyer, S., et al. (2009). Births: final data for 2006. National vital statistics reports 2009 (Vol. 57). Accessed January 21, 2010 at http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_07.pdf.
  4. 4.
    March of Dimes. (2010). Distribution of prenatal care adequacy categories: US, 2002. Accessed January 07, 2011 at http://www.marchofdimes.com/peristats/level1.aspx?dv=ms&reg=99&top=5&stop=33&lev=1&slev=1&obj=3.
  5. 5.
    Reichman, N. E., Corman, H., Noonan, K., & Dave, D. (2009). Infant health production functions: What a difference the data make. Health Economics, 18, 761–782.PubMedCrossRefGoogle Scholar
  6. 6.
    Evans, W. N., & Lien, D. S. (2005). The benefits of prenatal care: evidence from the PAT bus strike. Journal of Econometrics, 125, 207–239.CrossRefGoogle Scholar
  7. 7.
    Lu, M., Tache, V., Alexander, G., Kotelchuck, M., & Halfon, N. (2003). Preventing low birth weight: Is prenatal care the answer? Journal of Maternal and Fetal Neonatal Medicine, 13, 362–380.CrossRefGoogle Scholar
  8. 8.
    Wehby, G. L., Murray, J. C., Castilla, E. E., Lopez-Camelo, J. S., & Ohsfeldt, R. L. (2009). Prenatal care demand and its effect on birth outcomes by birth defect status in Argentina. Economics and Human Biology, 7, 84–95.PubMedCrossRefGoogle Scholar
  9. 9.
    Sparks, C. S. (2011). Parental investment and socioeconomic status influences on children’s height in Honduras: An analysis of national data. American Journal of Human Biology, 23, 80–88.PubMedCrossRefGoogle Scholar
  10. 10.
    Shin, H. (2007). Child health in Peru: Importance of regional variation and community effects on children’s height and weight. Journal of Health and Social Behavior, 48, 418–433.PubMedCrossRefGoogle Scholar
  11. 11.
    Barker, D. (1992). Fetal and infant origins of adult disease. London: BMJ Publishing.Google Scholar
  12. 12.
    Litoniua, A. A., & Weiss, S. T. (2007). Is vitamin D deficiency to blame for the asthma epidemic? Journal of Allergy and Clinical Immunology, 120, 1031–1035.CrossRefGoogle Scholar
  13. 13.
    Camargo, C. A., Ingham, T., Wickens, K., Thadhani, R., Silvers, K. M., Epton, M. J., et al. (2011). Cord-blood 25-hydroxyvitamin D levels and risk of respiratory infection, wheezing, and asthma. Pediatrics, 127, e180–e187.PubMedCrossRefGoogle Scholar
  14. 14.
    US Department of Health and Human Services. (1989). Caring for our future: the content of prenatal care. A report of the public health service expert panel on the content of prenatal care. Washington, DC: US Public Health Service, Department of Health and Human Services.Google Scholar
  15. 15.
    Williams, L., Morrow, B., Shulman, H., Stephens, R., D’Angelo, D., & Fowler, C.I. (2006). PRAMS 2002 surveillance report. Atlanta, GA: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Accessed January 23, 2010 at http://www.cdc.gov/prams/2002PRAMSSurvReport/PDF/2k2PRAMS.pdf.
  16. 16.
    Bradford, W. D. (2003). Pregnancy and the demand for cigarettes. American Economic Review, 93, 1752–1763.CrossRefGoogle Scholar
  17. 17.
    Colman, G., Grossman, M., & Joyce, T. (2003). The effect of cigarette excise taxes on smoking before, during and after pregnancy. Journal of Health Economics, 22, 1053–1072.PubMedCrossRefGoogle Scholar
  18. 18.
    Fang, W., Goldstein, A., Butzen, A., Hartsock, S., Hartmann, K., Helton, M., et al. (2004). Smoking cessation in pregnancy: A review of postpartum relapse prevention strategies. Journal of the American Board of Family Practice, 17, 264–275.PubMedCrossRefGoogle Scholar
  19. 19.
    Kistin, N., Benton, D., Rao, S., & Sullivan, M. (1989). Breast-feeding rates among black urban low-income women: Effect of prenatal education. Pediatrics, 86, 741–746.Google Scholar
  20. 20.
    US Department of Health and Human Services. (2006). The health consequences of involuntary exposure to tobacco smoke: A report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Accessed January 23, 2010 at http://www.surgeongeneral.gov/library/secondhandsmoke.
  21. 21.
    American Academy of Pediatrics. (2005). Policy statement: Breastfeeding and the use of human milk. Pediatrics, 115, 496–506.CrossRefGoogle Scholar
  22. 22.
    Conway, K. S., & Kutinova, A. (2006). Maternal health: does prenatal care make a difference? Health Economics, 15, 461–488.PubMedCrossRefGoogle Scholar
  23. 23.
    Lieferman, J. (2002). The effect of maternal depressive symptomatology on maternal behaviors associated with child health. Health Education and Behavior, 29, 596–607.CrossRefGoogle Scholar
  24. 24.
    Hyatt, R. R., & Allen, S. M. (2005). Disability as a “family affair”: Parental disability and childhood immunization. Medical Care, 43, 600–606.PubMedCrossRefGoogle Scholar
  25. 25.
    Reichman, N. E., Corman, H., Noonan, K., & Schwartz-Soicher, O. (2010). Effects of prenatal care on maternal postpartum behaviors. Review of Economics of the Household, 8, 171–197.PubMedCrossRefGoogle Scholar
  26. 26.
    Kogan, M., Alexander, G., Jack, B., & Allen, M. (1998). The association between adequacy of prenatal care utilization and subsequent pediatric care utilization in the United States. Pediatrics, 102, 25–30.PubMedCrossRefGoogle Scholar
  27. 27.
    Freed, G., Clark, S., Pathman, D., & Schectman, R. (1998). Influences on the receipt of well-child visits in the first two years of life. Pediatrics, 103, 864–869.Google Scholar
  28. 28.
    Reichman, N. E., Teitler, J. O., Garfinkel, I., & McLanahan, S. (2001). Fragile Families: Sample and design. Children and Youth Services Review, 23, 303–326.CrossRefGoogle Scholar
  29. 29.
    Lia-Hoagberg, B., Rode, P., Skovholt, C. J., Oberg, C. N., Berg, C., Mullett, S., et al. (1990). Barriers and motivators to prenatal care among low-income women. Social Science and Medicine, 30, 487–495.PubMedCrossRefGoogle Scholar
  30. 30.
    Melnikow, J., & Alemagno, S. (1993). Adequacy of prenatal care among inner-city women. The Journal of Family Practice, 37, 575–582.PubMedGoogle Scholar
  31. 31.
    Currie, J. (2009). Healthy, wealthy, and wise: socioeconomic status, poor health in childhood, and human development. Journal of Economic Literature, 47, 87–122.CrossRefGoogle Scholar
  32. 32.
    Eder, W., Ege, M. J., & von Mutius, E. (2006). The asthma epidemic. New England Journal of Medicine, 355, 2226–2235.PubMedCrossRefGoogle Scholar
  33. 33.
    US Environmental Protection Agency, Indoor Environments Division, Office of Air and Radiation. (2009). Asthma facts. EPA 402-F-04-019. Accessed January 23, 2010 at http://www.epa.gov/asthma/pdfs/asthma_fact_sheet_en.pdf.
  34. 34.
    Akinbami, L. J. (2006). The state of childhood asthma, United States, 1980–2005. Advance Data from Vital and Health Statistics 2006 (Vol. 381). Accessed January 23, 2010 at http://www.cdc.gov/nchs/data/ad/ad381.pdf.
  35. 35.
    World Health Organization (WHO). (2010). Controlling the global obesity epidemic. Accessed January 07, 2011 at http://www.who.int/nutrition/topics/obesity/en/index.html.
  36. 36.
    Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA: the Journal of the American Medical Association, 303(3), 242.CrossRefGoogle Scholar
  37. 37.
    Daniels, S. R. (2006). The consequences of childhood overweight and obesity. The Future of Children, 16, 47–67.PubMedCrossRefGoogle Scholar
  38. 38.
    Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D., & Dietz, W. H. (1997). Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine, 337, 869–873.PubMedCrossRefGoogle Scholar
  39. 39.
    Ogden, C. L., & Flegal, K. M. (2010) Changes in terminology for childhood overweight and obesity. National health statistics report 2010, no. 25. Accessed January 13, 2011 at http://www.cdc.gov/nchs/data/nhsr/nhsr025.pdf.
  40. 40.
    Rees, D., Sabia, J., & Argys, L. (2009). A head above the rest: Height and adolescent psychological well-being. Economics and Human Biology, 7, 217–228.PubMedCrossRefGoogle Scholar
  41. 41.
    Case, A., & Paxson, C. (2008). Stature and status: Height, ability, and labor market outcomes. Journal of Political Economy, 116, 499–532.PubMedCrossRefGoogle Scholar
  42. 42.
    Batty, G. D., Shipley, M. J., Gunnell, D., Huxley, R., Kivimaki, M., Woodward, M., et al. (2009). Height, wealth, and health: an overview with new data from three longitudinal studies. Economics and Human Biology, 7, 137–152.PubMedCrossRefGoogle Scholar
  43. 43.
    Case, A., & Paxson, C. (2010). Causes and consequences of early life health. Demography, 47, S65–S85.PubMedCrossRefGoogle Scholar
  44. 44.
    Centers for Disease Control. (2002) Infant mortality and low birth weight among black and white infants—United States, 1980–2000. Morbidity and Mortality Weekly Report 51(27), 589–592. Accessed January 21, 2011 at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5127a1.htm#tab1.
  45. 45.
    Johnson, T. S., & Engstrum, J. L. (2002). State of the science in measurement of infant size at birth. Newborn and Infant Nursing Reviews, 2, 150–158.CrossRefGoogle Scholar
  46. 46.
    Alexander, G., & Kotelchuck, M. (1996). Quantifying the adequacy of prenatal care: A comparison of indices. Public Health Reports, 111, 408–418.PubMedGoogle Scholar
  47. 47.
    McDade, T., & Hayward, M. (2009). Rationale and methodological options for assessing infectious disease and related measures in social science surveys. Biodemography and Social Biology, 55, 159–177.PubMedCrossRefGoogle Scholar
  48. 48.
    US Census (2010). Census 2000 population statistics. US population living in urban vs. rural areas. Accessed January 07, 2011 at http://www.fhwa.dot.gov/planning/census/cps2k.htm.
  49. 49.
    Teitler, J. O., Das, D. H., Kruse, L., & Reichman, N. E. (2012). Prenatal care and subsequent birth intervals. Perspectives on Sexual and Reproductive Health, 44, 13–21.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kelly Noonan
    • 1
  • Hope Corman
    • 1
  • Ofira Schwartz-Soicher
    • 2
  • Nancy E. Reichman
    • 3
  1. 1.Department of EconomicsRider University and National Bureau of Economic ResearchLawrencevilleUSA
  2. 2.School of Social WorkColumbia UniversityNew YorkUSA
  3. 3.Department of Pediatrics, Child Health Institute of New JerseyRobert Wood Johnson Medical SchoolNew BrunswickUSA

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