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Miss attending risk factors in gynecological prenatal care among pregnant women at risk for dual pathology

Published online by Cambridge University Press:  01 September 2022

I. Caro-Cañizares ,
R. Carmona Camacho ,
C. Vidal Mariño ,
N. Lopez Carpintero  and
E. Baca Garcia
I. Caro-Cañizares
Affiliation:
Universidad a Distancia de Madrid (UDIMA), Psychology, Collado Villalba, Spain
R. Carmona Camacho*
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain
C. Vidal Mariño
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain
N. Lopez Carpintero
Affiliation:
Hospital Infanta Leonor, Obstetricia Y Ginecologia, Madrid, Spain
E. Baca Garcia
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain Universidad Autonoma MAdrid, Psychiatry, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Access to adequate healthcare is the best means we have for detecting and preventing complications during pregnancy and childbirth. Identifying and preventing factors that can interfere with this access become essential (Gulliford et al., 2002). Mother dual pathology during pregnancy is a condition with severe consequences (Cosp & Ontano, 2009). However there is scarce literature regarding barriers to obstetric care among women at risk for dual pathology.

Objectives

The main objective was to explore healthcare access barriers among pregnant women at risk for dual pathology.

Methods

Framed in a broader research (The WOMAP project) 2014 adult pregnant women less than 26 weeks of pregnancy were screened in five hospitals in Madrid (Spain) between 2016-2019. If the screening test (AC-Ok scale) identified the presence of dual pathology during the last month, women were included in the clinical trial and assessed with a more extensive battery (compound by PHQ-9; GAD-7; PCL-5; AUDIT; DAST; and Fagerström Test) and a semi-structured interview.

Results

163 women at risk for dual pathology were assessed. Of them, 152 (93,2%) referred to having attended all scheduled appointments. Socioeconomic level (0.184, p=0.024), depression (-0.174, p=0.034), post-traumatic stress symptoms (-0.214, p=0.011) and alcohol reporting (-0.259, p=0.045) were significantly correlated with attendance level.

Conclusions

Women with more severe symptoms of dual pathology are at higher risk for misatending obstetrical appointments. Social criticism, even subtle or unintentional, related to dual pathology during pregnancy could be restraining these women to attend properly. Thus, care providers should pay attention to women’s mental health and alcohol abuse to prevent miss-attention.

Disclosure

No significant relationships.

Keywords

dual pathologymental healthcare access barriersPregnancy
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S320
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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