Troubling Statistics

Fewer N.J. women receiving prenatal care

The number of women receiving early prenatal care in New Jersey has declined slightly during the last decade, largely because many do not have regular access to doctors or cannot afford to pay medical bills, according to a report released today.

The Prenatal Care Task Force report, released by State Health Commissioner Heather Howard, found teens, minorities and unmarried mothers are at higher risk of poor birth outcomes, including low birth-weight babies. Yet they remain less likely to receive early prenatal care, according to the report.

Uninsured mothers in New Jersey had the lowest rate of trimester prenatal care - 73 percent - while women with private insurance had the highest rate - 96 percent - across all racial and ethnic groups.

The overall average for prenatal care in New Jersey was 89 percent, according to the report, based on birth and infant death certificate data from 1990 to 2004.

These are troubling statistics. Successful early prenatal care programs would show a continuous steady rise. We can guess at a few of the causes. One would be that poor women & teenagers wait longer before confirming a pregnancy, from denial or any number of reasons. Another would be the fear many undocumented women have of entering the public health care system & calling attention to themselves. Prenatal deportation? Sounds cruel, but it's happened. It could be up there on the right wing agenda along with overturning Roe v. Wade & ordering teenagers to stop having sex or else suffer the consequences. Let's call it the Sarah Palin Agenda until we hear otherwise.

These numbers are discouraging, but they they don't have to stay that way. The expansion of SCHIP to all uninsured children & a greater attention to child health in schools will bring many more families into contact with regular health care, & those families will become accustomed to using the resources & more likely to urge others to do the same. For those families, we need more family care clinics conveniently located in the neighborhoods where they are needed, not two bus rides away on the other side of the city, phasing out hospital emergency rooms as primary care providers.