From: Impact of prenatal care provider on the use of ancillary health services during pregnancy
Type of ancillary health service | Type of prenatal care provider | |||||||
---|---|---|---|---|---|---|---|---|
Family physician | Midwife | Obstetrician | ||||||
N = 536 | N = 82 | N = 286 | ||||||
N (%) | OR (95% CI) | N (%) | Unadjusted OR (95% CI) p value | Adjusted OR (95% CI) p value | N (%) | Unadjusted OR (95% CI) p value | Adjusted OR (95% CI) p value | |
Chiropractor | 139 (25.9) | 1.0 (ref) | 48 (58.5) | 4.03 (2.50-6.52) p < 0.001 | 4.07 (2.49-6.67) p < 0.001 | 64 (22.4) | 0.82 (0.59-1.16) p = 0.26 | 0.80 (0.56-1.13) p = 0.21 |
Emergency Department | 150 (28.0) | 1.0 (ref) | 12 (14.6) | 0.44 (0.23-0.84) p = 0.01 | 0.47 (0.24-0.89) p = 0.02 | 98 (34.3) | 1.34 (0.99-1.83) p = 0.06 | 1.31 (0.96-1.80) p = 0.09 |
Family Physician | 387 (72.2) | 1.0 (ref) | 57 (69.5) | 0.88 (0.53-1.46) p = 0.61 | 0.96 (0.57-1.61) p = 0.88 | 204 (71.3) | 0.96 (0.70-1.32) p = 0.79 | 0.92 (0.66-1.27) p = 0.61 |
Hospitalized Overnight | 28 (5.2) | 1.0 (ref) | 5 (6.1) | 1.18 (0.44-3.14) p = 0.74 | 1.24 (0.46-3.36) p = 0.67 | 20 (7.0) | 1.36 (0.75-2.47) p = 0.30 | 1.29 (0.70-2.38) p = 0.41 |
Nurse Telephone Advice Line | 322 (60.1) | 1.0 (ref) | 25 (30.5) | 0.29 (0.18-0.48) p < 0.001 | 0.30 (0.18-0.50) p < 0.001 | 179 (62.6) | 1.11 (0.83-1.49) p = 0.48 | 1.15 (0.84-1.55) p = 0.38 |
Nutritionist/Dietician | 38 (7.1) | 1.0 (ref) | 5 (6.1) | 0.85 (0.32-2.23) p = 0.74 | 1.00 (0.38-2.68) p = 0.99 | 26 (9.1) | 1.31 (0.78-2.21) p = 0.31 | 1.30 (0.76-2.21) p = 0.34 |
Physiotherapist | 48 (9.0) | 1.0 (ref) | 9 (11.0) | 1.25 (0.59-2.66) p = 0.56 | 1.32 (0.59-2.95) p = 0.50 | 21 (7.3) | 0.81 (0.47-1.37) p = 0.43 | 0.80 (0.46-1.40) p = 0.43 |
Psychologist/Psychiatrist | 44 (8.2) | 1.0 (ref) | 6 (7.3) | 0.88 (0.36-2.14) p = 0.78 | 0.99 (0.40-2.43) p = 0.98 | 22 (7.7) | 0.93 (0.55-1.59) p = 0.80 | 0.92 (0.53-1.59) p = 0.77 |
Social Worker | 15 (2.8) | 1.0 (ref) | 1 (1.2) | 0.43 (0.06-3.29) p = 0.42 | 0.55 (0.07-4.34) p = 0.57 | 14 (4.9) | 1.79 (0.85-3.76) p = 0.13 | 1.58 (0.74-3.39) p = 0.24 |
Specialist Physician (other than an obstetrician) | 97 (18.1) | 1.0 (ref) | 10 (12.2) | 0.63 (0.31-1.26) p = 0.19 | 0.66 (0.33-1.34) p = 0.25 | 63 (22.0) | 1.28 (0.90-1.82) p = 0.18 | 1.27 (0.88-1.82) p = 0.20 |
Walk-In Clinic | 178 (33.2) | 1.0 (ref) | 20 (24.4) | 0.65 (0.38-1.11) p = 0.11 | 0.74 (0.43-1.28) p = 0.28 | 119 (41.6) | 1.43 (1.07-1.93) p = 0.02 | 1.51 (1.11-2.05) p = 0.01 |