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Improving Access to Prenatal Care of High-Risk Pregnant Women in Houston, Texas: The Role of Nurse Driven Care Management Cover

Improving Access to Prenatal Care of High-Risk Pregnant Women in Houston, Texas: The Role of Nurse Driven Care Management

Open Access
|Jul 2025

Figures & Tables

Table 1.

Maternal age of enrolled clients

Age GroupCount% Frequency
13–19 (Teenage)2440%
20–26 (Young adults)2847%
27–3358%
35–40 (Geriatric)35%
Grand Total60100%
Table 2.

Race distribution of pregnant clients

RaceCount% Frequency
African-American3050%
Hispanic2338%
White712%
Grand Total60100%
Table 3.

Gestation weeks at admission

TrimesterCount% Frequency
First trimester (1–12 weeks)1830%
Second trimester (13–26 weeks)2948%
Third trimester (27–40 weeks)1322%
Grand Total60100%
Table 4.

Identified pregnancy-associated risks

Medicaid RiskCount% Frequency
No Medicaid3253%
Wrong Medicaid2745%
Correct Medicaid12%
Grand total60100%
Prenatal RiskCount% Frequency
Late prenatal registration3253%
Disability12%
No prenatal risks2745%
Grand total60100%
Gestational RiskCount% Frequency
Advanced maternal age35%
History of miscarriage12%
Multiple gestation23%
Teenage pregnancy2440%
No gestational risk3050%
Grand total60100%
Medical ComplicationsCount% Frequency
Smoking12%
Alcoholism12%
Anaemia12%
Anxiety35%
Depression58%
Diabetes12%
Failed tubal ligation12%
Kidney problems12%
Lupus erythematosus12%
COVID-1912%
PCOS12%
Schizophrenia12%
Seizure disorder23%
Thalassemia12%
No medical complications3965%
Grand total60100%
Table 5.

TRisk Distribution among Races

RaceMedicaid RiskMedical Complication RiskGestational age RiskPrenatal Registration Risk
African American30(51%)10(53%)3(30%)15(45%)
Hispanic22(37%)6(32%)5(50%)17(52%)
White7(12%)3(16%)2(20%)1(3%)
Grand Total59(100%)19(100%)10(100%)33(100%)
Figure 1.

Care Management enrolment vs Doctors clinic visit.

Figure 2.

Delivery Outcomes.

Figure 3.

Satisfaction with the level of prenatal service.

DOI: https://doi.org/10.34763/jmotherandchild.20252901.d-25-00002 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 55 - 62
Submitted on: Dec 17, 2024
Accepted on: Apr 30, 2025
Published on: Jul 2, 2025
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Mattie Mason, Abayomi Joseph Afe, Jamesia Fransaw, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.