The effect of social support on prenatal care.

This article examines the effects of social support on the receipt of adequate prenatal care. A study was conducted to test the hypotheses that social support helps women overcome obstacles to obtaining such care, and that social support has greater effects on women facing the most obstacles. Survey data were gathered for more than 90% of the women who gave birth in Oklahoma hospitals during specific periods in the summer of 1986. The authors found only weak support for the first hypothesis, and for the second hypothesis found only support that must be qualified according to the measure of social support. Strong evidence indicates, however, that difficulty in paying for prenatal care, personal inconveniences, and unwanted pregnancies are obstacles to obtaining such care. The findings account for some of the frequently observed demographic differences associated with receipt of adequate prenatal care, although such differences persisted even after the obstacles were considered. The authors present implications for policy makers seeking to improve women's receipt of adequate prenatal care.