Interpersonal were pregnant or were considering abortion for

                        Interpersonal problems: Common
interpersonal barriers identified were: 1) Poor motivation to begin care or did
not consider prenatal care was important 23. Certain women
believed that they were feeling well and they did not need prenatal care 12.2)
Many women reported that they were unaware of the fact that they were pregnant
or were considering abortion for an unintended pregnancy 12. Lack
of pregnancy planning and unaware of the fact were important issues for the
majority of women 22. 3)
Were afraid of disclosing their pregnancy to others because they were
embarrassed of the unplanned pregnancy especially in adolescents 12.

4) Were depressed, stressed, tired or unhappy with the pregnancy 23.5)
Had a negative experience with the health care provider in the past or because
of cultural beliefs 12. Among certain cultures, pregnancy is
considered as a healthy condition and does not require medical treatment or a
physician’s advice 20. 6) Suffers from depression or
other mental health issues 23.7) Busy work schedule which affects
getting to or keeping appointments 12. Not having access to source
of communication and not knowing where to go for care was reported as a barrier
for not seeking timely prenatal care 24. 8) Did not have support
from their partner 12. Many women reported that relationship
problems with their partner or husband caused them considerable stress 22.9)
Sexual or physical abuse 12. 10) Fear of Deportation or problems
with the immigration 12. 11) Alcohol and substance abuse: fear of
judgement and of losing custody of the baby at birth 12. Women who
abuse alcohol and drugs usually delay seeking prenatal for fear of being
reprimanded or worse and having child protective services involved 23.12)
Fear of medical procedures, pelvic examination or drawing of blood caused
certain women to delay seeking care 12. People of certain ethnic
groups especially Hispanic, find it uncomfortable to talk about sexual matters 19.13)
Moving place to place, not having a permanent residence 23.14)
Cost of services which includes childcare, medical fees, transportation
expenses were considered as a barrier especially for women who do not qualify
for Medicaid 12. 

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