Association between language barrier and inadequate prenatal care utilization among migrant women in the PreCARE prospective cohort study.

"Conflicts of interest : E.A. declared participation in the Data Safety Monitoring Board of the Betadose trial. T.S. received consulting fees from Dilafor."

"Funding This study was supported by grants from the Medical Research Foundation (http://www.frm.org/), French Ministry of Health, PHRC 2007 and PHRC 2012 (http://www.sante.gouv.fr/le-programme-hospitalier-de-recherche-clinique-phrc.html). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Conflicts of interest: E.A. declared participation in the Data Safety Monitoring Board of the Betadose trial. T.S. received consulting fees from Dilafor. Key pointsLanguage barrier may be a risk factor for inadequate prenatal care utilization, known to be associated with a higher risk of adverse maternal outcomes in migrant vs. native women.The analysis was performed in the French multicentre prospective PreCARE cohort, one of the rare databases that provide information on both prenatal care utilization and detailed social characterization of pregnant women including their language barrier.This study shows that compared with migrant women with no language barrier, those with such a barrier, either total or partial, have a higher risk of inadequate prenatal care utilization.These findings underscore the importance of targeted efforts by health care providers and administrative staff, to bring women with language barrier to prenatal care."