According to the report published by Ohio pregnancy risk
assessment monitoring system(PRAMS) in the year 2011, the common barriers to
begin prenatal care included, not having appointments available (13.5%), not
enough resources to pay for care or lack of money (13.1%), not on Medicaid
(11.9%), no plan to begin care (7.4%), busy, wants to keep pregnancy secret,
transportation and childcare 13. In the year 2009 more than 80%
pregnant women in Ohio began prenatal care in the first trimester 13.