Conclusion
In this population-based birth cohort in Rotterdam, many inequalities in
antenatal care initiation were observed, and many of these were
socioeconomically driven. This is problematic because it may lead to
sustaining or perhaps even exacerbating inequalities into the next
generation. Importantly, our results suggest that hypothetically
intervening on early pregnancy recognition may reduce, but not
eliminate, these inequalities. Therefore, it is recommended that people
at risk of unintended pregnancy and people from socioeconomically
disadvantaged groups are supported in early pregnancy recognition, for
example by providing free tests and education, which is also in line
with promoting preconception care.