Association of Maternal Medical Conditions and Unfavorable Birth Outcomes: Findings from the 1996–2003 Mississippi Linked Birth and Death Data

Simple item page
dc.contributor.authorZhang, Lei
dc.contributor.authorCox, Reagan G.
dc.contributor.authorGraham, Juanita
dc.contributor.authorJohnson, Dick
dc.date.accessioned2019-08-14T15:03:22Z
dc.date.available2019-08-14T15:03:22Z
dc.date.issued2009
dc.description.abstractThis study aimed to identify factors contributing to high rates of preterm birth (PTB), low birth weight (LBW) and infant mortality in Mississippi while considering both traditional risk factors and maternal medical conditions. The retrospective cohort study used 1996–2003 Mississippi linked birth and infant death files. Multiple logistic regression was used to investigate association between maternal medical conditions and unfavorable birth outcomes. Along with traditional risk factors, hypertension was significantly associated with PTB and LBW. Women with hypertension were about 2.2 and 3.2 times as likely to have PTB and LBW, respectively. Hydramnios/oligohydramnios increased 1.8–4.4 folds of risk for PTB, LBW and infant death and was significantly associated with the unfavorable birth outcomes. Non-Hispanic black women were about 1.5–2.0 times as likely to have an unfavorable birth outcome compared to non-Hispanic white women. Maternal education and prenatal care effect appeared to be modified by maternal race. Certain maternal medical conditions may be contributing to PTB, LBW and infant mortality rates identifying preconception and prenatal healthcare as possible strategies for reducing unfavorable outcomes. Results suggest that different risk profiles for unfavorable outcomes may exist according to maternal race highlighting the need to consider racial groups separately when further exploring the sociodemographic and/or health-related factors that contribute to unfavorable birth outcomes.
dc.description.urihttp://dx.doi.org/10.1007/s10995-009-0516-8
dc.identifierhttps://doi.org/10.13016/gwzf-ti7s
dc.identifier.citationZhang, Lei and Cox, Reagan G. and Graham, Juanita and Johnson, Dick (2009) Association of Maternal Medical Conditions and Unfavorable Birth Outcomes: Findings from the 1996–2003 Mississippi Linked Birth and Death Data. Maternal and Child Health Journal.
dc.identifier.issn1092-7875
dc.identifier.otherEprint ID 2805
dc.identifier.urihttp://hdl.handle.net/1903/23450
dc.subjectDisparities
dc.subjectPrenatal & Pediatric Health
dc.subjectDiabetes
dc.subjectInfant mortality
dc.subjectLow birth weight
dc.subjectPreterm birth
dc.subjectRacial disparities
dc.titleAssociation of Maternal Medical Conditions and Unfavorable Birth Outcomes: Findings from the 1996–2003 Mississippi Linked Birth and Death Data
dc.typeArticle

Files

Collections

Minority Health and Health Equity Archive