Document Detail


Association of maternal chronic disease and negative birth outcomes in a non-Hispanic Black-White Mississippi birth cohort.
MedLine Citation:
PMID:  17553020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the impact of selected maternal chronic medical conditions, race, and age on preterm birth (PTB), low birth weight (LBW), and infant mortality among Mississippi mothers from 1999 to 2003. DESIGN: A retrospective cohort analysis of linked birth and death certificates. SAMPLE: The 1999-2003 Mississippi birth cohort comprising 202,931 singleton infants born to African American and White women. MEASUREMENTS: The relationship between maternal chronic conditions and the dependent variables of PTB, LBW, and infant mortality were investigated using logistic regression analysis. RESULTS: PTB, LBW, and infant mortality were more prevalent among African American women, very young women (< or =15 years), and women with certain chronic medical conditions. Among White mothers, maternal chronic hypertension was significantly associated with PTB and LBW, and maternal diabetes with PTB and infant mortality. Among African American mothers, maternal cardiac disease was significantly associated with PTB and LBW; maternal chronic hypertension was significantly associated with LBW and infant mortality; and maternal diabetes with PTB. CONCLUSIONS: Maternal chronic hypertension and diabetes were significantly associated with negative birth outcomes regardless of maternal race. Maternal cardiac disease was only significantly associated with PTB and LBW among African Americans.
Authors:
Juanita Graham; Lei Zhang; Renee Schwalberg
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Public health nursing (Boston, Mass.)     Volume:  24     ISSN:  0737-1209     ISO Abbreviation:  Public Health Nurs     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-06-07     Completed Date:  2007-08-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501498     Medline TA:  Public Health Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-7     Citation Subset:  IM; N    
Affiliation:
Mississippi Department of Health, Jackson, Mississippi 39215-1700, USA. Juanita.Graham@msdh.state.ms.us
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data
Chronic Disease / ethnology*
European Continental Ancestry Group / statistics & numerical data
Female
Humans
Infant Mortality*
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Mississippi
Pregnancy
Pregnancy Outcome / ethnology*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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