Document Detail


Does maternal birth outcome differentially influence the occurrence of infant death among African Americans and European Americans?
MedLine Citation:
PMID:  21057863     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The United States continues to have one of the highest infant mortality rates (IMR). Although studies have examined the association between maternal and infant birth outcomes, few studies have examined the impact of maternal birth outcome on infant mortality. This study was designed to examine the influence of maternal low birth weight and preterm birth on infant mortality. The 1997-2007 Virginia birth and infant death registry was analyzed. The infant birth and death data was linked to maternal birth registry data using the mother's maiden name and date of birth. From the mother's birth registry data, the grandmother's demographic and pregnancy history was obtained. Logistic regression modeling was used to estimate adjusted odds ratios and their 95% confidence intervals. There was a statistically significant association between maternal birth outcome and subsequent infant mortality. Infants born from a mother who was low birth weight were 2.3 times more likely to have an infant die within the first year of life. Similarly, infants born from a mother born preterm were 2.2 times more likely to have an infant die. Stratification by race showed that there was no statistical association between maternal birth weight and infant death among Whites. However, a strong association was observed among Blacks. Maternal birth outcomes may be an important indicator for infant mortality. Future longitudinal studies are needed to understand the underlying cause of these associations.
Authors:
Saba W Masho; Phillip W Archer
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Maternal and child health journal     Volume:  15     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-18     Completed Date:  2012-02-17     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1249-56     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Community Health and Obstetrics and Gynecology, Virginia Commonwealth University, 1000 East Clay Street, P. O. Box 980212, Richmond, VA 23298-0212, USA. swmasho@vcu.edu
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MeSH Terms
Descriptor/Qualifier:
African Americans*
European Continental Ancestry Group*
Female
Humans
Infant Mortality / ethnology*
Infant, Low Birth Weight*
Infant, Newborn
Logistic Models
Mothers*
Pregnancy
Pregnancy Complications
United States / epidemiology
Grant Support
ID/Acronym/Agency:
P60 MD002256/MD/NIMHD NIH HHS; P60 MD002256-03/MD/NIMHD NIH HHS
Comments/Corrections

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