Document Detail


Maternal race/ethnicity and predictors of pregnancy and infant outcomes.
MedLine Citation:
PMID:  15920003     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine predictors of pregnancy and infant outcomes, including maternal race/ethnicity. DESIGN: Prospective and observational follow-up of high-risk pregnancies and births. PARTICIPANTS: Three hundred fifty-four mothers and their preterm and/or high-risk live-born neonates were closely followed in three tertiary care centers from the prenatal to postnatal periods for potential high-risk and/or preterm births that required neonatal resuscitations. MAJOR OUTCOME MEASURES: Pregnancy complications, birth complications, and infant outcomes were examined in conjunction with maternal factors, including preexisting health problems, health behaviors (smoking, alcohol consumption, prenatal visits), and the birth setting (tertiary care centers or community hospitals). RESULTS: About 22% of these infants were transferred into the tertiary care centers from the community hospitals right after birth; the rest were born in the centers. According to regression analyses, predictors of the birth setting were race (White vs. non-White), maternal health behaviors, pregnancy complications, fetal distress, and the presence of congenital defects for infants (p < .001). Predictors for fetal distress included race (Whites) and pregnancy-induced hypertension (p < .003). Predictors for lower birth weight included race (non-Whites), maternal cigarette smoking, pregnancy complications, fetal distress, and congenital defects (p < .001). Infant mortality rate was 3.9% for these high-risk infants, with the highest rate in infants born to Black mothers (8%). CONCLUSIONS: There are obvious health disparities among White and non-White women experiencing high-risk pregnancies and births. Future studies are needed to develop interventions targeted to different racial/ethnic groups during pregnancy to reduce preterm and high-risk births.
Authors:
Shyang-Yun Pamela K Shiao; Claire M Andrews; Rebecca Jo Helmreich
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Biological research for nursing     Volume:  7     ISSN:  1099-8004     ISO Abbreviation:  Biol Res Nurs     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-05-27     Completed Date:  2005-07-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9815758     Medline TA:  Biol Res Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-66     Citation Subset:  IM; N    
Affiliation:
School of Nursing, University of Texas Health Science Center at Houston, 77225-0334, USA. Pamela.Shiao@uth.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
African Americans* / ethnology,  genetics,  statistics & numerical data
Asian Americans* / ethnology,  genetics,  statistics & numerical data
Congenital Abnormalities / epidemiology,  ethnology,  genetics
European Continental Ancestry Group* / ethnology,  genetics,  statistics & numerical data
Female
Fetal Distress / epidemiology,  ethnology,  genetics
Follow-Up Studies
Health Behavior
Hispanic Americans* / ethnology,  genetics,  statistics & numerical data
Humans
Indians, North American* / ethnology,  genetics,  statistics & numerical data
Infant Mortality
Infant, Newborn
Logistic Models
Multivariate Analysis
Predictive Value of Tests
Pregnancy
Pregnancy Complications / epidemiology,  ethnology,  etiology
Pregnancy Outcome* / epidemiology,  ethnology,  genetics
Pregnancy, High-Risk / ethnology,  genetics
Risk Factors
Smoking / adverse effects,  ethnology,  genetics
Texas / epidemiology,  ethnology
Grant Support
ID/Acronym/Agency:
R01-NR04447/NR/NINR NIH HHS

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