Document Detail


Prenatal care and infant birth outcomes among Medicaid recipients.
MedLine Citation:
PMID:  12739305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infant morbidity due to low birth weight and preterm births results in emotional suffering and significant direct and indirect costs. African American infants continue to have worse birth outcomes than white infants. This study examines relationships between newborn hospital costs, maternal risk factors, and prenatal care in Medicaid recipients in an impoverished rural county in South Carolina. Medicaid African American mothers gave birth to fewer preterm infants than did non-Medicaid African American mothers. No differences in the rates of preterm infants were noted between white and African American mothers in the Medicaid group. Access to Medicaid services may have contributed to this reduction in disparities due to race. Early initiation of prenatal care compared with later initiation did not improve birth outcomes. Infants born to mothers who initiated prenatal care early had increased morbidity with increased utilization of hospital services, suggesting that high-risk mothers are entering prenatal care earlier.
Authors:
V James Guillory; Michael E Samuels; Janice C Probst; Glynda Sharp
Related Documents :
3104975 - Differences in neonatal and postneonatal mortality by race, birth weight, and gestation...
14733375 - Monitoring infant mortality trends in wisconsin, 1980 to 1999.
1391135 - Preterm birth subtypes among blacks and whites.
19412565 - Are black and hispanic infants with specific congenital heart defects at increased risk...
20594925 - The impact of altitude on infant health in south america.
16774025 - Prematurity--infant mortality: the scourge remains.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  14     ISSN:  1049-2089     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-07-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  United States    
Other Details:
Languages:  eng     Pagination:  272-89     Citation Subset:  IM    
Affiliation:
Department of Preventive Medicine, University of Health Sciences, Kansas City, Missouri, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Ethnic Groups / statistics & numerical data*
Female
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Medicaid / economics,  utilization*
Pregnancy
Pregnancy Outcome / economics,  epidemiology*
Prenatal Care / economics,  utilization*
Risk Factors
Rural Population
South Carolina / epidemiology
Time Factors

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


Previous Document:  Caring for the underserved: current practice of alumni of the National Health Service Corps.
Next Document:  Definition, epidemiology, course, and prognosis of COPD.