Document Detail

Prenatal care and infant birth outcomes among Medicaid recipients.
MedLine Citation:
PMID:  12739305     Owner:  NLM     Status:  MEDLINE    
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.
V James Guillory; Michael E Samuels; Janice C Probst; Glynda Sharp
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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    
Department of Preventive Medicine, University of Health Sciences, Kansas City, Missouri, USA.
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MeSH Terms
Ethnic Groups / statistics & numerical data*
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Medicaid / economics,  utilization*
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

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