Document Detail


Receipt of recommended prenatal interventions and birth weight among African-American women: analysis of data from the 1988 National Maternal and Infant Health Survey.
MedLine Citation:
PMID:  10728239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: While the importance of exploring and better measuring elements of prenatal care have been noted in the public health literature, the components and timing of such services have been poorly examined for the overall pregnant population and specifically for African-Americans, who traditionally have had higher rates of low birth weight and premature delivery. This study explores the association between patient receipt of selected recommended prenatal care interventions and infant birth weight in a nationally representative sample of African-American women, while controlling for the influence of low birth weight risk indicators. METHOD: This is a retrospective case-control analysis using survey data of women who delivered normal birth weight, moderate low birth weight, and very low birth weight newborns in 1988. A sample of 3905 African-American women who responded to the 1988 National Maternal and Infant Health Survey is examined based on maternal recall of receipt of six clinical screening procedures and seven health-promotion recommendations. Birth weight measures were obtained from linked 1988 birth certificate data. RESULTS: The initial results indicated that women who do not receive all of the recommended health-promotion advice are more likely to deliver very low birth weight infants than women who receive all of the advice in the content of their prenatal care, after controlling for low birth weight risks (OR = 1.28; 95% CI = 1.01, 1.7). However, when breast-feeding advice is removed from the aggregation of health-promotion advice, the significant effect of advice on very low birth weight is negated. No other significant group variations in the receipt of clinical screening procedures or health-promotion advice for women who gave birth in the remaining birth weight categories are observed. CONCLUSIONS: Nationally recommended initial clinical screening procedures and health-promotion advice in prenatal care content do not appear to be associated with a reduction in low birth weight for African-American women. More research is needed to better assess the impact of other antenatal interventions, particularly those given to women with a higher prevalence of poor birth outcomes.
Authors:
M T Covington; R J Rice
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Maternal and child health journal     Volume:  1     ISSN:  1092-7875     ISO Abbreviation:  Matern Child Health J     Publication Date:  1997 Sep 
Date Detail:
Created Date:  2000-04-20     Completed Date:  2000-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  157-64     Citation Subset:  IM    
Affiliation:
Center for Public Health Practice, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data*
Attitude to Health / ethnology*
Birth Weight*
Case-Control Studies
Confidence Intervals
Female
Health Care Surveys
Health Education / organization & administration,  statistics & numerical data
Humans
Infant, Newborn
Logistic Models
Middle Aged
National Health Programs / organization & administration,  statistics & numerical data
Odds Ratio
Pregnancy
Prenatal Care / organization & administration,  statistics & numerical data*
Retrospective Studies
Risk Assessment
Sampling Studies
United States

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


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