Document Detail


Risk factors for neonatal morbidity and mortality among "healthy," late preterm newborns.
MedLine Citation:
PMID:  16731277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Research about neonatal outcomes among late preterm infants (34 weeks through 36 6/7 weeks of gestation) is limited. Understanding which late preterm infants are at risk for neonatal morbidity or mortality is necessary to improve health outcomes and reduce hospital costs. We conducted a population-based cohort study of "healthy," singleton late preterm infants vaginally delivered in Massachusetts hospitals to Massachusetts residents between 1998 and 2002. We compared the incidence of neonatal morbidity (postdelivery inpatient readmissions, observational stays, or mortality) between "healthy," late preterm infants with and without infant, obstetric, and sociodemographic factors by calculating risk ratios adjusted for confounding. Of the 9552 late preterm, "healthy" infants, 4.8% had an inpatient readmission and 1.3% had an observational stay. Infants with neonatal morbidity were more likely to be firstborn, be breastfed at discharge, have labor and delivery complications, be a recipient of a public payer source at delivery, or have an Asian/Pacific Islander mother. Non-Hispanic blacks had a decreased risk for neonatal morbidity compared to other racial/ethnic groups. Knowledge of risk factors for neonatal morbidity among "healthy" late preterm infants can be used to identify infants needing closer monitoring and earlier follow-up after hospital discharge.
Authors:
Carrie K Shapiro-Mendoza; Kay M Tomashek; Milton Kotelchuck; Wanda Barfield; Judith Weiss; Stephen Evans
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in perinatology     Volume:  30     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2006-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  54-60     Citation Subset:  IM    
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Maternal and Infant Health Branch, Atlanta, GA 30341, USA. ayn9@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Breast Feeding / epidemiology
Cohort Studies
Female
Gestational Age*
Humans
Infant Mortality*
Infant, Newborn
Infant, Premature*
Infant, Premature, Diseases / epidemiology*
Jaundice, Neonatal / epidemiology
Length of Stay
Male
Massachusetts / epidemiology,  ethnology
Maternal Age
Multivariate Analysis
Pacific Islands
Patient Readmission
Pregnancy
Pregnancy Complications / epidemiology
Premature Birth / epidemiology
Risk Factors
Socioeconomic Factors

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


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