Document Detail

Risk of previous very low birth weight and very preterm infants among women delivering a very low birth weight and very preterm infant.
MedLine Citation:
PMID:  10642967     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the relationship of the birth of a very low birth weight (VLBW, < 1500 gm) and very preterm (VPT, < or = 32 week) infant to previous occurrences of VLBW-VPT infants among women who had two to five pregnancies. STUDY DESIGN: This was a case-control study using data from the 1988 National Maternal and Infant Health Survey (NMIHS). A case was defined as a singleton live birth weighing 500 to 1499 gm with a gestational age of < or = 32 weeks. Control infants were defined as singleton births weighing > 2500 gm with gestational ages of > or = 38 weeks. RESULTS: There were 128 non-black cases and 864 non-black controls, and 241 black cases and 1205 black controls available for analysis. Logistic regression was used to adjust for a history of previous stillbirth, mother's birth weight, pre-pregnancy weight, pregnancy interval, and sociodemographic risk factors. The adjusted odds ratio for the occurrence of a previous VLBW-VPT birth for non-black cases versus controls was 21.24 (6.87, 65.7) and for black cases versus controls, 6.87 (3.82, 12.34). CONCLUSION: These results confirm the substantial risk of previous VLBW-VPT infants among women giving birth to such an infant, independent of sociodemographic factors and other prior pregnancy outcomes.
M H Malloy
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  19     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  1999 Mar 
Date Detail:
Created Date:  2000-02-07     Completed Date:  2000-02-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Department of Pediatrics, University of Texas Medical Branch, Galveston 77550, USA.
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MeSH Terms
Case-Control Studies
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight*
Logistic Models
Odds Ratio
Risk Assessment
Socioeconomic Factors
Grant Support

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