Document Detail


An outcome evaluation of the content and quality of prenatal care.
MedLine Citation:
PMID:  2006957     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Linkage of measures of the adequacy, content, and quality of prenatal care with pregnancy outcome is a long-standing research challenge. We attempted to improve on prior studies by developing a measure of prenatal care that encompasses the specific items thought to mediate its relationship with birthweight and by then examining the association of this measure with birthweight. An eight-item index of prenatal care was used to abstract information from the medical records of 63 white and 56 black women who gave birth to low-birthweight (less than 2500 g) infants and 61 white and 101 black women who gave birth to normal-weight (3000 + g) infants in 1987 at two Kaiser Permanente facilities. In univariate analyses the mean values for the index were higher in controls than in cases for both black and white women, but the difference was statistically significant only for blacks. In multivariate analysis the index was not significantly associated with the risk of low birthweight for whites or blacks. Prenatal care was extremely homogeneous in this population, which compromised the evaluation of the index as a correlate of low birthweight. We believe that this is a promising method for assessing the content of prenatal care and studying the association between content and outcome of care.
Authors:
D B Petitti; R A Hiatt; V Chin; M Croughan-Minihane
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  18     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-05-01     Completed Date:  1991-05-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21-5     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
African Americans
Birth Weight*
California / epidemiology
European Continental Ancestry Group
Evaluation Studies as Topic
Female
Health Status Indicators
Humans
Outcome and Process Assessment (Health Care) / methods*,  standards
Pregnancy
Pregnancy Outcome
Prenatal Care / standards*
Quality of Health Care*
Grant Support
ID/Acronym/Agency:
R01 HD 19830/HD/NICHD NIH HHS; R03 HS 06031/HS/AHRQ HHS

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


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