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Public Health Nurs. 2014 May-Jun;31(3):234-42. doi: 10.1111/phn.12062. Epub 2013 Jul 17.

Risk of very low birth weight based on perinatal periods of risk.

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1
Epidemiology, Planning, and Communication, Tri-County Health Department, Greenwood Village, Colorado.

Abstract

OBJECTIVE:

To determine the risk factors associated with having a very low birth weight (VLBW) infant as a follow-up to the first phase of a Perinatal Periods of Risk approach.

DESIGN AND SAMPLE:

Retrospective cohort analysis of birth certificates. Population-based sample of 53,427 birth certificates for the city under study during the years 1999-2006.

MEASURES:

The relationship of selected maternal characteristics as predictors of VLBW using multivariate logistic regression analysis.

RESULTS:

The maternal characteristics associated with VLBW were as follows: no prenatal care (OR = 4.04), inadequate weight gain (OR = 3.97), Black, non-Hispanic race (OR = 1.50), less than 20 years old (OR = 1.42) and more than 35 years old (OR = 1.43). After analyzing age and race/ethnicity together, Black non-Hispanic women less than 20 years of age (OR = 2.70) or over 35 years of age (OR = 2.45) still had an increased odds for having a VLBW infant whereas Black non-Hispanic women between the ages of 20 and 35 did not.

CONCLUSIONS:

The findings of this study suggest educating women on the importance of preconception care, prenatal care, and adequate pregnancy weight gain to reduce the odds of having a VLBW infant.

KEYWORDS:

infant mortality; prenatal care; very low birth weight; weight gain

PMID:
24720656
DOI:
10.1111/phn.12062
[Indexed for MEDLINE]
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