Selected antepartum medical complications and very-low-birthweight infants among black and white women.
This study estimated the risk of very-low-birthweight delivery among Black and White women with selected treatable antepartum medical conditions. A logistic regression model was applied to a retrospective, population-based data set identified by computerized, linked birth certificate and maternal hospital discharge records. For Black mothers, the adjusted odds ratio for very-low-birthweight delivery was statistically significant for essential hypertension and urinary tract infection. For White mothers, the adjusted odds ratio was statistically significant for essential hypertension, urinary tract infection, pregnancy-induced hypertension, and diabetes mellitus. Public policy designed to reduce the risk of very-low-birthweight delivery must include strategies for attenuating the impact of treatable antepartum medical conditions.
DeBaun
M
M
Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis Children's Hospital, Mo. 63110.
Rowley
D
D
Province
M
M
Stockbauer
J W
JW
Cole
F S
FS
D000293:Adolescent; D000328:Adult; D044383:Black People; D003710:Demography; D016640:Diabetes, Gestational / Q000208:ethnology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000208:ethnology; D011249:Pregnancy Complications, Cardiovascular / Q000208:ethnology; D011254:Pregnancy in Diabetics / Q000208:ethnology; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000208:ethnology; D044465:White People