Increasing the quality and quantity of prenatal care may not reduce low birthweight among low-income black women

2001 ◽  
Keyword(s):  
Black Women ◽  
Prenatal Care ◽  
Low Income ◽  
Low Birthweight

scholarly journals Housing conditions as a social determinant of low birthweight and preterm low birthweight

2010 ◽  
Vol 44 (6) ◽  
pp. 1021-1031 ◽  
Author(s):  
Mario Vianna Vettore ◽  
Silvana Granado Nogueira da Gama ◽  
Gabriela de Almeida Lamarca ◽  
Arthur Orlando Corrêa Schilithz ◽  
Maria do Carmo Leal
Keyword(s):  
Prenatal Care ◽  
Low Income ◽  
Low Birthweight ◽  
Post Partum ◽  
Social Determinant ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Housing Conditions ◽  
Inadequate Prenatal Care ◽  
The Relationship

OBJECTIVE: To assess the relationship between housing conditions and low birthweight and preterm low birthweight among low-income women. METHODS: A case-control study was conducted with post-partum women living in the city of Rio de Janeiro, Southeast Brazil, in 2003-2005. Two groups of cases, low birthweight (n=96) and preterm low birthweight infants (n=68), were compared against normal weight term controls (n=393). Housing conditions were categorized into three levels: adequate, inadequate, and highly inadequate. Covariates included sociodemographic and anthropometric characteristics, risk behaviors, violence, anxiety, satisfaction during pregnancy, obstetric history and prenatal care. RESULTS: Poor housing conditions was independently associated with low birthweight (inadequate - OR 2.3 [1.1;4.6]; highly inadequate - OR 7.6 [2.1;27.6]) and preterm low birthweight (inadequate - OR 2.2 [1.1;4.3]; highly inadequate - OR 7.6 [2.4;23.9]) and factors associated with outcomes were inadequate prenatal care and previous preterm birth. Low income and low maternal body mass index remained associated with low birthweight. CONCLUSIONS: Poor housing conditions were associated with low birthweight and preterm low birthweight.

Factors which influence use of prenatal care in low-income racialethnic women in Los Angeles county

1991 ◽  
Vol 16 (5) ◽  
pp. 283-295 ◽  
Author(s):  
Ruth E. Zambrana ◽  
Christine Dunkel-Schetter ◽  
Susan Scrimshaw
Keyword(s):  
Los Angeles ◽  
Prenatal Care ◽  
Low Income ◽  
Los Angeles County

“Brenda’s Got a Baby”

2016 ◽  
Vol 43 (1) ◽  
pp. 50-76 ◽  
Author(s):  
Brooklynn K. Hitchens ◽  
Yasser Arafat Payne
Keyword(s):  
Black Women ◽  
Low Income ◽  
Secondary Analysis ◽  
Black Mothers ◽  
Single Motherhood ◽  
Structural Inequality ◽  
Individual Interviews ◽  
Number Of Children ◽  
Extensive Field ◽  
Group Interviews

This secondary analysis examines low-income, street-identified single Black mothers aged 18 to 35 years in Wilmington, Delaware. This study is guided by the following question: To what extent do family composition and criminal record/street activity shape notions of Black single motherhood? “Sites of resilience” theory informs this study by providing a reconceptualization of street life and the phenomenological experiences of street-identified Black women. This analysis draws on 310 surveys, 6 individual interviews, 3 dual interviews, 2 group interviews, and extensive field observations. Findings reveal how these women experience single motherhood within the context of blocked opportunity and structural inequality. Results also indicate that most women socially reproduced childhood attitudes and conditions, including “fatherless” homes and single motherhood. Use and sales of narcotics and incarceration were primary factors for why their children’s father didn’t reside in the home. Findings also suggest that number of children, arrest and incarceration rates, and educational and employment statuses are predictive of marital status in the women.

scholarly journals Evidence-based interventions to reduce mortality among preterm and low-birthweight neonates in low-income and middle-income countries: a systematic review and meta-analysis

2021 ◽  
Vol 6 (2) ◽  
pp. e003618
Author(s):  
Mirjam Y Kleinhout ◽  
Merel M Stevens ◽  
Kwabena Aqyapong Osman ◽  
Kwame Adu-Bonsaffoh ◽  
Floris Groenendaal ◽  
...  
Keyword(s):  
Low Income ◽  
Low Birthweight ◽  
Meta Analysis ◽  
Neonatal Resuscitation ◽  
Newborn Care ◽  
Evidence Based ◽  
Antenatal Corticosteroids ◽  
Essential Newborn Care ◽  
Middle Income ◽  
Middle Income Countries

BackgroundPreterm birth is the leading cause of under-five-mortality worldwide, with the highest burden in low-income and middle-income countries (LMICs). The aim of this study was to synthesise evidence-based interventions for preterm and low birthweight (LBW) neonates in LMICs, their associated neonatal mortality rate (NMR), and barriers and facilitators to their implementation. This study updates all existing evidence on this topic and reviews evidence on interventions that have not been previously considered in current WHO recommendations.MethodsSix electronic databases were searched until 3 March 2020 for randomised controlled trials reporting NMR of preterm and/or LBW newborns following any intervention in LMICs. Risk ratios for mortality outcomes were pooled where appropriate using a random effects model (PROSPERO registration number: CRD42019139267).Results1236 studies were identified, of which 49 were narratively synthesised and 9 contributed to the meta-analysis. The studies included 39 interventions in 21 countries with 46 993 participants. High-quality evidence suggested significant reduction of NMR following antenatal corticosteroids (Pakistan risk ratio (RR) 0.89; 95% CI 0.80 to 0.99|Guatemala 0.74; 0.68 to 0.81), single cord (0.65; 0.50 to 0.86) and skin cleansing with chlorhexidine (0.72; 0.55 to 0.95), early BCG vaccine (0.64; 0.48 to 0.86; I2 0%), community kangaroo mother care (OR 0.73; 0.55 to 0.97; I2 0%) and home-based newborn care (preterm 0.25; 0.14 to 0.48|LBW 0.42; 0.27 to 0.65). No effects on perinatal (essential newborn care 1.02; 0.91 to 1.14|neonatal resuscitation 0.95; 0.84 to 1.07) or 7-day NMR (essential newborn care 1.03; 0.83 to 1.27|neonatal resuscitation 0.92; 0.77 to 1.09) were observed after training birth attendants.ConclusionThe findings of this study encourage the implementation of additional, evidence-based interventions in the current (WHO) guidelines and to be selective in usage of antenatal corticosteroids, to reduce mortality among preterm and LBW neonates in LMICs. Given the global commitment to end all preventable neonatal deaths by 2030, continuous evaluation and improvement of the current guidelines should be a priority on the agenda.

Some correlates of prenatal care among low income wed and unwed women

1964 ◽  
Vol 90 (8) ◽  
pp. 1304-1314 ◽  
Author(s):  
Sharon J. Reeder ◽  
Leo G. Reeder
Keyword(s):  
Prenatal Care ◽  
Low Income

scholarly journals Designing prenatal care for low-income, black patients in urban settings using human centered design

2022 ◽  
Vol 226 (1) ◽  
pp. S222
Author(s):  
Alex Peahl ◽  
Michelle Moniz ◽  
Michele Heisler ◽  
Aalap Doshi ◽  
Gwendolyn Daniels ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Low Income ◽  
Human Centered Design ◽  
Urban Settings ◽  
Black Patients
Sign in / Sign up

Export Citation Format

Share Document