Risk of Very Low Birth Weight Based on Perinatal Periods of Risk

2013 ◽  
Vol 31 (3) ◽  
pp. 234-242 ◽  
Author(s):  
Christine M. Demont-Heinrich ◽  
Allison P. Hawkes ◽  
Tista Ghosh ◽  
Rita Beam ◽  
Richard L. Vogt
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Pamela Xaverius ◽  
Joanne Salas ◽  
Deborah Kiel ◽  
Candice Woolfolk

Objective. Very low birth weight (VLBW) is a significant issue in St. Louis, Missouri. Our study evaluated risk factors associated with VLBW in this predominantly urban community.Methods. From 2000 to 2009, birth and fetal death certificates were evaluated (n=160, 189), and mortality rates were calculated for perinatal periods of risk. The Kitagawa method was used to explore fetoinfant mortality rates (FIMR) in terms of birth weight distribution and birthweight specific mortality. Multivariable logistic regression was used to assess the magnitude of association of selected risk factors with VLBW.Results. VLBW contributes to 50% of the excess FIMR in St. Louis City and County. The highest proportion of VLBW can be attributed to black maternal race (40.6%) in St. Louis City, inadequate prenatal care (19.8%), and gestational hypertension (12.0%) among black women. Medicaid was found to have a protective effect for VLBW among black women (population attributable risk (PAR) = −14.5).Discussion. Interventions targeting the health of women before and during conception may be most successful at reducing the disparities in VLBW in this population. Interventions geared towards smoking cessation and improvements in Medicaid and prenatal care access for black mothers and St. Louis City residents can greatly reduce VLBW rates.


Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
Stavros Korres ◽  
Dimitrios Balatsouras ◽  
Eleni Gkoritsa ◽  
John Xenelis ◽  
Eleftherios Ferekidis

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