scholarly journals Infant Mortality and Maternal Risk Factors in Texas: Highlighting Zip Code Variations in 2 At-Risk Counties, 2011–2015

2022 ◽  
Vol 19 ◽  
Author(s):  
Meliha Salahuddin ◽  
Krystin J. Matthews ◽  
Nagla Elerian ◽  
David L. Lakey ◽  
Divya A. Patel
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Infant Mortality ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Zip Code

scholarly journals DATA LINKAGE FOR EVALUATING MATERNAL INFLUENCES ON INFANT MORTALITY AND MALTREATMENT IN CANADA

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e4-e4
Author(s):  
Jennifer Smith ◽  
Astrid Guttmann ◽  
Alexander Kopp ◽  
Michelle Shouldice ◽  
Katie Harron
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Child Maltreatment ◽  
Infant Mortality ◽  
Maternal Age ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Increased Risk ◽  
All Cause Mortality ◽  
Young Maternal Age

Abstract BACKGROUND A number of social risk factors are reported to increase infant mortality rates and child maltreatment. Public health programs attempt to mitigate risk factors and improve outcomes for infants. This study aimed to explore the association of exposure factors in mothers with infant mortality and maltreatment in Ontario. OBJECTIVES Objectives for this study included: 1. Describe prevalence of infant mortality and maltreatment in Ontario. 2. Explore how maternal risk factors influence infant mortality and maltreatment. DESIGN/METHODS This was a population-based study of 845, 567 infants born between April 1, 2005 and March 31, 2015 using administrative and healthcare databases available at the Institute of Clinical Evaluative Sciences (ICES). Maternal risk factors were selected based on public health home visiting referral criteria. These exposures included, maternal adversity (substance abuse, intimate partner violence, homelessness), newcomer status (new to Canada in past 3 years) and young maternal age (less than 22 years of age). The primary outcome measure was all-cause mortality of infants less than 12 months age. The secondary outcome measures were combined fatal and non-fatal child maltreatment outcomes and were defined using International Classification of Diseases for maltreatment diagnoses. Baseline characteristics and outcomes were described. The association between maternal risk factors and infant mortality and maltreatment was analysed using multivariable logistic modelling, including analysis by type of maternal risk factors and number of risk factors. RESULTS All-cause deaths were present in 0.14% and combined fatal and non-fatal maltreatment outcomes were present in 0.05% of the study population. Young maternal age increased the risk of all-cause mortality 2.4 times (n 171, OR 2.4, 95% CI 2.0–3.0) and maltreatment 6.3 times (n 292, OR 6.3, 95% CI 5.0–7.8). Mental health diagnosis increased the odds of maltreatment by 90% (n 209, OR 1.9, 95% CI 1.5–2.4). Adversity increased the odds of maltreatment by 63% (n 40, OR 1.63, 95% CI 1.0–2.6). The risk of maltreatment also increased as the number of risk factors increased with an OR of 3.5 (95% CI 2.9–4.4) with one risk factor, an OR of 8.2 (95% CI 5.9–11.4) with two risk factors, and an OR of 10.9 (95% CI 5.7 20.7) with three or more risk factors. Newcomer status was not associated with increased risk of maltreatment and mortality. Gestational age showed increasing ORs as prematurity increased. Material deprivation was included as a covariate and was associated with increased risk of maltreatment with increased level of deprivation. CONCLUSION Young maternal age carried the greatest risk of death and maltreatment in infants. There was also an increasing risk of infant mortality and maltreatment with increasing number of risk factors. These findings are important for ensuring public health interventions are targeting the most vulnerable populations with the aim of preventing maltreatment.

WHAT MATERNAL RISK FACTORS INFLUENCE THE MANAGEMENT OF NEONATES AT RISK FOR SEPSIS?

1998 ◽  
Vol 89 (Supplement) ◽  
pp. 1026A ◽  
Author(s):  
L C Tsen ◽  
S Segal ◽  
W R Camann ◽  
S Datta ◽  
A M Bader
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Maternal Risk Factors ◽  
Maternal Risk

Infant and Maternal Risk Factors for Pertussis-Related Infant Mortality in the United States, 1999 to 2004

2009 ◽  
Vol 28 (3) ◽  
pp. 194-198 ◽  
Author(s):  
Dana L. Haberling ◽  
Robert C. Holman ◽  
Christopher D. Paddock ◽  
Trudy V. Murphy
Keyword(s):  
United States ◽  
Risk Factors ◽  
Infant Mortality ◽  
The United States ◽  
Maternal Risk Factors ◽  
Maternal Risk

Maternal Risks for Very Low Birth Weight Infant Mortality

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 236-241
Author(s):  
Tracey Sumits ◽  
Robert Bennett ◽  
Jeffrey Gould
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Infant Death ◽  
Very Low Birth Weight ◽  
Maternal Risk Factors ◽  
Low Birth Weight Infants ◽  
Maternal Risk ◽  
Planned Pregnancy

Objective. To determine whether known maternal risk factors for low birth weight directly contribute to infant mortality among very low birth weight infants. Design. Retrospective population-based, case-control study. Setting. Four hospitals in the Oakland, California, area: one community, two private, one health maintenance organization. Participants. All live-born singleton very low birth weight (<1500 g) infants born to Oakland residents over a 3-year period. Cases were infants who died before their first birthday, identified by computerized linkage of birth and death certificates. For each case, a surviving control was selected to match for birth weight, sex, and race. Forty matched pairs were identified in total. Outcome Measures. Prevalence of maternal risk factors among cases versus controls. Results. After controlling for other factors known to influence either birth weight or infant mortality, maternal cocaine use (odds ratio [OR] = 5.43), prior infant death (OR = 27.14), and planned pregnancy (OR = 6.33) were significantly associated with the survival of very low birth weight infants. Conclusions. Some maternal risk factors for low birth weight confer a survival advantage to very low birth weight infants. Our data reveal that maternal cocaine use is independently associated with survival among this subset of infants. Prior research supports the observed relationship as well as the scientific plausibility of a cocaine-mediated survival advantage among premature infants. Our study also showed both planned pregnancy and prior infant death to be independently associated with infant survival among this subset of infants, sugesting that maternal behaviors may play a role in determining birth weight-specific mortality. These data should be systematically evaluated to better define their relationship to infant mortality.

scholarly journals Maternal risk factors for abnormal placental growth: The national collaborative perinatal project

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Kesha Baptiste-Roberts ◽  
Carolyn M Salafia ◽  
Wanda K Nicholson ◽  
Anne Duggan ◽  
Nae-Yuh Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Maternal Risk Factors ◽  
Maternal Risk

scholarly journals P2-445 Maternal risk factors associated with low birth weight in Wardha, India

2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A344-A344
Author(s):  
C. Maliye ◽  
M. Taywade ◽  
S. Gupta ◽  
P. Deshmukh ◽  
B. Garg
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Factors Associated

Maternal Risk Factors for Congenital Syphilis: A Case-Control Study

1993 ◽  
Vol 137 (4) ◽  
pp. 415-422 ◽  
Author(s):  
Mayns P. Webber ◽  
Genevieve Lambert ◽  
David A. Bateman ◽  
W. Allen Hauser
Keyword(s):  
Risk Factors ◽  
Case Control Study ◽  
Congenital Syphilis ◽  
Case Control ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Control Study

scholarly journals Maternal Risk Factors of Placenta Praevia and Its Effects on Maternal and Fetal Outcome

2019 ◽  
Vol 48 (2) ◽  
pp. 7-12
Author(s):  
Alpana Adhikary ◽  
Anwara Begum ◽  
Fahmida Sharmin Joty ◽  
Nihar Ranjan Sarker ◽  
Rifat Sultana
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Fetal Outcome ◽  
Placenta Praevia ◽  
Maternal Risk Factors ◽  
High Parity ◽  
Maternal Risk ◽  
Antepartum Haemorrhage ◽  
History Of

Placenta praevia is one of the most serious obstetric emergencies, which continues to be an important contributor to perinatal mortality and is responsible for leading maternal and infant morbidity. Very few data on etiology of placenta praevia are available till now. This study aims to explore the maternal risk factors related to occurrence of placenta praevia and its effects on maternal and fetal outcome. This cross-sectional observational study was carried out among 3279 obstetrics patients admitted in labour ward in the Department of Obstetrics and Gynecology, Sher-e-Bangla Medical College Hospital from January to December 2006. Out of 3279 obstetrics patients 93 placenta praevia cases were identified purposively as study subjects. The patients of placenta praevia were selected either diagnosed clinically by painless antepartum haemorrhage or asymptomatic placenta praevia diagnosed by ultrasonography irrespective of age, gestational age, parity, booking status. Pregnant woman admitted with painful antepartum haemorrhage were excluded from the study. With the ethical approval from the Institutional Ethical Committee (IEC), patients were selected after taking their written consent. A structured questionnaire and a chick list were designed with considering all the variables of interest. Out of 93 respondents, 73.88% were associated with risk factors in addition to advanced maternal age and high parity. Among them 24.73%, 33.33% and 7.52% had history of previous caesarean section (CS), MR and abortion and both CS & abortion previously. Patients aged above 30 years were 47% and 35.48% were in their 5th gravid and more; whereas, 31.18% patients were asymptomatic, 68.82% patients presented with varying degree of vaginal bleeding, among them 12.08% were in shock. Active management at presentation was done on 76.34% patients and 23.66% were managed expectantly. CS was done o 82.79% patients and only 17.2% were delivered vaginally. Case fatality rate was 1.07% and about 22% perinatal death was recorded, majority belonged to low birth weight (<1500 gm). About 10% patients required caesarean hysterectomy, 3.22% required bladder repair. Advanced maternal age, high parity, history of previous CS and abortion found to be common with the subsequent development of placenta praevia. Proper diagnosis, early referral and expectant management of patients will reduce prematurity, thereby improvised foetal outcome but to improve maternal outcome rate of primary CS have to be reduced and increase practice of contraception among women of reproductive age. Bangladesh Med J. 2019 May; 48 (2): 7-12

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