04 May 2010 ~ Comments Off on Disparities in exposure to air pollution during pregnancy

Disparities in exposure to air pollution during pregnancy

Previous research shows poorer birth outcomes for racial and ethnic minorities and for persons with low socioeconomic status (SES). We evaluated whether mothers in groups at higher risk for poor birth outcomes live in areas of higher air pollution and whether higher exposure to air pollution contributes to poor birth outcomes. An index representing long-term […]

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04 May 2010 ~ Comments Off on Smoking, acculturation, and pregnancy outcome among Mexican Americans

Smoking, acculturation, and pregnancy outcome among Mexican Americans

The authors present an evaluation of the role of acculturation in smoking practices and pregnancy outcome (N = 767 births) in a national sample of Mexican American women. Data employed are from the 1982-1984 Hispanic Health and Nutrition Examination Survey. The prevalence rates of smoking during pregnancy, low birth weight (< or = 2500 g), […]

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04 May 2010 ~ Comments Off on Prepregnancy weight and adverse perinatal outcomes in an ethnically diverse population

Prepregnancy weight and adverse perinatal outcomes in an ethnically diverse population

OBJECTIVE: To examine the association between excessive prepregnancy weight and adverse outcomes, with a focus on women weighing over 200 lbs (91 kg) before pregnancy. METHODS: Data were from the 1998-1999 New York City births file for 213,208 singletons with information on prepregnancy weight. Five categories of prepregnancy weight were constructed and used to predict […]

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04 May 2010 ~ Comments Off on Maternal mortality in America: lessons from the developing world

Maternal mortality in America: lessons from the developing world

In separate but related articles, Drs. Tsu and Goodburn outline strategies for confronting the staggering number of maternal deaths in the developing world: monitoring process indicators and elucidating technologically feasible interventions. American providers face a maternal mortality rate that is only a fraction of that seen in the developing world, but they are challenged by […]

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04 May 2010 ~ Comments Off on Pregnancy-associated deaths and pregnancy-related deaths in Wisconsin, 1998-2001

Pregnancy-associated deaths and pregnancy-related deaths in Wisconsin, 1998-2001

BACKGROUND: Although the risk of dying during childbirth or from complications afterward has been greatly reduced during the past 100 years, the current rate of approximately 1 death in 10,000 live births is still too high. The goal of the US Department of Health and Human Services is to reduce this rate by more than […]

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04 May 2010 ~ Comments Off on Age and racial/ethnic differences in maternal, fetal, and placental conditions in laboring patients

Age and racial/ethnic differences in maternal, fetal, and placental conditions in laboring patients

OBJECTIVE: Most health indicators exhibit evidence of ethnic disparity. This study describes the prevalence of clinical conditions that are associated with pregnancy, stratified at age 35 years, and by ethnicity (black, white, Hispanic, other).STUDY DESIGN: This was a retrospective, cross-sectional cohort study. We used International Classification of Diseases discharge diagnostic codes from California discharge data […]

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04 May 2010 ~ Comments Off on Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries

Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries

The World Health Organization estimates that 58% of pregnant women in developing countries are anemic. In spite of the fact that most ministries of health in developing countries have policies to provide pregnant women with iron in a supplement form, maternal anemia prevalence has not declined significantly where large-scale programs have been evaluated. During the […]

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04 May 2010 ~ Comments Off on The role of medical problems and behavioral risks in explaining patterns of prenatal care use among high-risk women

The role of medical problems and behavioral risks in explaining patterns of prenatal care use among high-risk women

OBJECTIVE: To examine the associations between maternal medical conditions and behavioral risks and the patterns of prenatal care use among high-risk women. DATA SOURCE/STUDY DESIGN: Data on over 25,000 high-risk deliveries to African American and white women using multinomial logistic regression to predict the odds of adequate-plus care relative to three other categories of care. […]

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04 May 2010 ~ Comments Off on Safe motherhood in the United States: challenges for surveillance

Safe motherhood in the United States: challenges for surveillance

OBJECTIVES: Maternal mortality ratios in the United States are higher than those of many other industrialized nations. Moreover, these ratios have not changed in the past 20 years, and large racial disparities persist in measures of both maternal mortality and morbidity. In an affluent developed country, maternal deaths should serve as rare sentinel events, highlighting […]

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04 May 2010 ~ Comments Off on Recent immigration and the misery of motherhood: a discussion of pertinent issues.[see comment]

Recent immigration and the misery of motherhood: a discussion of pertinent issues.[see comment]

In this paper it is assumed that the high rates of misery experienced by most new mothers in contemporary Western society are socially and culturally induced. Women from non-English-speaking backgrounds (NESB) recuperate from the stress of birth, often further complicated by morbidity from intervention, frequently alone and without practical household help. They often embark on […]

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