Bringing the MCH Life Course Perspective to Life

Pies, Cheri; Kotelchuck, Milton

doi:10.1007/s10995-013-1408-5

Cited by 25 publications

(13 citation statements)

References 31 publications

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“…Life course health development models may be used to improve public health outcomes, including in the maternal and child health community [ 19 ]. As Pies and Kotelchuck (2014) described, there is a need for a framework to address the social determinants and causes of health inequalities and the current facilitators of disparities in maternal and infant health [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Recent trends, risk factors, and disparities in low birth weight in California, 2005–2014: a retrospective study

Ratnasiri

Parry

Arief

et al. 2018

matern health, neonatol and perinatol

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BackgroundLow birth weight (LBW) is a leading risk factor for infant morbidity and mortality in the United States. There are large disparities in the prevalence of LBW by race and ethnicity, especially between African American and White women. Despite extensive research, the practice of clinical and public health, and policies devoted to reducing the number of LBW infants, the prevalence of LBW has remained unacceptably and consistently high. There have been few detailed studies identifying the factors associated with LBW in California, which is home to a highly diverse population. The aim of this study is to investigate recent trends in the prevalence of LBW infants (measured as a percentage) and to identify risk factors and disparities associated with LBW in California.MethodsA retrospective cohort study included data on 5,267,519 births recorded in the California Birth Statistical Master Files for the period 2005–2014. These data included maternal characteristics, health behaviors, information on health insurance, prenatal care use, and parity. Logistic regression models identified significant risk factors associated with LBW. Using gestational age based on obstetric estimates (OA), small for gestational age (SGA), appropriate for gestational age (AGA) and large for gestational age (LGA) infants were identified for the periods 2007–2014.ResultsThe number of LBW infants declined, from 37,603 in 2005 to 33,447 in 2014. However, the prevalence of LBW did not change significantly (6.9% in 2005 to 6.7% in 2014). The mean maternal age at first delivery increased from 25.7 years in 2005 to 27.2 years in 2014. The adjusted odds ratio showed that women aged 40 to 54 years were twice as likely to have an LBW infant as women in the 20 to 24 age group. African American women had a persistent 2.4-fold greater prevalence of having an LBW infant compared with white women. Maternal age was a significant risk factor for LBW regardless of maternal race and ethnicity or education level. During the period 2017–2014, 5.4% of the singleton births at 23–41 weeks based on OE of gestational age were SGA infants (preterm SGA + term SGA). While all the preterm SGA infants were LBW, both preterm AGA and term SGA infants had a higher prevalence of LBW.ConclusionsIn California, during the 10 years from 2005 to 2014, there was no significant decline in the prevalence of LBW. However, maternal age was a significant risk factor for LBW regardless of maternal race and ethnicity or education level. Therefore, there may be opportunities to reduce the prevalence of LBW by reducing disparities and improving birth outcomes for women of advanced maternal age.Electronic supplementary materialThe online version of this article (10.1186/s40748-018-0084-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Recent trends, risk factors, and disparities in low birth weight in California, 2005–2014: a retrospective study

Ratnasiri

Parry

Arief

et al. 2018

matern health, neonatol and perinatol

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“…The Patient Protection and Affordable Care Act expanded health care coverage for millions of women, yet there are many opportunities to further improve perinatal health, and these will be discussed in context of the current study's findings. To optimize maternal health, experts have recommended that prenatal care be delivered within the context of a medical home and that every woman in the United States should be provided access to a medical home . This would eliminate the fragmented health care delivery that disproportionately impacts low‐income women, allowing them to utilize the medical home before, during, and beyond pregnancies.…”

Section: Discussionmentioning

confidence: 99%

Effects of Maternal Mental Health on Engagement in Favorable Health Practices During Pregnancy

Alhusen¹,

Ayres²,

DePriest³

2016

J Midwife Womens Health

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Introduction A woman’s health practices during pregnancy are associated with maternal and neonatal outcomes. Yet limited research has examined predictors of a woman’s engagement in favorable health practices, particularly in pregnant women at greatest risk for adverse outcomes. We examined the role of mental health on engagement in favorable health practices during pregnancy in a sample of pregnant, low-income, predominantly African American women. Methods A convenience sample of pregnant women was obtained from 3 obstetric clinics within a large Mid-Atlantic academic health system. Pregnant women (N = 166) completed measures of depression, social support, and engagement in favorable health practices during their second trimester. Six domains of health practices (ie, balance of rest and exercise, safety measures, nutrition, substance use, health care access, access to pregnancy-related information) were assessed by the Health Practices in Pregnancy Questionnaire-II. Multiple linear regression was used to examine predictors of engagement in favorable health practices. Results Fifty-nine percent of the study participants experienced depressive symptomatology during pregnancy. Multivariate linear regression modeling demonstrated that increased depressive symptoms, decreased social support, young age, and prepregnancy overweight or obesity were significant predictors of nonengagement in favorable health practices during pregnancy. Discussion Findings suggest that pregnant women with poor mental health (eg, depressive symptomatology, poor social support) and specific sociodemographic characteristics (eg, young age, prepregnancy overweight or obesity) were less likely to engage in favorable health practices during pregnancy. Health care providers are uniquely positioned to assess a woman’s mental health and related indicators to optimize pregnancy and neonatal outcomes.

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“…Because MCH focuses on interventions to improve health across the life course, MCH leaders take a population perspective on health improvement. 20 – 22 Federal funding through the Title V Maternal and Child Health Services Block Grant is supportive of this approach and, when combined with state matching funds, becomes a flexible mechanism for SHAs to use in supporting MCH efforts across the country with national performance measures that ensure accountability for outcomes. 23 The strategic move from program to population health is taking place now in MCH where there is major emphasis on using life stages to organize SHA programmatic work.…”

Section: Strategic Move 1: From Programs To Populationsmentioning

confidence: 99%

Beyond the Status Quo: 5 Strategic Moves to Position State and Territorial Public Health Agencies for an Uncertain Future

Fraser

Castrucci

2017

Journal of Public Health Management and Practice

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Bringing the MCH Life Course Perspective to Life

Cited by 25 publications

References 31 publications

Recent trends, risk factors, and disparities in low birth weight in California, 2005–2014: a retrospective study

Recent trends, risk factors, and disparities in low birth weight in California, 2005–2014: a retrospective study

Effects of Maternal Mental Health on Engagement in Favorable Health Practices During Pregnancy

Beyond the Status Quo: 5 Strategic Moves to Position State and Territorial Public Health Agencies for an Uncertain Future

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