Risk Factors for Low Birth Weight in New York State Counties

Darling, Rosa; Atav, A. Serdar

doi:10.1177/1527154412442391

Cited by 20 publications

(20 citation statements)

References 39 publications

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“…It was close to the incidence rate in New York State, which was 8.2% in 2009 and the nationwide U.S. average, as reported by 246 medical centers throughout the country 2005 (3.8-10.6%) [3,16]. China is a developing country.…”

Section: Discussionsupporting

confidence: 71%

“…With socio-economic development, progress in modern medicine, and improvements in the treatment of high-risk infants, the incidence of premature and LBW infants has increased. A study carried out in the U.S. showed that the incidence of LBW in the New York area had increased from 7.7% in 1996 to 8.2% in 2009 [3]. The incidence of LBW is even higher in developing countries.…”

Section: Introductionmentioning

confidence: 99%

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An epidemiological survey on low birth weight infants in China and analysis of outcomes of full-term low birth weight infants

Chen

Ruan

et al. 2013

BMC Pregnancy Childbirth

105

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BackgroundLow birth weight (LBW) is one of the leading causes of adverse perinatal outcomes and is closely related to neonatal disease and death. The incidence of LBW has been increasing. The aim of this study was to investigate the current incidence rate and factors affecting low birth weight infants and perinatal outcomes of full-term low birth weight infants in mainland China.MethodsThis paper describes a retrospective analysis of children born in 39 hospitals of different types in 14 different provinces, municipalities, and autonomous regions in seven districts within China throughout 2011. The data were first collected in hardcopy format and then entered into computer network databases. Data covering a total of 112,441 cases were collected. Cases were excluded if data were incomplete and in the case of miscarriage before 24 weeks of gestation, multiple pregnancies, or induction of labor due to fetal malformation, intrauterine death, and other reasons, leaving a total of 101,163 cases. SPSS 18.0 and SAS 9.2 statistical packages were used to analyze the collected data.ResultsAccording to this research, the incidence of LBW in mainland China was 6.1%, which is higher than the 5.87% reported in 2000, and it varied across different areas. The incidence of LBW was significantly higher in tertiary care hospitals than in secondary care hospitals. LBW was found to be associated with maternal age of less than 20 years, low level of maternal education, previous histories of adverse pregnancies, and with pregnancy comorbidities and complications, such as hypertensive disorders during pregnancy, anemia, oligohydramnios, premature rupture of membranes, and gestational diabetes. The rates of stillbirths, severe neonatal asphyxia, and deaths among full-term LBW infants were 2.42%, 0.83%, and 3.49%, respectively. The rates of stillbirths and neonatal deaths among full-term LBW infants born by caesarean section were 0.5% and 1.0%, respectively, which was lower than vaginal delivery.ConclusionsThe incidence of LBW has increased in China. LBW is a leading cause of adverse pregnancy outcomes. Health care during pregnancy and management of high-risk factors for LBW may reduce the incidence of LWB and the death rate of LBW infants.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

An epidemiological survey on low birth weight infants in China and analysis of outcomes of full-term low birth weight infants

Chen

Ruan

et al. 2013

BMC Pregnancy Childbirth

105

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“…Maternal and neonatal health can be improved through the utilization of maternal health services such as prenatal visits [1]. As recommended by the World Health Organization (WHO), all women need access to health services such as prenatal visits, skilled birth attendant and postnatal care visits [2].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Zhang

et al. 2018

PLoS ONE

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Prenatal health care interventions are effective ways to improve maternal and neonatal health. There have been few large investigations conducted on the inequalities in maternal health services utilization in Shaanxi Province of west China since the health care reform in 2009. This study examined the inequalities and determinants of maternal health services utilization in Shaanxi Province. A household survey was conducted from August to November in 2013. By using a multistage sampling method, local women aged 15–49 who had given birth in the preceding three years were recruited. Information including social-demographic characteristics and maternal health services utilization was collected through a face-to-face interview. A concentration index approach was used to measure inequalities in maternal health services utilization. A logistic regression model was employed to investigate the determinants of maternal health services utilization. There were 8,488 women from urban areas and 18,724 women from rural areas enrolled in this study. The concentration index for all the indicators of maternal health services utilization showed significance in these two areas. In urban areas, the concentration index of having 5 or more prenatal visits, receiving the first prenatal visit within 12 weeks, delivering at secondary- or higher-level health facilities and delivering by C-section were 0.0356, 0.0166, 0.0177 and 0.0591, respectively, while in rural areas, the corresponding figures were 0.0385, 0.0183, 0.0334 and 0.0566, respectively. The determinants related to maternal health services utilization were women’s age at delivery, educational level, employment status, parity, health problems during pregnancy and household income. Inequalities in maternal health services utilization still exist in Shaanxi Province. Providing maternal health services for younger, less educated, unemployed, high parity and poorer women, especially in rural areas, is expected to reduce the inequalities in maternal health services utilization.

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“…Maternal occupations that require prolonged standing, walking or vigorous physical exertion and psychological factors such as stress and anxiety may also contribute to LBW. However, these effects vary between populations [20,21]. It has been reported that placental factors alone contribute to neonatal growth retardation in 36% of LBW cases [12,22].…”

Section: Introductionmentioning

confidence: 99%

Maternal Demographic and Placental Risk Factors in Term Low Birth Weight in Ghana

Aleksenko

Tettey

Richard³

et al. 2017

J Preg Child Health

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Risk Factors for Low Birth Weight in New York State Counties

Cited by 20 publications

References 39 publications

An epidemiological survey on low birth weight infants in China and analysis of outcomes of full-term low birth weight infants

An epidemiological survey on low birth weight infants in China and analysis of outcomes of full-term low birth weight infants

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Maternal Demographic and Placental Risk Factors in Term Low Birth Weight in Ghana

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