The effect of maternal demographic factors on infant mortality rates

Dott, Andrew B.; Fort, Arthur T.

doi:10.1016/0002-9378(75)90861-3

Cited by 30 publications

(9 citation statements)

References 3 publications

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“…Consistent with the notion that birth outcomes are affected both by biomedical and by psychosocial factors, medical risk and parity (whether or not a woman has given birth previously) are two of the most important biomedical predictors of birth outcome (Binsacca et al, 1987;Buescher et al, 1988;Cramer, 1987;Dott and Fort, 1975;Institute of Medicine, 1985;Shiono et al, 1986) and should therefore be controlled when examining the impact of prenatal stress on birth outcome. Some studies have used samples homogeneous in medical risk and parity to control for the effects of these characteristics (e.g., Bradley, 1983;Lederman et al, 1979;Levi et al, 1989;Picone et al, 1982).…”

Section: Control For Medical Risk and Paritymentioning

confidence: 79%

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

1994

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This article analyzes the conceptual and methodological approaches which have been used to investigate effects of prenatal maternal stress on birth outcomes and highlights the major findings of this research. By viewing the most widely used operational definitions of prenatal stress in a broader theoretical framework, it can be seen that most studies have failed to conceptualize stress reliably. This, in addition to common methodological and design flaws which are described in the article, has produced equivocal findings about the role of stress in adverse birth outcomes such as preterm delivery and low birth weight. Recent studies using more powerful, multidimensional approaches to stress definition and measurement provide more definitive evidence and suggest some precise effects. Implications and strategies for future research are presented.

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Section: Control For Medical Risk and Paritymentioning

confidence: 79%

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

1994

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“…Their babies have also been found to be smaller than their booked counterparts (Ekele and Audu 1998). The unbooked patient has generally been found in some studies as the older woman of low socioeconomic status (Hamilton et al 1987;Onwudiegwu and Ezechi 2001) and of high parity (Dott and Fort 1975).…”

Section: Introductionmentioning

confidence: 96%

The unbooked patient: A lingering obstetric pathology in Jos, Nigeria

Mutihir

Nyiputen

2007

Journal of Obstetrics and Gynaecology

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There were 297 unbooked patients constituting 2% of all deliveries in the Jos Teaching Hospital. Mean age and parity were 26.7 +/- 6.8 years and 3.7 +/- 3.0, respectively. Non-literate women accounted for 36.9%, secondary education 26.2% and tertiary education 3.8%. Housewives constituted 81.2% of the mothers. The majority (93%) were married, while 21 (7.1%) were unmarried. Maternal morbidity included pre-term labour (40.1%), intrauterine fetal death (9.1%), abruptio placenta (4.2%) and ante-partum eclampsia (2.8%). Vaginal delivery occurred in 246 (82.8%) and caesarean section in 45 (15.1%). There were five maternal deaths and all died undelivered. There were 78 perinatal deaths (260/1,000 births), and over 65% were due to low birth weight and prematurity. Mean birth weight was 2.5 +/- 0.8 kg and 38.3% were of low birth weight. Unbooked patients remain significant obstetric pathologies in our maternity unit. Community health education is needed to reduce the number of unbooked patients and the associated pathologies.

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“…Increased pednatal mortality rate among teenage gravidas has been demonstrated by several large-scale studies of different nationalities (Butler and Alberman, 1969;Chamberlain et al, 1975;Lambert, 1976;Dott and Fort, 1975;Kessner et aL, 1973). These studies all present the relationship between mother's age and perinatal mortality as a J-shaped function.…”

Section: Introductionmentioning

confidence: 93%

“…The former category includes only studies of representative populations, e.g., all births taking place in Britain within two given weeks (Butler arid Alberman, 1969;Chamberlain et al, 1975) or all births taking place in New York State or Louisiana within a given time period (Kessner et al, 1973;Dott and Fort, 1975). The two studies constituting the latter category involved selected sampies; in both cases the samples consisted of women who were patients in university hospitals.…”

Section: Sampling Proceduresmentioning

confidence: 98%

“…It is a widely publicized finding that teenage pregnancies constitute a considerably heightened risk for perinatal and neonatal mortality as compared with pregnancies in women who are in their twenties (Butler and Alberman, 1969;Chamberlain et aL, 1975;Kessner et el., I973;Lambert, 1976;Dott and Fort, 1975). The higher perinatal mortality rate in teenage births is accompanied by higher incidence of prematurity (U.S. Vital Health Statistics, 1974;Grand and Heald, 1972), as well as by other complications of pregnancy and delivery, all of which are known to influence the health status and development of live-born children (Drillien, 1972;Prechtl, 1967;McNeil and Wiegerink, 1971;Graham et el., 1962).…”

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Teenage pregnancy and perinatal mortality

Mednick

Baker

Sutton‐Smith

1979

J Youth Adolescence

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In the general population teenage pregnancies present an elevated rate of perinatal mortality compared with pregnancies of women in their 20s. In 2 large-scale university hopsital studies (American and Danish) the teenage pregnancies showed lower perinatal mortality than those of any other age group. This article attempts to determine the origin of these differing results. A comparative analysis was conducted, focusing on methodologies, subject characteristics, and treatment procedures involved in the 2 classes of studies, which involved representative populations and university hospital samples. The uniformly high quality medical treatment provides to all subjects in the university hospital samples contrasted with the uneven quality of treatment found in population studies constituted the most important difference. Since pregnant teenagers generally tend to be of lower socioeconomic status, they are likely to receive inferior medical care. It was argued that this factor could, to a large extent, be responsible for the elevated mortality rates found in teenage pregnancies in representative populations.

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The effect of maternal demographic factors on infant mortality rates

Cited by 30 publications

References 3 publications

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

The unbooked patient: A lingering obstetric pathology in Jos, Nigeria

Teenage pregnancy and perinatal mortality

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