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Prenatal care and infant outcomes of teenage births: a Project WATCH study
Infants of teenage births are known to have increased risk of poor infant outcomes. Adequate prenatal care (PNC) is essential to the overall health of infants and their birthing persons. While teenage births continue to be of concern in rural areas, little is known about the association between inad...
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Published in: | BMC pregnancy and childbirth 2023-05, Vol.23 (1), p.379-379, Article 379 |
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description | Infants of teenage births are known to have increased risk of poor infant outcomes. Adequate prenatal care (PNC) is essential to the overall health of infants and their birthing persons. While teenage births continue to be of concern in rural areas, little is known about the association between inadequate PNC and poor infant outcomes in teenage populations.
To determine the association between inadequate PNC ( |
doi_str_mv | 10.1186/s12884-023-05662-x |
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To determine the association between inadequate PNC (< 10 visits) and poor infant outcomes neonatal intensive care unit (NICU) stay, low APGAR score, small for gestational age (SGA) and length of stay (LOS).
The study used West Virginia (WV) Project WATCH population level data (May 2018-March 2022). Multiple logistic regressions and survival analysis were performed on infant outcomes; NICU stay, APGAR score, infant size, and infant length of stay (LOS) with PNC categories inadequate (< 10 PNC visits) vs adequate (10 or more) adjusting for covariates including maternal race, insurance status, parity, smoking status, substance use status, and diabetes status.
Of births to teenagers, 14% received inadequate PNC. Teens who received inadequate PNC had increased odds of infant admitted to NICU (aOR: 1.84, CI:(1.41, 2.42), p < 0.0001), low 5- minute APGAR score (aOR: 3.26, CI:(2.03,5.22), p < 0.0001), and increased LOS (Est. = -0.33, HR: 0.72, CI:(0.65,0.81), p < 0.0001).
Results demonstrated that infants of teenagers who received inadequate PNC are at increased risk of requiring a NICU stay, having a low APGAR score and requiring an increased LOS. PNC is particularly important for these groups as they are at increased risk of poor birth outcomes.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-023-05662-x</identifier><identifier>PMID: 37226124</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adolescence ; Adolescent ; APGAR ; Apgar score ; Babies ; Birth certificates ; Birth weight ; Datasets ; Education ; Female ; Gestational age ; Health care ; Hospitalization ; Hospitals ; Humans ; Infant ; Infant mortality ; Infant, Newborn ; Intensive care ; Length of Stay ; Maternal mortality ; Mothers ; Neonatal care ; NICU ; Parity ; Parturition ; Poverty ; Pregnancy ; Pregnancy in Adolescence ; Premature birth ; Prenatal Care ; Surveillance ; Teen pregnancy ; Teenage parents ; Teenage pregnancy ; Teenagers ; Variables</subject><ispartof>BMC pregnancy and childbirth, 2023-05, Vol.23 (1), p.379-379, Article 379</ispartof><rights>2023. The Author(s).</rights><rights>2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c515t-fbb6cc3a31ec194f4a83682db0aec981dc7b475fda1f79eab18519ec36a619fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10207650/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2827038124?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37226124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gardner, Madelin E</creatorcontrib><creatorcontrib>Umer, Amna</creatorcontrib><creatorcontrib>Rudisill, Toni</creatorcontrib><creatorcontrib>Hendricks, Brian</creatorcontrib><creatorcontrib>Lefeber, Candice</creatorcontrib><creatorcontrib>John, Collin</creatorcontrib><creatorcontrib>Lilly, Christa</creatorcontrib><title>Prenatal care and infant outcomes of teenage births: a Project WATCH study</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Infants of teenage births are known to have increased risk of poor infant outcomes. Adequate prenatal care (PNC) is essential to the overall health of infants and their birthing persons. While teenage births continue to be of concern in rural areas, little is known about the association between inadequate PNC and poor infant outcomes in teenage populations.
To determine the association between inadequate PNC (< 10 visits) and poor infant outcomes neonatal intensive care unit (NICU) stay, low APGAR score, small for gestational age (SGA) and length of stay (LOS).
The study used West Virginia (WV) Project WATCH population level data (May 2018-March 2022). Multiple logistic regressions and survival analysis were performed on infant outcomes; NICU stay, APGAR score, infant size, and infant length of stay (LOS) with PNC categories inadequate (< 10 PNC visits) vs adequate (10 or more) adjusting for covariates including maternal race, insurance status, parity, smoking status, substance use status, and diabetes status.
Of births to teenagers, 14% received inadequate PNC. Teens who received inadequate PNC had increased odds of infant admitted to NICU (aOR: 1.84, CI:(1.41, 2.42), p < 0.0001), low 5- minute APGAR score (aOR: 3.26, CI:(2.03,5.22), p < 0.0001), and increased LOS (Est. = -0.33, HR: 0.72, CI:(0.65,0.81), p < 0.0001).
Results demonstrated that infants of teenagers who received inadequate PNC are at increased risk of requiring a NICU stay, having a low APGAR score and requiring an increased LOS. PNC is particularly important for these groups as they are at increased risk of poor birth outcomes.</description><subject>Adolescence</subject><subject>Adolescent</subject><subject>APGAR</subject><subject>Apgar score</subject><subject>Babies</subject><subject>Birth certificates</subject><subject>Birth weight</subject><subject>Datasets</subject><subject>Education</subject><subject>Female</subject><subject>Gestational age</subject><subject>Health care</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant mortality</subject><subject>Infant, Newborn</subject><subject>Intensive care</subject><subject>Length of Stay</subject><subject>Maternal mortality</subject><subject>Mothers</subject><subject>Neonatal care</subject><subject>NICU</subject><subject>Parity</subject><subject>Parturition</subject><subject>Poverty</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence</subject><subject>Premature birth</subject><subject>Prenatal Care</subject><subject>Surveillance</subject><subject>Teen pregnancy</subject><subject>Teenage parents</subject><subject>Teenage pregnancy</subject><subject>Teenagers</subject><subject>Variables</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkUFPFTEQxzdGI4h-AQ-miRcvi512t9t6MYSoQEjgoPHYzHanj33Zt8W2S-DbW3hAgNM0nd_8Mu2_qj4C3wfQ6msCoXVTcyFr3iol6utX1S40HdRCGvn6yXmnepfSmnPodMvfVjuyE0KBaHark_NIM2acmMNIDOeBjbPHObOwZBc2lFjwLFOBVsT6MeaL9I0hO49hTS6zvwe_D49Yystw875643FK9OG-7lV_fv4o3fr07Nfx4cFp7Vpoc-37XjknUQI5MI1vUEulxdBzJGc0DK7rm671A4LvDGEPugVDTipUYPwg96rjrXcIuLaXcdxgvLEBR3t3EeLKYsyjm8gK6L1sDedkeNP0TnuH5KkUhcZ3vLi-b12XS7-hwdGcI07PpM8783hhV-HKAhe8U-2t4cu9IYZ_C6VsN2NyNE04U1iSFRqMKGRnCvr5BboOS5zLXxVKlG10iaRQYku5GFKK5B-3AW5vc7fb3G3J3d7lbq_L0Ken73gceQha_gc9HKmD</recordid><startdate>20230524</startdate><enddate>20230524</enddate><creator>Gardner, Madelin E</creator><creator>Umer, Amna</creator><creator>Rudisill, Toni</creator><creator>Hendricks, Brian</creator><creator>Lefeber, Candice</creator><creator>John, Collin</creator><creator>Lilly, Christa</creator><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230524</creationdate><title>Prenatal care and infant outcomes of teenage births: a Project WATCH study</title><author>Gardner, Madelin E ; 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Adequate prenatal care (PNC) is essential to the overall health of infants and their birthing persons. While teenage births continue to be of concern in rural areas, little is known about the association between inadequate PNC and poor infant outcomes in teenage populations.
To determine the association between inadequate PNC (< 10 visits) and poor infant outcomes neonatal intensive care unit (NICU) stay, low APGAR score, small for gestational age (SGA) and length of stay (LOS).
The study used West Virginia (WV) Project WATCH population level data (May 2018-March 2022). Multiple logistic regressions and survival analysis were performed on infant outcomes; NICU stay, APGAR score, infant size, and infant length of stay (LOS) with PNC categories inadequate (< 10 PNC visits) vs adequate (10 or more) adjusting for covariates including maternal race, insurance status, parity, smoking status, substance use status, and diabetes status.
Of births to teenagers, 14% received inadequate PNC. Teens who received inadequate PNC had increased odds of infant admitted to NICU (aOR: 1.84, CI:(1.41, 2.42), p < 0.0001), low 5- minute APGAR score (aOR: 3.26, CI:(2.03,5.22), p < 0.0001), and increased LOS (Est. = -0.33, HR: 0.72, CI:(0.65,0.81), p < 0.0001).
Results demonstrated that infants of teenagers who received inadequate PNC are at increased risk of requiring a NICU stay, having a low APGAR score and requiring an increased LOS. PNC is particularly important for these groups as they are at increased risk of poor birth outcomes.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>37226124</pmid><doi>10.1186/s12884-023-05662-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescence Adolescent APGAR Apgar score Babies Birth certificates Birth weight Datasets Education Female Gestational age Health care Hospitalization Hospitals Humans Infant Infant mortality Infant, Newborn Intensive care Length of Stay Maternal mortality Mothers Neonatal care NICU Parity Parturition Poverty Pregnancy Pregnancy in Adolescence Premature birth Prenatal Care Surveillance Teen pregnancy Teenage parents Teenage pregnancy Teenagers Variables |
title | Prenatal care and infant outcomes of teenage births: a Project WATCH study |
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