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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
Main Authors: Gardner, Madelin E, Umer, Amna, Rudisill, Toni, Hendricks, Brian, Lefeber, Candice, John, Collin, Lilly, Christa
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Umer, Amna
Rudisill, Toni
Hendricks, Brian
Lefeber, Candice
John, Collin
Lilly, Christa
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 (
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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 (&lt; 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 (&lt; 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 &lt; 0.0001), low 5- minute APGAR score (aOR: 3.26, CI:(2.03,5.22), p &lt; 0.0001), and increased LOS (Est. = -0.33, HR: 0.72, CI:(0.65,0.81), p &lt; 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. 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ispartof BMC pregnancy and childbirth, 2023-05, Vol.23 (1), p.379-379, Article 379
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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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