Predicting low birthweight and complicated labor in urban black women: A biopsychosocial perspective

This study explored demographic, biomedical and psychosocial factors as predictors of two adverse pregnancy outcomes: intrapartum complications and low birthweight, in 140 urban black pregnant women. The intrapartum complication rate was 18%. A four factor equation (low family functioning, advanced...

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Bibliographic Details
Published in:Social science & medicine (1982) 1987, Vol.25 (12), p.1321-1327
Main Authors: Reeb, Kenneth G., Graham, Antonnette V., Zyzanski, Stephen J., Kitson, Gay C.
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
Blacks
Family
family functioning
Female
Health Care
Humans
Infant, Low Birth Weight
Infant, Newborn
low birthweight
Obstetric Labor Complications - ethnology
Pregnancy
prenatal screening
prenatal screening risk assessment low birthweight family functioning stress
risk assessment
Risk Factors
Sensitivity and Specificity
Sociodemographic Factors
stress
Stress, Psychological
Urban Health
Urban Population
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Summary:This study explored demographic, biomedical and psychosocial factors as predictors of two adverse pregnancy outcomes: intrapartum complications and low birthweight, in 140 urban black pregnant women. The intrapartum complication rate was 18%. A four factor equation (low family functioning, advanced maternal age, working during pregnancy, and short stature) predicted intrapartum complications (80% sensitivity, 67% specificity and 35% positive predictive value). The low birthweight rate was 14%. Four factors (low family functioning, stressful events, Quetelet's Index, and cigarette smoking) predicted low birthweight (65% sensitivity, 84% specificity and 42% positive predictive value). Family functioning, alone, predicted low birthweight with 65% sensitivity, 64% specificity and 31% positive predictive value. Family functioning, was the only predictor for both outcomes. Family functioning and other psychosocial risk factors may potentially improve identification of high risk pregnant urban black women.
ISSN:0277-9536
1873-5347
DOI:10.1016/0277-9536(87)90130-4