Time From Pregnancy Recognition to Prenatal Care and Associated Newborn Outcomes
Time From Pregnancy Recognition to Prenatal Care and Associated Newborn Outcomes
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DOI：
10.1111/j.1552-6909.2010.01167.x
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发表时间：
2010-09-01
影响因子：
1.8
通讯作者：
Stommel, Manfred
中科院分区：
文献类型：
--
作者：
Ayoola, Adejoke B.;Nettleman, Mary D.;Stommel, Manfred
目的研究新生儿结局与确认怀孕后延迟产前护理启动之间的关系。设计美国妊娠风险评估和监测系统（PRAMS）数据的二级数据分析。设置29个州。育龄妇女（135，623）谁居住在29个州的PRAMS研究谁接受产前护理和活产。从2000年到2004年的一项调查，检查了四个新生儿结果：早产、低出生体重（LBW）、进入新生儿重症监护室（NICU），和婴儿死亡率。结果（妊娠识别时间与产前护理开始时间之间的差异）为3.2周（99% CI [3.12，3.21]）。在6周前发现妊娠的女性的滞后时间（3.5周，99% CI [3.43，3.53]）长于在6周后发现妊娠的女性（2.1周，99% CI [1.96，2.15]）。在调整包括妊娠识别时间在内的混杂因素后，较长的时间滞后与早产风险降低相关（比值比[OR]=0.99，99%置信区间[CI] [0.97，1.00]，p
ObjectiveTo examine the relationship between newborn outcomes and late prenatal care initiation after recognition of pregnancy.DesignSecondary data analysis of the Pregnancy Risk Assessment and Monitoring System (PRAMS) data for the United States.SettingTwenty-nine states.ParticipantsWomen of childbearing age (135,623) who resided in 29 states in the PRAMS study who received prenatal care and had live births.MethodsPopulation-based survey from 2000 through 2004 that examined four newborn outcomes: prematurity, low birth weight (LBW), admission into Neonatal Intensive Care Unit (NICU), and infant mortality.ResultsThe average time lag (difference between the time of pregnancy recognition and initiation of prenatal care) for the study was 3.2 weeks (99% CI [3.12, 3.21]). Women who recognized their pregnancies before 6 weeks had a longer lag time (3.5 weeks, 99% CI [3.43, 3.53]) than women who recognized their pregnancies later (2.1 weeks, 99% CI [1.96, 2.15]). After adjusting for confounders including the timing of pregnancy recognition, longer time lag was associated with reduced risks of prematurity (odds ratio [OR]=0.99, 99% Confidence Interval [CI] [0.97, 1.00], p