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Delayed Prenatal Care and the Risk of Low Birth Weight Delivery

机译:延迟产前检查和低出生体重分娩的风险

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To determine if the timing of prenatal care is associated with low birth weight delivery after adjusting for sociodemographic and behavioral risk factors, we performed a retrospective cross-sectional study of singleton births to white (2,945,595) or African-American (552,068) women in the United States in 1996. When adjusted for race, maternal age, educational level attained, and the use of alcohol and tobacco during pregnancy, women beginning care in the 2nd (adjusted RR = 0.85; 95% CI: 0.83–0.86) and 3rd trimesters (RR = 0.87; 95% CI: 0.84–0.91) had a reduced risk of low birth weight compared to women beginning care in the 1st trimester. Our findings suggest that no benefit exists for early initiation of prenatal care for reducing the risk of low birth weight. Findings related to differences in low birth weight among women who start prenatal care later are likely due to sociodemographic differences that may influence access to early care.
机译:为了确定在调整了社会人口统计学和行为风险因素后,产前检查的时间是否与低出生体重相关联,我们对白人(2,945,595)或非裔美国人(552,068)妇女的单胎出生进行了回顾性横断面研究。美国于1996年。根据种族,孕产妇年龄,所达到的教育水平以及怀孕期间使用烟酒的情况进行调整后,妇女在第二期(调整后的RR = 0.85; 95%CI:0.83-0.86)和三个月开始护理。 (RR = 0.87; 95%CI:0.84-0.91)与早孕期开始照料的妇女相比,低出生体重的风险降低。我们的研究结果表明,早期降低胎体重的风险没有任何益处。在以后开始产前护理的妇女中,与低出生体重的差异有关的发现可能是由于社会人口统计学差异可能会影响获得早期护理的机会。

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