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首页> 外文期刊>Annals of epidemiology >Unintended pregnancy and prenatal behaviors among urban, black women in Baltimore, Maryland: the Baltimore preterm birth study.
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Unintended pregnancy and prenatal behaviors among urban, black women in Baltimore, Maryland: the Baltimore preterm birth study.

机译：马里兰州巴尔的摩的城市黑人女性意外怀孕和产前行为：巴尔的摩早产研究。

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PURPOSE: We explored associations between intendedness of pregnancy with maternal prenatal behaviors, including smoking, use of alcohol, use of illicit drugs, and late initiation of prenatal care. METHODS: Pregnant black women ages 18 years or older (N = 913) were enrolled in the study at their first visit to prenatal clinics in Baltimore, Maryland, at which time data were obtained from the women about intendedness of pregnancy. Data on behavioral risks were abstracted from clinical records. Logistic regression was used to adjust analyses for maternal demographic characteristics. RESULTS: Women with unwanted pregnancies were significantly more likely than women with wanted or mistimed pregnancies, or who were unsure about intendedness, to smoke (odds ratio [OR], 2.0; 95% CI, 1.2-3.3), use alcohol (OR, 2.1; 95% CI, 1.1-3.9), and use illicit drugs (OR, 1.8; 95% CI, 1.0-2.9) during pregnancy, and to initiate prenatal care in the third trimester (OR, 5.7; 95% CI, 3.5-9.4). CONCLUSIONS: Unwanted pregnancy is associated with prenatal behaviors that increase the risk of poor pregnancy outcomes. The facilitation of wanted pregnancies and reduction of harmful maternal behaviors may result in improved pregnancy outcomes in the United States.
机译：目的：我们探讨了怀孕的意向与孕产妇的产前行为之间的关联，包括吸烟，饮酒，使用非法药物和延迟开始产前保健。方法：首次访问马里兰州巴尔的摩产前诊所的18岁或18岁以上的黑人孕妇（N = 913）参加了该研究，当时从这些妇女那里获得了有关怀孕意向的数据。从临床记录中提取有关行为风险的数据。 Logistic回归用于调整母亲人口统计学特征的分析。结果：怀有意外怀孕的女性比怀有想要或错误的怀孕或不确定性的女性吸烟的可能性要高得多（几率[OR]，2.0; 95％CI，1.2-3.3），喝酒（OR， 2.1; 95％CI，1.1-3.9），在怀孕期间使用非法药物（OR，1.8; 95％CI，1.0-2.9），并在孕晚期开始产前检查（OR，5.7; 95％CI，3.5 -9.4）。结论：不良妊娠与产前行为相关，增加了不良妊娠结局的风险。在美国，有利于通缉怀孕和减少有害的孕产妇行为可能会改善妊娠结局。

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