Title
Birth History as a Predictor of Adverse Birth Outcomes: Evidence from State Vital Statistics Data
Document Type
Article
Publication Date
5-18-2018
Publication Title
Preventive Medicine Reports
Volume
11
First page number:
63
Last page number:
68
Abstract
One of the most important predictors of preterm births (PTBs) or low-birth-weight births (LBWBs) is whether a mother has had a history of these birth outcomes. This study examined how different characterizations of birth history (e.g., any previous incidence of PTBs or LBWBs, immediate previous birth that was preterm or of low birth weight, and number of previous PTBs or LBWBs) were associated with PTBs or LBWBs. Based on birth records (n = 98,776) reported to the vital statistics electronic registration system in Nebraska from 2005 to 2014, mothers with a history of PTBs or LBWBs were more likely to have recurrences of these outcomes than those who did not have any history of PTBs or LBWBs. The adjusted odds ratios for recurrent PTBs ranged from 2.82 (95% CI: 2.62, 3.04) to 5.54 (95% CI: 4.67, 6.57) depending on how previous incidence of PTBs or LBWBs were characterized. The corresponding adjusted odds ratio for LBWBs ranged from 1.58 (95% CI: 1.43, 1.74) to 6.75 (95% CI: 4.96, 9.17). Relative to other measures used to characterize birth history, the use of number of previous PTBs or LBWBs allows for identifying mothers most vulnerable to recurrences of these birth outcomes. To help identify mothers at risk for future PTBs or LBWBs, it is beneficial to develop state-wide surveillance of reoccurrences for adverse birth outcomes which is feasible by integrating all separated birth records for the same mother using vital statistics data.
Keywords
Preterm birth; Low birthweight; Birth history; Recurrence; Vital statistics
Disciplines
Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Preventive Medicine
File Format
application/pdf
File Size
198 Kb
Language
English
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Repository Citation
Su, D.,
Samson, K.,
Garg, A.,
Hanson, C.,
Anderson Berry, A. L.,
Kan, G. L.,
Qu, M.
(2018).
Birth History as a Predictor of Adverse Birth Outcomes: Evidence from State Vital Statistics Data.
Preventive Medicine Reports, 11
63-68.
http://dx.doi.org/10.1016/j.pmedr.2018.05.011
Included in
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons, Preventive Medicine Commons