Birth History as a Predictor of Adverse Birth Outcomes: Evidence from State Vital Statistics Data

Authors

Dejun Su, University of Nebraska Medical CenterFollow
Kaeli Samson, University of Nebraska Medical Center
Ashvita Garg, University of Nebraska Medical Center
Corrine Hanson, University of Nebraska Medical Center
Ann L. Anderson Berry, University of Nebraska Medical Center
Ge Lin Kan, University of Nevada, Las VegasFollow
Ming Qu, Nebraska Department of Health and Human Services

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