TITLE

Stressful life events, social health issues and low birthweight in an Australian population-based birth cohort: challenges and opportunities in antenatal care

AUTHOR(S)
Brown, Stephanie J.; Yelland, Jane S.; Sutherland, Georgina A.; Baghurst, Peter A.; Robinson, Jeffrey S.
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p196
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Investment in strategies to promote 'a healthy start to life' has been identified as having the greatest potential to reduce health inequalities across the life course. The aim of this study was to examine social determinants of low birthweight in an Australian population-based birth cohort and consider implications for health policy and health care systems. Methods: Population-based survey distributed by hospitals and home birth practitioners to >8000 women six months after childbirth in two states of Australia. Participants were women who gave birth to a liveborn infant in Victoria and South Australia in September/October 2007. Main outcome measures included stressful life events and social health issues, perceived discrimination in health care settings, infant birthweight. Results: 4,366/8468 (52%) of eligible women returned completed surveys. Two-thirds (2912/4352) reported one or more stressful life events or social health issues during pregnancy. Women reporting three or more social health issues (18%, 768/4352) were significantly more likely to have a low birthweight infant (< 2500 grams) after controlling for smoking and other socio-demographic covariates (Adj OR = 1.77, 95% CI 1.1-2.8). Mothers born overseas in non-English speaking countries also had a higher risk of having a low birthweight infant (Adj OR = 1.85, 95% CI 1.2-2.9). Women reporting three or more stressful life events/social health issues were more likely to attend antenatal care later in pregnancy (OR = 2.06, 95% CI 1.3-3.1), to have fewer antenatal visits (OR = 2.17, 95% CI 1.4-3.4) and to experience discrimination in health care settings (OR = 2.69, 95% CI 2.2-3.3). Conclusions: There is a window of opportunity in antenatal care to implement targeted preventive interventions addressing potentially modifiable risk factors for poor maternal and infant outcomes. Developing the evidence base and infrastructure necessary in order for antenatal services to respond effectively to the social circumstances of women's lives is long overdue.
ACCESSION #
60411670

 

Related Articles

  • Psychosocial Predictors of Being an Underweight Infant Differ by Racial Group: A Prospective Study of Louisiana WIC Program Participants. Wightkin, Joan; Magnus, Jeanette H.; Farley, Thomas A.; Boris, Neil; Kotelchuck, Milton // Maternal & Child Health Journal;Jan2007, Vol. 11 Issue 1, p49 

    Objectives: In order to prospectively identify psychosocial predictors of infants being underweight, we followed 3,302 low-income infants. These infants received well-baby care in health departments and were enrolled in the Women, Infants, and Children (WIC) Supplemental Food Program from the...

  • Association between Maternal Smoking during Pregnancy and Low Birthweight: Effects by Maternal Age. Zheng, Wei; Suzuki, Kohta; Tanaka, Taichiro; Kohama, Moriyasu; Yamagata, Zentaro; null, null // PLoS ONE;1/21/2016, Vol. 11 Issue 1, p1 

    Background: Maternal smoking during pregnancy has been consistently related to low birthweight. However, older mothers, who are already at risk of giving birth to low birthweight infants, might be even more susceptible to the effects of maternal smoking. Therefore, this study aimed to examine...

  • The effect of incarceration during pregnancy on birth outcomes. Martin, Sandra L.; Rieger, Randall H.; Kupper, Lawrence L.; Meyer, Robert E.; Qaqish, Bahjat F. // Public Health Reports;Jul/Aug97, Vol. 112 Issue 4, p340 

    Examines the effect of incarceration during pregnancy on infant birth weight. Methods used in the study; Results of the analysis between paired pregnancies in terms of the women's characteristics and the use of health services; Conclusions.

  • The effect of incarceration during pregnancy on birth outcomes. Martin, Sandra L.; Rieger, Randall H. // Public Health Reports;Jul/Aug97, Vol. 112 Issue 4, p340 

    Examines the effect of incarceration during pregnancy on infant birth weight. Methods used in the study; Results of the analysis between paired pregnancies in terms of the women's characteristics and the use of health services; Conclusions.

  • Tropical Diseases and their impact on Maternal and Child Health. Adam, Sumaiya; Lombaard, Hennie // Obstetrics & Gynaecology Forum;Aug2012, Vol. 22 Issue 3, p1 

    The authors reflect on the risk of neglected tropical diseases (NTDs) and their impact on the health of women and children living in unhygienic tropical environments with limited access to clean water. They discuss the social economic, and health consequences of NTDs on infected pregnant women...

  • Concordance among Measures of Pregnancy Outcome Based on Fetal Size and Duration of Gestation. Savitz, David A.; Ananth, Cande V.; Berkowitz, Gertrud S.; Lapinski, Robert // American Journal of Epidemiology;2000, Vol. 151 Issue 6, p627 

    Epidemiologic and clinical studies of pregnancy outcome often consider a variety of related, overlapping outcome measures. The overlap among these measures was analyzed using data from the Mount Sinai Hospital Perinatal Data Base, New York City, New York. A total of 52, 621 births from 1986...

  • PM10 air pollution exposure during pregnancy and term low birth weight in Allegheny County, PA, 1994-2000. Xiaohui Xu; Sharma, Ravi K.; Talbott, Evelyn O.; Zborowski, Jeanne V.; Rager, Judy; Arena, Vincent C.; Dan Volz, Conrad // International Archives of Occupational & Environmental Health;Mar2011, Vol. 84 Issue 3, p251 

    Purpose: Low birth weight has been associated with increased risks of mortality and/or morbidity in childhood and adulthood. Epidemiological studies suggest that maternal exposure to air pollution, especially particulate matter during pregnancy, is associated with an increased risk of delivering...

  • A Comparative Analysis of Prenatal Care and Fetal Growth in Eight South American Countries. Woodhouse, Cristina; Lopez Camelo, Jorge; Wehby, George L. // PLoS ONE;Mar2014, Vol. 9 Issue 3, p1 

    There has been little work that comprehensively compared the relationship between prenatal care and infant health across multiple countries using similar data sources and analytical models. Such comparative analyses are useful for understanding the background of differences in infant health...

  • Relationship between maternal nutritional status and infant's weight and body proportions at birth. Thame, M.; Wilks, R.J. // European Journal of Clinical Nutrition;Mar1997, Vol. 51 Issue 3, p134 

    Examines the relationship between maternal nutritional status and infant's weight and body proportions. Association of maternal nutrition with fetal growth restraint; Effect of hemoglobin levels during pregnancy on fetal size.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics