Maternal Asthma, Diabetes, and High Blood Pressure are Associated with Low Birth Weight and Increased Hospital Birth and Delivery Charges; Hawai'i Hospital Discharge Data 2003-2008

Hayes, Donald K.; Feigal, David W.; Smith, Ruben A.; Fuddy, Loretta J.
February 2014
Hawaii Journal of Medicine & Public Health;Feb2014, Vol. 73 Issue 2, p49
Academic Journal
Asthma, diabetes, and high blood pressure are common maternal conditions that can impact birth outcomes. Data from hospital discharges in Hawai'i were analyzed for 107,034 singleton births from 2003-2008. Categories were determined using the International Statistical Classification of Diseases, ninth revision (ICD-9) from linked delivery records of mother and infant. Prevalence estimates of asthma (ICD-9: 493), diabetes (ICD-9: 250,648.0, 648.8), high blood pressure (ICD-9: 401-405,642) as coded on the delivery record, low birth weight (<2500 grams), high birth weight (>4500 grams), Cesarean delivery, and median hospital charges were calculated. Median regression analysis assessed total hospital charges adjusting for maternal age, maternal race, insurance, and Cesarean delivery. Maternal asthma was present in 4.3% (95% conidence interval=4.1-4.4%), maternal diabetes was present in 7.7% (95% CI=7.6-7.9%), and maternal high blood pressure was present in 9.2% (95% CI=9.0-9.3%) of births. In the adjusted median regression analysis, mothers with asthma had $999 (95% CI: $886 to $1,112) higher hospital charges compared to those without; mothers with diabetes had $743 (95% CI: $636 to $850) higher charges compared to those without; and mothers with high blood pressure had $2,314 (95% CI: $2,194 to $2,434) higher charges compared to those without. Asthma, diabetes, and high blood pressure are associated with higher hospital delivery charges and low birth weight. Diabetes and high blood pressure were also associated with Cesarean delivery. An increased awareness of the impact of these conditions on both adverse birth outcomes and the development of chronic disease is needed.


Related Articles

  • Extremely low birth weight is linked to risk of chronic illness. Mayor, Susan // BMJ: British Medical Journal (International Edition);7/23/2005, Vol. 331 Issue 7510, p180 

    Reports that infants born at extremely low birth weights will face an increased risk for chronic diseases later in life. Details of a study in Cleveland, Ohio, which examined the health outcomes of children with low birth weight for eight years; Report that children with low birth weights...

  • A New Method to Examine Very Low Birth Weight Fetal and Hebdomadal Mortality in a Regionalized System of Perinatal Care. Hulsey, Thomas C.; McComb, Tara F.; Ebeling, Myla; Geddes, Kitty; Kuenneth, Christina A.; Johnson, Donna; Alexander, Greg R.; Pittard, William B. // Maternal & Child Health Journal;Dec1998, Vol. 2 Issue 4, p211 

    Objective: Aggressive maternal transport of very low birth weight (VLBW) live births from community hospitals to regional perinatal centers may artificially increase community fetal death rates. By allocating maternal transports according to the location of antepartum and intrapartum care and...

  • Trends in Prenatal Care Use and Low Birthweight in Southeast Brazil. Goldani, Marcelo Z.; Barbieri, Marco A.; Silva, Antonio A. M.; Bettiol, Heloisa // American Journal of Public Health;Aug2004, Vol. 94 Issue 8, p1366 

    Objectives. We investigated trends in prenatal care use and its association with low birthweight in a developing country. Methods. We examined data from 2 southeast Brazilian cohort surveys, 1 conducted in 1978-1979 and the other in 1994. Results. Socioeconomic inequalities in prenatal care use...

  • Babies With Low Birth Weight. Jin, Jill // JAMA: Journal of the American Medical Association;1/27/2015, Vol. 313 Issue 4, p432 

    The article discusses the research study conducted to examine the babies with low birth weight (LBW) that were born with LBW because of prematurity, being born too early, or poor intrauterine growth, growing too slowly in the womb. Topics discussed include causes of babies with LBW including...

  • The Effects of Prenatal Care Upon the Health of the Newborn. Gortmaker, Steven L. // American Journal of Public Health;Jul1979, Vol. 69 Issue 7, p653 

    Data upon all births and infant deaths in New York City in 1968 are analyzed using methods for the analysis of multidimensional contingency tables. These methods provide estimates of the effect of variations in prenatal care upon the relative risks of low birth weight and neonatal and...

  • Nurse-Midwives and Prenatal Care.  // Family Planning Perspectives;Mar/Apr90, Vol. 22 Issue 2, p52 

    This paper reports that pregnant women in South Carolina at high risk of having an underweight baby were no more likely to deliver a low-birth-weight baby if they received prenatal care from a nurse-midwife than if they were seen prenatally by an obstetrician. Nineteen percent and 20 percent,...

  • Does facility-based newborn care improve neonatal outcomes? A review of evidence. Neogi, Sutapa; Malhotra, Sumit; Zodpey, Sanjay; Mohan, Pavitra // Indian Pediatrics;Aug2012, Vol. 49 Issue 8, p651 

    Context: Facility based newborn care is gaining importance as an intervention aiming at reduction of neonatal mortality. Objective: To assess different factors that affect effectiveness of facility based newborn care on neonatal outcomes. Evidence acquisition: Electronic search using key search...

  • Maternal risk factors for low birth weight babies in Lagos, Nigeria. Awoleke, J. // Archives of Gynecology & Obstetrics;Jan2012, Vol. 285 Issue 1, p1 

    Purpose: This case control study, which was prospective in design, was carried out in Lagos, Nigeria at the Lagos University Teaching Hospital. The aim was to determine the prevalence of and identify the risk factors for low birth weight deliveries. Methods: Using a pre-structured questionnaire,...

  • Hospital Use and Health Status of Women During the 5 Years Following the Birth of a Premature, Low-Birthweight Infant. Haas, Jennifer S.; McCormick, Marie C. // American Journal of Public Health;Jul97, Vol. 87 Issue 7, p1151 

    Objective. This study examined the health status and hospital use of women after the birth of a premature, low-birthweight infant. Methods. The subjects were women with infants who participated in a multisite, randomized trial of an early intervention program. The outcomes examined were (1) a...


Read the Article


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

Try another library?
Sign out of this library

Other Topics