Abstract:
OBJECTIVES:This study sought to determine the relationship between maternal birth weight, prenatal care usage, and infant birth weight. METHODS:Stratified and logistic regression analyses were performed on a dataset of computerized Illinois vital records of White (N = 187, 074) and African-American (N = 58,856) infants born between 1989 and 1991 and their mothers born between 1956 and 1975. RESULTS:Among White mothers who received adequate prenatal care, the low birth weight (<2500 g) rate was 4% for infants of former low birth weight mothers (N = 5230) compared to 2.1% for infants of former nonlow birth weight mothers (N = 93,011), relative risk equaled 1.9(1.7-2.2); the population attributable risk of maternal low birth weight was 4.1%. Among African American mothers who received adequate prenatal care, the low birth weight rate was 15% for infants of former low birth weight mothers (N = 2196) compared to 7.2% for infants of former nonlow birth weight mothers (N = 14,607), relative risk equaled 2.1(1.9-2.4); the population attributable risk of maternal low birth weight was 10.9%. The maternal-infant birth weight associations were consistent across all maternal age, education, marital status, and prenatal care categories. CONCLUSIONS:Maternal low birth weight is a risk factor for infant low birth weight independent of risk status during the current pregnancy. A greater percentage of low birth weight African American (compared to White) infants are attributable to maternal low birth weight.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Collins JW Jr,David RJ,Prachand NG,Pierce MLdoi
10.1023/a:1027371501476subject
Has Abstractpub_date
2003-12-01 00:00:00pages
229-37issue
4eissn
1092-7875issn
1573-6628journal_volume
7pub_type
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