Abstract:
:Objectives The magnitude, characteristics, and morbidity of term (≥37 weeks gestation) newborns that are small-for-gestational-age (SGA) in the U.S. are underexplored. We sought to examine characteristics and trends for SGA-coded term newborns in the U.S. Methods Data were obtained from the Nationwide Inpatient Sample, a nationally representative database of hospital stays in the U.S. from 2002 to 2011. Term, singleton newborns with SGA codes were identified and examined over the study period. Demographic characteristics were compared for term newborns according to presence of SGA codes using χ2 tests. Odds ratios (OR) were calculated to compare morbidities between the two groups, adjusting for relevant demographic and clinical variables. Results In 2011, 15 per 1000 term newborns in the U.S. were coded as SGA, a 29.9 % increase since 2002. Compared with other term newborns, SGA term newborns were significantly (p < 0.05) more likely to be female, receive public insurance, and reside in lower income zip codes. Comorbidities, including perinatal complications, metabolic disorders, central nervous system diseases, infection, and neonatal abstinence syndrome were more common among SGA-coded term newborns. These newborns also had higher odds of in-hospital death (OR = 3.0 95 % confidence interval: 2.0, 4.4), longer mean length of stay (3.7 vs. 2.3 days, p < 0.001), and higher mean hospital charges ($12,621 vs. $5012, p < 0.001). Conclusions for practice Term newborns coded as SGA have higher morbidity, mortality, and incur higher hospital charges than other term newborns. More research is needed to understand causes of SGA so its incidence and effects can be reduced.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Ewing AC,Ellington SR,Shapiro-Mendoza CK,Barfield WD,Kourtis APdoi
10.1007/s10995-016-2165-zsubject
Has Abstractpub_date
2017-04-01 00:00:00pages
786-796issue
4eissn
1092-7875issn
1573-6628pii
10.1007/s10995-016-2165-zjournal_volume
21pub_type
杂志文章abstract::The objective of this study is to determine prevention strategies for potentially serious injury events among children younger than 3 years of age based upon circumstances surrounding injury events. Surveillance was conducted on all injuries to District of Columbia (DC) residents less than 3 years old that resulted in...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-011-0857-y
更新日期:2011-12-01 00:00:00
abstract::Pregnancy represents a unique period of time when women are at an increased risk of developing depression. Although the Beck Depression Inventory-Second Edition (BDI-II) is one of the most widely used self-report measures of depression symptomology, its psychometric properties and underlying factor structures have not...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1343-5
更新日期:2014-07-01 00:00:00
abstract::The objective of this study was to estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American so...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1048-1
更新日期:2013-05-01 00:00:00
abstract::The purpose of this study was to review the evidence on the effect of initiation of breastfeeding early after birth and of exclusive breastfeeding during the first month in reducing neonatal mortality and morbidity. We searched Cochrane and PubMed databases for all available papers addressing our review questions and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10995-014-1526-8
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:This study examined the effects of prenatal care and the timing of its initiation on birth weight and gestational age outcomes among women in a state-wide Medicaid enhanced prenatal care program. METHODS:Ordinary Least Squares and logistic regression analyses were performed using data on 88,196 births in New...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-4905-3
更新日期:2005-06-01 00:00:00
abstract::Objectives Sleep problems and deprivation are common during pregnancy, particularly in the third trimester. Previous studies are mostly descriptive or focused on specific clinical groups and late pregnancy. We aimed to identify sleep duration trajectories during the pregnancy period, their associated factors, and impa...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2212-9
更新日期:2017-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0408-3
更新日期:2009-11-01 00:00:00
abstract::Objective The aim of the present research was to evaluate the correlation of vertically transmitted IgG antibodies induced by T. cruzi and newborn early outcome assessment, mainly birth weight and gestational age. Methods We performed a cross-sectional study with 183 pregnant women (64 with asymptomatic Chagas disease...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2035-8
更新日期:2016-10-01 00:00:00
abstract::We utilized an updated nationally representative database to examine associations between maternal age and prevalence of maternal morbidity during complications of labor and delivery. We used hospital inpatient billing data from the 2009 United States Nationwide Inpatient Sample, part of the Healthcare Cost and Utiliz...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1624-7
更新日期:2015-06-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2544-8
更新日期:2018-10-01 00:00:00
abstract::In the last decade, more than half of U.S. children were born to working mothers and 65% of working men and women were of reproductive age. In 2004 more than 28 million women age 18-44 were employed full time. This implies the need for clinicians to possess an awareness about the impact of work on the health of their ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0089-8
更新日期:2006-09-01 00:00:00
abstract::Better understanding of the impact of unintended childbearing on infant and early childhood health is needed for public health practice and policy. Data from the 2004-2008 Oklahoma Pregnancy Risk Assessment Monitoring System survey and The Oklahoma Toddler Survey 2006-2010 were used to examine associations between a f...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1609-6
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVES:Maternal-infant bedsharing is a common but controversial practice. Little has been published about who bedshares in the United States. This information would be useful to inform public policy, to guide clinical practice and to help focus research. The objective was to explore the prevalence and determinants ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0166-z
更新日期:2007-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1405-8
更新日期:2014-09-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-016-1961-9
更新日期:2016-08-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0197-0
更新日期:2007-11-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2238-z
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:Concerns about financial barriers to vaccination led to the creation of the Vaccines for Children (VFC) program, which provides free vaccines to states for disadvantaged children. Our objective was to understand the effect of free vaccine and insurance on pediatric nurse practitioners' (PNPs) likelihood of re...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1009582919267
更新日期:2000-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-010-0632-5
更新日期:2011-08-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0302-4
更新日期:2008-11-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0368-7
更新日期:2009-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02885-8
更新日期:2020-03-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02902-w
更新日期:2020-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-006-0141-8
更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-012-0951-9
更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-011-0772-2
更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-013-1383-x
更新日期:2014-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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更新日期:2012-12-01 00:00:00