Abstract:
:Objectives To describe the implementation of the first phase of a regional perinatal data repository and to provide a roadmap for others to navigate technical, privacy, and data governance concerns in implementing similar resources. Methods Our implementation integrated regional physician billing records with maternal and infant electronic health records from an academic delivery hospital. These records, representing births during 2013-2015, constituted a data core supporting linkage to additional ancillary data sets. Measures obtained from pediatric follow-up, urgent care, emergency, and inpatient encounters were linked at the individual level as were measures obtained by home visitors during pre- and postnatal encounters. Residential addresses were geocoded supporting linkage to area-level measures. Results Integrated data contained regional billing records for 69,290 newborns representing approximately 81% of all regional live births and nearly 95% of live births in the region's most populous county. Billing records linked to 7293 infant delivery hospital records and 7107 corresponding maternal hospital records. Manual review demonstrated 100% validity of matches among audited records. Additionally, 2430 home visiting records were linked to the data core as were pediatric primary care, urgent care, emergency department, and inpatient visits representing 42,541 children. More than 99% of the newborn billing records were geocoded and assigned a census tract identifier. Conclusions for Practice Our approach to methodological and regulatory challenges affords opportunities for expansion of systems to integrate electronic health records originating from additional medical centers as well as individual- and area-level linkage to additional data sets relevant to perinatal health.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Hall ES,Greenberg JM,Muglia LJ,Divekar P,Zahner J,Gholap J,Leonard M,Marsolo Kdoi
10.1007/s10995-017-2414-9subject
Has Abstractpub_date
2018-04-01 00:00:00pages
485-493issue
4eissn
1092-7875issn
1573-6628pii
10.1007/s10995-017-2414-9journal_volume
22pub_type
杂志文章abstract::Introduction Hispanics/Latinos are disproportionately affected by obesity in the U.S. Multiple factors place Hispanic/Latino children at risk for overweight, warranting guidance of a socio-ecologic approach to examine causes of obesity. The purpose of this study was to increase understanding of the factors that influe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02696-y
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:To explore women's attitudes and practices related to douching. METHODS:We conducted focus groups between July and December 1999 with 34 black and 27 white women enrolled in a managed care plan in Memphis, Tennessee. Participants were at least 18 years of age and had douched at some time in their lives. Fiv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1011391700314
更新日期:2001-09-01 00:00:00
abstract::Objective To assess the potential impact of missing data on body mass index (BMI) on the association between prepregnancy obesity and specific birth defects. Methods Data from the National Birth Defects Prevention Study (NBDPS) were analyzed. We assessed the factors associated with missing BMI data among mothers of in...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1948-6
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To determine factors contributing to state infant mortality rates (IMR) and develop an adjusted IMR in the United States for 2001 and 2002. DESIGN/METHODS:Ecologic study of factors contributing to state IMR. State IMR for 2001 and 2002 were obtained from the United States linked death and birth certificate d...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0358-9
更新日期:2009-05-01 00:00:00
abstract::The federal Deficit Reduction Act of 2005 mandated citizenship documentation from all Medicaid applicants as a condition of eligibility and was implemented in Oregon on September 1, 2006. We assessed whether new citizenship documentation requirements were associated with delays in Medicaid authorization for newly preg...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0632-5
更新日期:2011-08-01 00:00:00
abstract::In the feminist paradigm, intimate partner violence (IPV) among heterosexual couples is gender asymmetric and largely a tactic of male control. However, research on the relationship between men's controlling behavior and physical violence against women is limited. This study examines whether having a controlling partn...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1137-1
更新日期:2013-09-01 00:00:00
abstract::The increasing prevalence of overweight and obesity among women of childbearing age is a growing public health concern in the United States. The average body mass index (BMI) is increasing among all age categories and women enter pregnancy at higher weights. Women are also more likely to retain gestational weight with...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-006-0115-x
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:This paper presents a new approach for understanding factors related to physician adoption of clinical guidelines, using children's vaccine recommendations as a case study. METHODS:The model traces sequential steps, from awareness to agreement to adoption and, finally, adherence to the guideline. Movement th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022359407306
更新日期:1998-12-01 00:00:00
abstract::Purpose The number of fetal deaths in the United States each year exceeds that of infant deaths. High quality fetal death certificate data are necessary for states to effectively address preventable fetal deaths. We evaluated completeness of detection of fetal deaths among Wyoming residents that occur out-of-state, qu...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2323-y
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:In July 2018 the Academy of Nutrition and Dietetics released a benchmark encouraging early care and education (ECE) programs, including child care centers and family child care homes, to incorporate cultural and religious food preferences of children into meals. We examined the extent to which states were alr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02833-1
更新日期:2020-02-01 00:00:00
abstract::In the United States (US), a parent's health insurance status affects their children's access to health care making it critically important to examine trends in coverage for both children and parents. To gain a better understanding of these health insurance trends, we assessed the coverage status for both children and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1142-4
更新日期:2013-11-01 00:00:00
abstract:PURPOSE:Compare the relationship between childbearing intentions, maternal behaviors, and pregnancy outcomes in a group of early/middle adolescents versus a group of late adolescents (specifically high school seniors, high school graduates, and GED certificate recipients). METHODS:The reasons given by a racially/ethni...
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
abstract:OBJECTIVE:The objective of this study is to determine the association between unmarried status and infant mortality among twins born to teenagers. METHODS:We conducted a retrospective cohort study on twin live births to teenagers in the United States from 1995 through 1998 using the Vital Records assembled by the Nati...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-0011-9
更新日期:2005-09-01 00:00:00
abstract::Despite improvements in service delivery and patient management, low birth weight among infants has been a persistent challenge in South Africa. The study aimed to explore the relationship between depression before pregnancy and the low birth weight (LBW) of infants in post-apartheid South Africa. This study utilized ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1732-z
更新日期:2015-10-01 00:00:00
abstract::Objective Little is known about how women's social context of unintended pregnancy, particularly adverse social circumstances, relates to their general health and wellbeing. We explored associations between stressful life events around the time of unintended pregnancy and physical and mental health. Methods Data are d...
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:To examine attitudes and knowledge about vaccinations in postpartum mothers. METHODS:This cross-sectional study collected data via written survey to postpartum mothers in a large teaching hospital in Connecticut. We used multivariable analysis to identify mothers who were less trusting with regard to vaccine...
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
abstract:OBJECTIVE:S: To identify correlates of prenatal alcohol use in a statewide population-based sample. METHODS:A self-reported survey was conducted in 67 prenatal clinics in Minnesota with 4,272 women at their first prenatal visit. Chi-squared and multivariate logistic regression analyses were conducted to identify risk ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0261-9
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To investigate the confidence women feel about child rearing in Japan and Vietnam. METHODS:We conducted a prospective study of 210 Japanese mothers who registered as pregnant in Sukagawa City, Fukushima, and 132 Vietnamese mothers who attended a university hospital in Ho Chi Minh City. Follow-up surveys were...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0267-3
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:Advanced maternal age at first birth, but not at subsequent births, may have detrimental health implications for both mother and child, such as a poor birth outcome and an increased risk of maternal breast cancer. However, positive outcomes may also result such as an improvement in economic measures and offs...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1026218322723
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVES:Development of a validated triaging system that can be used by obstetric providers to identify obstetric patients at risk of developing severe morbidity during an admission is urgently required. Maternal Critical Care Working Group (MCCWG) recommended a "level of care" strategy that based patient acuity need...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1808-9
更新日期:2016-01-01 00:00:00
abstract::Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educat...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1308-8
更新日期:2014-05-01 00:00:00
abstract::Objective To better understand the knowledge, attitudes and practices of obstetrician-gynecologists with respect to screening and treatment for iron deficiency anemia (IDA). Methods A total of 1,200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a s...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2252-1
更新日期:2017-08-01 00:00:00
abstract::The current COVID-19 pandemic in Kashmir along with lockdown measures-ordered to prevent the spread of the disease-has added further trauma to the fragile mental health system in Kashmir. There may be unquantifiable repercussions of the current epidemic on the emotional status of women during the perinatal period. The...
journal_title:Maternal and child health journal
pub_type: 信件
doi:10.1007/s10995-020-03004-3
更新日期:2020-11-01 00:00:00
abstract::The Maternal Mortality Ratio is an important public health indicator that reflects both the quality of a health care system and the role of women within that society. In September 2000 the United Nations Millennium Declaration outlined the eight Millennium Development Goals (MDGs) that set targets to be achieved by 20...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1043-6
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:We assess how countries in regions of the world where maternal mortality is highest-South Asia and Sub-Saharan Africa-are performing with regards to providing women with vital elements of the continuum of care. METHODS:Using recent Demographic and Health Survey data from nine countries including 18,036 women...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1827-6
更新日期:2016-02-01 00:00:00
abstract::Objective To examine changes in the prevalence and odds of unmet healthcare needs and healthcare utilization among low-income women of reproductive age (WRA) after Ohio's 2014, ACA-associated Medicaid expansion, which extended coverage to non-senior adults with a family income ≤ 138% of the federal poverty level. Meth...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2575-1
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether estimates of oral health-related indicators generated using a relatively small purposive sample of schools were reasonable. METHODS:We collected and analyzed data from two open-mouth school oral health surveys conducted in Ohio in 2004-2005. In each survey, data were g...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0343-3
更新日期:2009-05-01 00:00:00
abstract::Background Telephone helplines providing 24-h specialist-nurse contact present a source of immediate support for women encountering challenges with breastfeeding and may serve to prolong breastfeeding duration by building self-efficacy. To date there is little evidence on interaction effectiveness and still less on th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2573-3
更新日期:2018-12-01 00:00:00
abstract::Objectives Physical activity patterns can track from childhood into adulthood; therefore, establishing active behaviors early is imperative. Given the multidimensional nature of a mother's influence on their children, there is a need to utilize more comprehensive measures to assess the relationship between mother and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2474-5
更新日期:2018-07-01 00:00:00
abstract::The article discusses Arizona's strategic implementation and evaluation of the first time motherhood initiative grant (FTMI) to understand preconception health among African American men and women in Arizona. Longitudinal focus groups assessed whether African American men and women in the targeted areas comprehended a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1206-5
更新日期:2013-12-01 00:00:00