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• W2000533245 abstract "ObjectiveTo examine the risk of neonatal and infant death in women who present late to prenatal care.Study DesignA retrospective cohort study was conducted of singleton, non-anomalous pregnancies from the 2005-2008 California Birth Registry comparing women who had their initial prenatal visit documented within the third trimester or at time of delivery to women with prenatal care established in the first or second trimesters. Primary outcome was neonatal death (death within first 28 days of life), infant death (>29 days & <1 year) & total death within the 1st year of life. Potential confounders included maternal race, educational status, insurance status, extremes of maternal age, parity, gestational age, chronic hypertension, chronic diabetes, gestational diabetes, preeclampsia, cannabis, opioid and methadone use. We used logistic regression models to determine odds ratios and multivariate models adjusted for potential confounders.ResultsOur search identified 1,775,234 births of which 90,327 (5.1%) were identified as late presenters to prenatal care. Late presentation to care was associated with an increased risk of both neonatal death (0.78% vs 0.19% p <0.0001) and infant death (0.26% vs 0.08% p<0.0001) & cumulative death within the first year of life (1.0% vs 0.3 p<0.0001) for all pregnancies and this was also true by late preterm and term deliveries. Controlling for potential confounders, the association persisted. (Figure 1).ConclusionView Large Image Figure ViewerDownload Hi-res image Download (PPT) ObjectiveTo examine the risk of neonatal and infant death in women who present late to prenatal care. To examine the risk of neonatal and infant death in women who present late to prenatal care. Study DesignA retrospective cohort study was conducted of singleton, non-anomalous pregnancies from the 2005-2008 California Birth Registry comparing women who had their initial prenatal visit documented within the third trimester or at time of delivery to women with prenatal care established in the first or second trimesters. Primary outcome was neonatal death (death within first 28 days of life), infant death (>29 days & <1 year) & total death within the 1st year of life. Potential confounders included maternal race, educational status, insurance status, extremes of maternal age, parity, gestational age, chronic hypertension, chronic diabetes, gestational diabetes, preeclampsia, cannabis, opioid and methadone use. We used logistic regression models to determine odds ratios and multivariate models adjusted for potential confounders. A retrospective cohort study was conducted of singleton, non-anomalous pregnancies from the 2005-2008 California Birth Registry comparing women who had their initial prenatal visit documented within the third trimester or at time of delivery to women with prenatal care established in the first or second trimesters. Primary outcome was neonatal death (death within first 28 days of life), infant death (>29 days & <1 year) & total death within the 1st year of life. Potential confounders included maternal race, educational status, insurance status, extremes of maternal age, parity, gestational age, chronic hypertension, chronic diabetes, gestational diabetes, preeclampsia, cannabis, opioid and methadone use. We used logistic regression models to determine odds ratios and multivariate models adjusted for potential confounders. ResultsOur search identified 1,775,234 births of which 90,327 (5.1%) were identified as late presenters to prenatal care. Late presentation to care was associated with an increased risk of both neonatal death (0.78% vs 0.19% p <0.0001) and infant death (0.26% vs 0.08% p<0.0001) & cumulative death within the first year of life (1.0% vs 0.3 p<0.0001) for all pregnancies and this was also true by late preterm and term deliveries. Controlling for potential confounders, the association persisted. (Figure 1). Our search identified 1,775,234 births of which 90,327 (5.1%) were identified as late presenters to prenatal care. Late presentation to care was associated with an increased risk of both neonatal death (0.78% vs 0.19% p <0.0001) and infant death (0.26% vs 0.08% p<0.0001) & cumulative death within the first year of life (1.0% vs 0.3 p<0.0001) for all pregnancies and this was also true by late preterm and term deliveries. Controlling for potential confounders, the association persisted. (Figure 1). Conclusion" @default.
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• W2000533245 date "2015-01-01" @default.
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• W2000533245 title "214: Late entrants to prenatal care: a predictor of infant mortality?" @default.
• W2000533245 doi "https://doi.org/10.1016/j.ajog.2014.10.260" @default.
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