Association of maternal medical conditions and unfavorable birth outcomes: findings from the 1996-2003 Mississippi linked birth and XXXX data.

@entity1 @entity7864 @entity101 @entity2978 @entity204
This study aimed to identify factors contributing to high rates of preterm birth (PTB), low birth weight (LBW) and @entity1 mortality in Mississippi while considering both traditional risk factors and maternal medical conditions. The retrospective cohort study used 1996-2003 Mississippi linked birth and @entity1 @entity204 files. Multiple logistic regression was used to investigate association between maternal medical conditions and unfavorable birth outcomes. Along with traditional risk factors, @entity101 was significantly associated with PTB and LBW. @entity1 with @entity101 were about 2.2 and 3.2 times as likely to have PTB and LBW, respectively. @entity2978 /oligohydramnios increased 1.8-4.4 folds of risk for PTB, LBW and @entity1 @entity204 and was significantly associated with the unfavorable birth outcomes. @entity7864 @entity1 were about 1.5-2.0 times as likely to have an unfavorable birth outcome compared to non-Hispanic white @entity1 . Maternal education and prenatal care effect appeared to be modified by maternal race. Certain maternal medical conditions may be contributing to PTB, LBW and @entity1 mortality rates identifying preconception and prenatal healthcare as possible strategies for reducing unfavorable outcomes. Results suggest that different risk profiles for unfavorable outcomes may exist according to maternal race highlighting the need to consider racial groups separately when further exploring the sociodemographic and/or health-related factors that contribute to unfavorable birth outcomes.
