This study examined the health status and hospital use of women after the birth of a premature, low-birthweight infant.
The subjects were women with infants who participated in a multisite, randomized trial of an early intervention program.
The outcomes examined were (1) a maternal health rating of poor or fair (i.e., poorer health) 5 years following delivery and (2) hospital use for a non-pregnancy-related condition.
By the fifth year after delivery, 29.7% of the women had been hospitalized for a non-pregnancy-related condition.
Women who reported poorer health status (adjusted relative risk [RR]=2.39 ; 95% confidence interval [CI]=1.86,3.07) or who had asthma (RR=2.24 ; CI=1.31,3.80) were at greatest risk.
After 5 years, 16.9% of the women said they were in poorer health.
The number of intervening years in poorer health (1 year, RR=3.17 ; CI=2.04 ; 4.94 ;>4 year, RR=8.42 ; CI=5 : 50,12.88), more than 1 year of poverty (RR=3.28 ; Cl=1.90,5.66) ; obesity (RR=3.30 ; CI=1.44,7.55), and more than 1 year of employment (RR=0.55 ; CI=0.36,0.86) were all significantly associated with poorer health.
The continued, substantial morbidity and hospital use of women with a premature, low-birthweight infant has not previously been reported.
This observation needs to be verified.
Mots-clés Pascal : Poids naissance faible, Prématuré, Hospitalisation, Santé, Mère, Morbidité, Epidémiologie, Facteur risque, Femme, Homme, Etats Unis, Amérique du Nord, Amérique, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Low birth weight, Premature, Hospitalization, Health, Mother, Morbidity, Epidemiology, Risk factor, Woman, Human, United States, North America, America, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0447558
Code Inist : 002B30A01A2. Création : 03/02/1998.