Populations at Risk Across the Lifespan: Population Studies
Risk of Very Low Birth Weight Based on Perinatal Periods of Risk
Article first published online: 17 JUL 2013
© 2013 Wiley Periodicals, Inc.
Public Health Nursing
Volume 31, Issue 3, pages 234–242, May/June 2014
How to Cite
Demont-Heinrich, C. M., Hawkes, A. P., Ghosh, T., Beam, R. and Vogt, R. L. (2014), Risk of Very Low Birth Weight Based on Perinatal Periods of Risk. Public Health Nursing, 31: 234–242. doi: 10.1111/phn.12062
- Issue published online: 9 APR 2014
- Article first published online: 17 JUL 2013
- infant mortality;
- prenatal care;
- very low birth weight;
- weight gain
To determine the risk factors associated with having a very low birth weight (VLBW) infant as a follow-up to the first phase of a Perinatal Periods of Risk approach.
Design and Sample
Retrospective cohort analysis of birth certificates. Population-based sample of 53,427 birth certificates for the city under study during the years 1999–2006.
The relationship of selected maternal characteristics as predictors of VLBW using multivariate logistic regression analysis.
The maternal characteristics associated with VLBW were as follows: no prenatal care (OR = 4.04), inadequate weight gain (OR = 3.97), Black, non-Hispanic race (OR = 1.50), less than 20 years old (OR = 1.42) and more than 35 years old (OR = 1.43). After analyzing age and race/ethnicity together, Black non-Hispanic women less than 20 years of age (OR = 2.70) or over 35 years of age (OR = 2.45) still had an increased odds for having a VLBW infant whereas Black non-Hispanic women between the ages of 20 and 35 did not.
The findings of this study suggest educating women on the importance of preconception care, prenatal care, and adequate pregnancy weight gain to reduce the odds of having a VLBW infant.