Prenatal care and birth outcomes of a cohort of HIV-infected women

Barbara J. Turner, Linda J. McKee, Neil S. Silverman, Walter W. Hauck, Thomas R. Fanning, Leona E. Markson

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Adequate prenatal care has been linked to improved birth outcomes in general populations but has not been assessed in HIV-infected women. We examined longitudinal claims files and vital statistics records for women in the New York State Medicaid HIV/AIDS data base delivering a singleton from 1985 through 1990. Adequacy of the self-reported number of prenatal visits was assessed by the Kessner index. In logistics models, we estimated the association of prenatal care, illicit drug use, and other maternal characteristics with three outcomes: low birth weight, preterm birth, and small-for-gestational-age. Of 2,254 singletons delivered by this HIV-infected cohort, 28% were low birth weight, 23% were preterm birth, and 20% were small for gestational age. Two-thirds had inadequate prenatal care. Non-drug users had 57 and 26% lower adjusted odds of low birth weight and preterm delivery than drug users. The adjusted odds of low birth weight and preterm birth for women with an adequate number of prenatal visits were, respectively, 48 and 21% lower than for women with inadequate care. Adequate prenatal care was also associated with a 43% reduction in the odds of small-for-gestational- age. An adequate number of prenatal visits by women in this HIV cohort was associated with a significant reduction in all three adverse birth outcomes, but most had inadequate prenatal care. These data support strengthening efforts to bring pregnant, HIV-infected women into care.

Original languageEnglish (US)
Pages (from-to)259-267
Number of pages9
JournalJournal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Volume12
Issue number3
StatePublished - 1996
Externally publishedYes

Fingerprint

Prenatal Care
HIV
Low Birth Weight Infant
Parturition
Premature Birth
Gestational Age
Vital Statistics
Medicaid
Street Drugs
Drug Users
Acquired Immunodeficiency Syndrome
Logistic Models
Mothers
Databases
Population

Keywords

  • Human immunodeficiency virus
  • Infant
  • Medicaid
  • Pregnancy outcome
  • Prenatal care
  • Substance abuse
  • Substance dependence

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Virology

Cite this

Turner, B. J., McKee, L. J., Silverman, N. S., Hauck, W. W., Fanning, T. R., & Markson, L. E. (1996). Prenatal care and birth outcomes of a cohort of HIV-infected women. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 12(3), 259-267.

Prenatal care and birth outcomes of a cohort of HIV-infected women. / Turner, Barbara J.; McKee, Linda J.; Silverman, Neil S.; Hauck, Walter W.; Fanning, Thomas R.; Markson, Leona E.

In: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, Vol. 12, No. 3, 1996, p. 259-267.

Research output: Contribution to journalArticle

Turner, BJ, McKee, LJ, Silverman, NS, Hauck, WW, Fanning, TR & Markson, LE 1996, 'Prenatal care and birth outcomes of a cohort of HIV-infected women', Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, vol. 12, no. 3, pp. 259-267.
Turner BJ, McKee LJ, Silverman NS, Hauck WW, Fanning TR, Markson LE. Prenatal care and birth outcomes of a cohort of HIV-infected women. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1996;12(3):259-267.
Turner, Barbara J. ; McKee, Linda J. ; Silverman, Neil S. ; Hauck, Walter W. ; Fanning, Thomas R. ; Markson, Leona E. / Prenatal care and birth outcomes of a cohort of HIV-infected women. In: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1996 ; Vol. 12, No. 3. pp. 259-267.
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