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Prenatal factors affecting perinatal mortality in blacks

F Rahbar, L Westney, J Momeni

    Journal of the National Medical Association
    |October 1, 1982
    PubMed
    Summary

    Prenatal care significantly improves perinatal outcomes for low-birth-weight infants, particularly those under 1,500 grams. Teenage mothers (under 17) face compromised fetal outcomes, especially with irregular prenatal care.

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    Area of Science:

    • Maternal and Child Health
    • Perinatal Medicine
    • Public Health

    Background:

    • Low birth weight is a significant predictor of adverse perinatal outcomes.
    • Teenage pregnancy presents unique challenges in maternal and infant health.
    • The role of prenatal care in mitigating risks for vulnerable populations requires further investigation.

    Purpose of the Study:

    • To examine the impact of prenatal care on perinatal outcomes in black mothers delivering low-birth-weight infants.
    • To identify specific risk factors, such as maternal age, that influence fetal outcomes in this population.

    Main Methods:

    • Retrospective study of 222 black mothers delivering low-birth-weight infants at a tertiary care center.
    • Analysis of the association between prenatal care utilization and infant birth weight.
    • Evaluation of maternal age as a contributing factor to perinatal outcomes.

    Main Results:

    • Prenatal care demonstrated a significant positive effect on perinatal outcomes.
    • The benefits of prenatal care were most pronounced in infants weighing less than 1,500 grams.
    • Maternal age below 17 years was identified as a critical risk factor, especially when combined with inadequate prenatal care.

    Conclusions:

    • Consistent and adequate prenatal care is crucial for improving perinatal outcomes in infants born with low birth weight.
    • Targeted interventions and support are necessary for teenage mothers to mitigate risks associated with pregnancy.
    • Healthcare providers should emphasize the importance of prenatal care for all pregnant individuals, with special attention to adolescent mothers.

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