Improved birth outcomes among HIV-infected women with enhanced medicaid prenatal care
作者：
DOI: 10.2105/AJPH.90.1.85
关键词: Public health 、 Low birth weight 、 Confidence interval 、 Pregnancy 、 Medicaid 、 Pediatrics 、 Obstetrics 、 Epidemiology 、 Health care 、 Prenatal care 、 Medicine
摘要: OBJECTIVES: This study evaluated the impact of enhanced prenatal care on birth outcomes HIV-infected women. METHODS: Medicaid claims files linked to vital statistics were analyzed for 1723 women delivering a live-born singleton from January 1993 October 1995. Prenatal program visits indicated by rate codes. Logistic models controlling demographic, substance use, and health variables used assess program's effect preterm (less than 37 weeks) low birthweight 2500 g). RESULTS: Of included in study, 75.3% participated program. Adjusted odds 0.58 (95% confidence interval [CI] = 0.42, 0.81) 0.37 CI 0.24, 0.58) low-birthweight deliveries without usual source care. Women with had lower if they more 9 visits. The participation persisted sensitivity analyses that adjusted an unmeasured confounder. CONCLUSIONS: A statewide demonstrates significant reductions risk adverse
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