All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99

ViewsDownloads

Relationship of Prenatal Care to Poor Postnatal Outcomes in Infants Requiring Neurodevelopmental Assessment

DOI: 10.4236/oalib.1105922, PP. 1-10

Subject Areas: Pediatrics

Keywords: Prenatal Care, Neurodevelopmental Outcomes, Mother-Baby Dyad

Full-Text   Cite this paper   Add to My Lib

Abstract

Objectives: We aimed to determine whether complete lack of prenatal care (NPC: No Prenatal Care) is associated with social, as well as medical vul-nerability of the mother-infant dyad and how it affects neurodevelopmental outcomes in infants. Methods: Selected social determinants indicative of the family’s social vulnerability, including intrauterine drug exposure (IUDE) of the infant and child protective service (CPS) involvement before discharge, were compared between a cohort of infants whose mothers sought prenatal care and their counterparts with complete lack of PC. Also, selected medical conditions indicative of an infants’ medical vulnerability, including cardiovascular, pulmonary, and neurological diagnoses, were compared between two groups. Fifty seven infants in a neonatal intensive care unit (NICU) and 10,483 infants in the newborn nursery at an urban level III hospital who were admitted between 2016 and 2018 were retrospectively evaluated. Results: Higher social vulnerability was observed in NPC group as indicated by a more prevalent history of IUDE and higher rates of CPS involvement. NPC mothers were also more likely to be Medicaid recipients and younger. Infants in both the NICU and the newborn nursery also had a lower mean birth weights for gestational age, lower APGAR scores as well as poorer respiratory and neurological outcomes. Conclusion for Practice: Prenatal care can have long lasting benefits to the mother-infant dyad by lowering the risks associated with pregnancy, increasing birth weights and lowering the risk for developing pulmonary and neurological complications. Promoting the family’s active engagement in prenatal care can also serve as an easily achievable first step in minimizing health disparities.

Cite this paper

Lee-Park, J. J. and Valentine, T. L. (2019). Relationship of Prenatal Care to Poor Postnatal Outcomes in Infants Requiring Neurodevelopmental Assessment. Open Access Library Journal, 6, e5922. doi: http://dx.doi.org/10.4236/oalib.1105922.

References

[1]  Herbst, M.A., Mercer, B.M., Beazley, D., Meyer, N. and Carr, T. (2003) Relationship of Prenatal Care and Perinatal Morbidity in Low-Birth-Weight Infants. American Journal of Obstetrics and Gynecology, 189, 930-933.
http://www.ncbi.nlm.nih.gov/pubmed/14586328
https://doi.org/10.1067/S0002-9378(03)01055-X
[2]  Adams, R.C. and Tapia, C. (2013) Early Intervention, IDEA Part C Services, and the Medical Home: Collaboration for Best Practice and Best Outcomes. Pediatrics, 132, e1073-e1088. http://pediatrics.aappublications.org/content/132/4/e1073.abstract
https://doi.org/10.1542/peds.2013-2305
[3]  Behnke, M. and Smith, V.C. (2013) Prenatal Substance Abuse: Short- and Long- Term Effects on the Exposed Fetus. Pediatrics, 131, e1009-e1024.
https://doi.org/10.1542/peds.2012-3931
[4]  Houston, K.T., Behl, D.D., White, K.R., Forsman, I. and Zuckerman, B. (2010) Federal Privacy Regulations and the Provision of Early Hearing Detection and Intervention Programs: TABLE 1. Pediatrics, 126, S28-S33.
https://doi.org/10.1542/peds.2010-0354G
[5]  Colomar, M., Cafferata, M.L., Aleman, A., Tomasso, G. and Betran, A.P. (2017) Supply Kits for Antenatal and Childbirth Care during Antenatal Care and Delivery: A Mixed-Methods Systematic Review, the Qualitative Approach. Reproductive Health, 14, 48. https://doi.org/10.1186/s12978-017-0299-0
[6]  Mbuagbaw, L., Medley, N., Darzi, A.J., Richardson, M., Habiba Garga, K. and Ongolo-Zogo, P. (2015) Health System and Community Level Interventions for Improving Antenatal Care Coverage and Health Outcomes. The Cochrane Database of Systematic Reviews, No. 12, CD010994.
https://doi.org/10.1002/14651858.CD010994.pub2
[7]  Tyson, J.E., Parikh, N.A., Langer, J., Green, C., Higgins, R.D. and National Institute of Child Health and Human Development Neonatal Research Network (2008) Intensive Care for Extreme Prematurity—Moving beyond Gestational Age. The New England Journal of Medicine, 358, 1672-1681.
https://doi.org/10.1056/NEJMoa073059
[8]  Hussey-Gardner, B. and Famuyide, M. (2009) Developmental Interventions in the NICU: What are the Developmental Benefits? Neoreviews, 10, e113-e120.
https://doi.org/10.1542/neo.10-3-e113
[9]  Jobe, A.H. (2001) Predictors of Outcomes in Preterm Infants: Which Ones and When? The Journal of Pediatrics, 138, 153-156.
https://doi.org/10.1067/mpd.2001.112760
[10]  Canfield, M., Radcliffe, P., Marlow, S., Boreham, M. and Gilchrist, G. (2017) Maternal Substance Use and Child Protection: A Rapid Evidence Assessment of Factors Associated with Loss of Child Care. Child Abuse & Neglect, 70, 11-27.
https://doi.org/10.1016/j.chiabu.2017.05.005
[11]  Krans, E.E. and Davis, M.M. (2014) Strong Start for Mothers and Newborns: Implications for Prenatal Care Delivery. Current Opinion in Obstetrics & Gynecology, 26, 511-515. https://doi.org/10.1097/GCO.0000000000000118
[12]  Parekh, N., Jarlenski, M. and Kelley, D. (2017) Prenatal and Postpartum Care Disparities in a Large Medicaid Program. Maternal and Child Health Journal, 22, 429-437. https://doi.org/10.1007/s10995-017-2410-0
[13]  Frank, D.A., Augustyn, M. and Zuckerman, B.S. (1998) Neonatal Neurobehavioral and Neuroanatomic Correlates of Prenatal Cocaine Exposure: Problems of Dose and Confounding. Annals of the New York Academy of Sciences, 846, 40-50.
https://doi.org/10.1111/j.1749-6632.1998.tb09725.x
[14]  Alexander, G.R. and Kotelchuck, M. (2001) Assessing the Role and Effectiveness of Prenatal Care: History, Challenges, and Directions for Future Research. Public Health Reports, 116, 306-316. https://doi.org/10.1016/S0033-3549(04)50052-3
[15]  Kotelchuck, M. (1994) An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index. American Journal of Public Health, 84, 1414-1420. https://doi.org/10.2105/AJPH.84.9.1414
[16]  Fiscella, K. (1995) Does Prenatal Care Improve Birth Outcomes? A Critical Review. Obstetrics & Gynecology, 85, 468-479.
https://doi.org/10.1016/0029-7844(94)00408-6
[17]  Reichman, N.E., Corman, H., Noonan, K. and Schwartz-Soicher, O. (2010) Effects of Prenatal Care on Maternal Postpartum Behaviors. Review of Economics of the Household, 8, 171-197. https://doi.org/10.1007/s11150-009-9074-5
[18]  Gonthier, C., Estellat, C., Deneux-Tharaux, C., Blondel, B., Alfaiate, T., Schmitz, T. and Azria, E. (2017) Association between Maternal Social Deprivation and Prenatal Care Utilization: The PreCARE Cohort Study. BMC Pregnancy and Childbirth, 17, 126. https://doi.org/10.1186/s12884-017-1310-z
[19]  Byerley, B.M. and Haas, D.M. (2017) A Systematic Overview of the Literature Regarding Group Prenatal Care for High-Risk Pregnant Women. BMC Pregnancy and Childbirth, 17, 329. https://doi.org/10.1186/s12884-017-1522-2
[20]  Black, M., Schuler, M. and Nair, P. (1993) Prenatal Drug Exposure: Neurodevelopmental Outcome and Parenting Environment. Journal of Pediatric Psychology, 18, 605-620. http://www.ncbi.nlm.nih.gov/pubmed/7507525
https://doi.org/10.1093/jpepsy/18.5.605
[21]  Hsu, C.-T., Chen, C.-H., Lin, M.-C., Wang, T.-M. and Hsu, Y.-C. (2018) Post-Dis- charge Body Weight and Neurodevelopmental Outcomes among Very Low Birth Weight Infants in Taiwan: A Nationwide Cohort Study. PLoS ONE, 13, e0192574. https://doi.org/10.1371/journal.pone.0192574
[22]  Hall, K.K., Chang, A.B., Anderson, J., Arnold, D., Goyal, V., Dunbar, M., O’Grady, K.-A.F., et al. (2017) The Incidence and Short-Term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study. Frontiers in Pediatrics, 5, 228. https://doi.org/10.3389/fped.2017.00228
[23]  Schultz, E.S., Litonjua, A.A. and Melén, E. (2017) Effects of Long-Term Exposure to Traffic-Related Air Pollution on Lung Function in Children. Current Allergy and Asthma Reports, 17, 41. https://doi.org/10.1007/s11882-017-0709-y
[24]  Thompson, D.K., Kelly, C.E., Chen, J., Beare, R., Alexander, B., Seal, M.L., Cheong, J.L.Y., et al. (2018) Early Life Predictors of Brain Development at Term-Equivalent Age in Infants Born across the Gestational Age Spectrum. NeuroImage, 185, 813-824. https://doi.org/10.1016/j.neuroimage.2018.04.031
[25]  Rose, J., Vassar, R., Cahill-Rowley, K., Guzman, X.S., Stevenson, D.K. and Barnea-Goraly, N. (2014) Brain Microstructural Development at Near-Term Age in Very-Low-Birth-Weight Preterm Infants: An Atlas-Based Diffusion Imaging Study. NeuroImage, 86, 244-256. https://doi.org/10.1016/j.neuroimage.2013.09.053
[26]  Neuspiel, D.R. (1994) Behavior in Cocaine-Exposed Infants and Children: Association versus Causality. Drug and Alcohol Dependence, 36, 101-107.
https://doi.org/10.1016/0376-8716(94)90091-4
[27]  Aylward, G.P. (2002) Methodological Issues in Outcome Studies of at-Risk Infants. Journal of Pediatric Psychology, 27, 37-45. https://doi.org/10.1093/jpepsy/27.1.37
[28]  Cross-Barnet, C., Courtot, B., Hill, I., Benatar, S., Cheeks, M. and Markell, J. (2018) Facilitators and Barriers to Healthy Pregnancy Spacing among Medicaid Beneficiaries: Findings from the National Strong Start Initiative. Women’s Health Issues, 28, 152-157. https://doi.org/10.1016/j.whi.2017.12.004
[29]  Little, D.S. (2016) 2014 Infant Mortality Report. Data Management and Analysis Division, Center for Policy, Planning, and Evaluation. Department of Health, Government of the District of Columbia.
https://doh.dc.gov/sites/default/files/dc/sites/doh/
publication/attachments/IMR_2014_Edits_6.19.17.pdf

Full-Text


comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

微信:OALib Journal