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61.
Alexander MR Salihu HM Rouse DJ 《American journal of obstetrics and gynecology》2004,191(6):1331-2102
OBJECTIVE: The purposes of this study were to assess survival among triplets who are born to teen mothers and to determine whether fetal number influences the mortality rates of the offspring of teen mothers when compared with the offspring of older women. STUDY DESIGN: A retrospective cohort study of 354 triplet births to teenage mothers and 6858 to young mature mothers (20-29 years) who were delivered from 1995 through 1998. We compared the occurrence of stillbirth and neonatal and infant mortality rates between the 2 categories by means of the generalized estimating equation. Similar analyses were conducted for singleton pregnancies and twin pregnancies. RESULTS: Triplets of teenage mothers experienced a higher level of stillbirth (odds ratio, 3.24; 95% CI, 1.44-7.24), neonatal mortality (odds ratio, 2.00; 95% CI, 1.11-3.61), and infant death (odds ratio, 1.66; 95% CI, 1.01-2.87). Moreover, as the plurality increased from singleton infant to triplet, the offspring of teenagers fared progressively worse ( P < .0001). CONCLUSION: This study confirms the association between teenage motherhood and feto-infant death and indicates that this mortality relationship varies in a dose-dependent fashion. 相似文献
62.
63.
A retrospective investigation was conducted to describe clinical features and birth outcomes among babies with prune belly syndrome detected ante-natally and at birth at the University Teaching Hospital in Cameroon. A total of 11 cases were identified over a period of 13 years, and the majority of affected fetuses were male (10 of 11). Most of the mothers were less than 30 years of age, had singleton pregnancies, and about two-thirds were complicated by placenta praevia, genital infections, preeclampsia, and anaemia associated with hookworm infestations. The most prominent findings related to prune belly syndrome among our patients were clubfoot (45%), pulmonary hypoplasia (27%), Potter facies (27%), imperforate anus (27%), and arthrogryposis (18%). About two-thirds of the affected pregnancies did not reach the age of viability either due to voluntary termination (three of seven cases) or spontaneous abortion (four of seven cases). Of the remaining four viable pregnancies, two cases each of stillbirth and neonatal death were recorded. Among pregnancies that were not voluntarily terminated (n = 8), multiple concomitant anomalies and bilateral renal lesions were apparently the cause of fetal/infant death in the majority of cases (75%). In conclusion, Cameroonian babies with prune belly syndrome presented with clinical features that were comparable to those observed in developed nations. 相似文献
64.
Kristensen S Salihu HM Keith LG Kirby RS Fowler KB Pass MA 《Early human development》2007,83(2):99-105
OBJECTIVES: To determine whether early mortality (first year of life) risks among small for gestational age (SGA) neonates were similar regardless of SGA subtype based on three chronological classifications (term, preterm and post-term). STUDY DESIGN: Retrospective cohort study on all singleton live births in the United States from 1995 to 1999 inclusive. Adjusted risk estimates were computed from logistic regression models using non-SGA infants as the referent. RESULTS: When SGA infants were compared as a homogeneous entity to non-SGA infants, the risks for infant, neonatal and post-neonatal mortality were significantly greater in SGA infants [AOR (adjusted odds ratio)=3.0, 95% CI (confidence interval)=2.9-3.0 for infant mortality; AOR=3.2, 95% CI=3.1-3.2 for neonatal mortality; and AOR=2.6, 95% CI=2.6-2.7 for post-neonatal mortality]. However, heterogeneity existed in terms of mortality risk thresholds across SGA babies. The most remarkable risk magnitude was observed among preterm SGA infants [infant mortality AOR=13.8, 95% CI=13.6-14.1; neonatal death AOR=17.4, 95% CI=17.0-17.7; and post-neonatal death AOR=7.4, 95% CI=7.1-7.6]. The adjusted odds ratio for term and post-term SGA infants were comparable regardless of the period during infancy, and were much less than those observed for preterm SGA infants. CONCLUSIONS: SGA is a heterogeneous disease in terms of prognosis for survival. Preterm SGA infants bear an extremely high risk for mortality during infancy, and counseling of affected parents should reflect this risk divergence. 相似文献
65.
Yusuf Korede K. Dongarwar Deepa Maiyegun Sitratullah O. Ikedionwu Chioma Ibrahimi Sahra Salihu Hamisu M. 《Journal of immigrant and minority health / Center for Minority Public Health》2021,23(6):1198-1205
Journal of Immigrant and Minority Health - To examine the effect of maternal age on the risk of preterm birth and its phenotypes in foreign-born compared to native-born mothers. The 2014–2017... 相似文献
66.
Hamisu M. Salihu Euna M. August Alfred K. Mbah Amina P. Alio Estrellita Lo Berry Muktar H. Aliyu 《Maternal and child health journal》2014,18(9):2054-2060
The absence of fathers during pregnancy increases the risk of feto-infant morbidities, including low birth weight (LBW), preterm birth (PTB), and small-for-gestational age. Previous research has shown that the Central Hillsborough Healthy Start project (CHHS)—a federally funded initiative in Tampa, Florida—has improved birth outcomes. This study explores the effectiveness of the CHHS project in ameliorating the adverse effects of fathers’ absence during pregnancy. This retrospective cohort study used CHHS records linked to vital statistics and hospital discharge data (1998–2007). The study population consisted of women who had a singleton birth with an absent father during pregnancy. Women were categorized based on residence in the CHHS service area. Propensity score matching was used to match cases (CHHS) to controls (rest of Florida). Conditional logistic regression was employed to generate odds ratios (OR) and 95 % confidence intervals (CI) for matched observations. Women residing in the CHHS service area were more likely to be high school graduates, black, younger (<35 years), and to have adequate prenatal care compared to controls (p < 0.01). These differences disappeared after propensity score matching. Mothers with absent fathers in the CHHS service area had a reduced likelihood of LBW (OR 0.76, 95 % CI 0.65–0.89), PTB (OR 0.72, 95 % CI 0.62–0.84), very low birth weight (OR 0.50, 95 % CI 0.35–0.72) and very preterm birth (OR 0.48, 95 % CI 0.34–0.69) compared to their counterparts in the rest of the state. This study demonstrates that a Federal Healthy Start project contributed to a significant reduction in adverse fetal birth outcomes in families with absent fathers. 相似文献
67.
Sohyun Park William M. Sappenfield Connie Bish Hamisu Salihu David Goodman Diana M. Bensyl 《Maternal and child health journal》2011,15(3):289-301
We investigated the association between 2009 IOM recommendations and adverse infant outcomes by maternal prepregnancy body
mass index (BMI). Birth outcomes for 570,672 women aged 18–40 years with a singleton full-term live-birth were assessed using
2004–2007 Florida live-birth certificates. Outcomes included large-for-gestational-age (LGA) and small-for-gestational-age
(SGA). Associations between gestational weight change and outcomes were assessed for 10 BMI groups by calculating proportions,
and logistic regression modeling was used to produce adjusted odds ratios (aORs) to account for the effect of confounders.
We created comparison categories below and above recommendations using 2009 IOM recommendations as a reference. Of importance,
41.6% of women began pregnancy as overweight and obese and 51.2% gained weight excessively during pregnancy on the basis of
2009 IOM recommendations. Proportions of LGA were higher among obese women and increased with higher weight gain. Compared
with recommended weight gain, aORs for LGA were lower with less than recommended gain (aOR range: 0.27–0.77) and higher with
more than recommended gain (aOR range: 1.27–5.99). However, SGA was less prevalent among obese women, and the proportion of
SGA by BMI was similar with higher weight gain. Gain less than recommended was associated with increased odds of SGA (aOR
range: 1.11–2.97), and gain greater than recommended was associated with decreased odds of SGA (aOR range: 0.38–0.83). Gestational
weight gain influenced the risk for LGA and SGA in opposite directions. Minimal weight gain or weight loss lowered risk for
LGA among obese women. Compared with 1990 IOM recommendations, 2009 recommendations include weight gain ranges that are associated
with lower risk of LGA and higher risk of SGA. Awareness of these tradeoffs may assist with clinical implementation of the
2009 IOM gestational weight gain recommendations. However, our results did not consider other maternal and infant outcomes
related to gestational weight gain; therefore, the findings should be interpreted with caution. 相似文献
68.
H M Salihu M H Aliyu R Ratard B J Pierre-Louis 《The international journal of tuberculosis and lung disease》2003,7(11):1070-1076
OBJECTIVE: To determine predictors of sputum culture conversion among patients undergoing treatment for pulmonary tuberculosis. DESIGN: Cohort study based on data collected through the expanded tuberculosis control program in the State of North Carolina, USA. Survival analysis using Kaplan-Meier product-limit estimator and Cox proportional hazards models was employed to compute estimates for time to sputum conversion and rate ratios, respectively. RESULTS: Sputum conversion was reported in 1144 of 1735 cases (66%). Documented conversion rose significantly from 52.9% at baseline to a peak of 95.1% by the end of the study, representing a 5.1% annual increase in the proportion of patients with reported conversion (P = 0.007). Patients co-infected with the human immunodeficiency virus (HIV) had a 46% lower rate of sputum conversion than non-HIV-infected TB patients (adjusted hazard ratio [HR] 0.54, 95%CI 0.44-0.67). Other significant predictors of reported conversion rates included directly observed therapy (DOT) (P = 0.02), the number of drugs used in the therapy regimen (P = 0.001), and non-injectable drug use (P = 0.012). CONCLUSION: The rate of reported sputum culture conversion in TB patients was low, consistent with an earlier population-based report. The symbiotic relationship between HIV and mycobacterial infection might be a factor that compromised response to therapy in coinfected individuals. 相似文献
69.
Mulubrhan F. Mogos Jason L. Salemi Mary Ashley Valerie E. Whiteman Hamisu M. Salihu 《The journal of maternal-fetal & neonatal medicine》2016,29(7):1077-1082
Objective: To describe the prevalence, trends, adverse maternal-fetal morbidities and healthcare costs associated with placenta accreta (PA) in the United States (US) between 1998 and 2011.Methods: A retrospective, cross-sectional analysis of inpatient hospital discharges was conducted using the National Inpatient Sample (NIS). We used International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes to identify both cases of PA and of selected comorbidities. Survey logistic regression was used to assess the association between PA and various maternal–fetal outcomes. Joinpoint regression modeling was used to estimate annual percent changes (APCs) in PA prevalence during the study period.Results: The prevalence of PA from 1998 to 2011 was 3.7 per 1000 delivery-related discharges. After adjusting for known or suspected confounders, PA conferred between a 20% to over a 19-fold increased odds of experiencing an adverse outcome. This resulted in a higher mean, per-hospitalization, cost of inpatient care after adjustment for inflation ($5561 versus $4989), translating into over $115 million dollars in additional inpatient expenditures relative to non-PA affected deliveries from 2001 to 2011.Conclusions: This study updates recent trends in the prevalence of PA, which is valuable to clinicians and policymakers as they formulate targeted strategies to address factors related to PA. 相似文献
70.
ABSTRACTObjective: To explore cultural-contextual factors that impact the high rate of Hispanic/Latina teen pregnancy in Oklahoma from the perspective of providers and parents. Methods: Community Based Participatory Research at the Latino Community Development Agency in Oklahoma City; focus groups and in-depth interviews; 33 service providers and 14 Hispanic/Latino parents. Results: (a) The value of respect among Hispanic/Latino families is a risk factor for unplanned teen pregnancy. (b) Contextual aspects (i.e. local ideology, Mexican media, underfunded schools, permissive law enforcement in bars, lack of bilingual providers) place Hispanic/Latina female adolescents at greater risk of unplanned pregnancy. (c) Gender roles perpetuate inequality and deepen Hispanic/Latina females’ vulnerability to unplanned pregnancy. Conclusions: In addition to currently implemented communication tools and parenting skills to talk with adolescents about sexual health topics, interventions need to consider preferences that may be rooted in cultural aspects that could hinder the application of learned skills. 相似文献