ArticleJournal of perinatology : official journal of the California Perinatal Association2012
Quantifying risks of preterm birth in the Arkansas Medicaid population, 2001-2005.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Independent and joint contributions of inadequate antenatal care timing, contacts and content to adverse pregnancy outcomes.Annals of medicine · 2023Article
- Prevalence of preterm birth and risk factors associated with it at different gestational ages: A multicenter retrospective survey in China.Saudi medical journal · 2022Article
- Improving perinatal regionalization: 10 years of experience with an Arkansas initiative.Journal of perinatology : official journal of the California Perinatal Association · 2020Observational
- Deployment and Preterm Birth Among US Army Soldiers.American journal of epidemiology · 2018Article
- Factors associated with high-risk rural women giving birth in non-NICU hospital settings.Journal of perinatology : official journal of the California Perinatal Association · 2016Article
- Location of childbirth for rural women: implications for maternal levels of care.American journal of obstetrics and gynecology · 2016Article
- Prevalence of abnormal birth weight and related factors in Northern region, Ghana.BMC pregnancy and childbirth · 2015Article
- Area-level risk factors for adverse birth outcomes: trends in urban and rural settings.BMC pregnancy and childbirth · 2013Article
- Evolving trends in maternal fetal medicine referrals in a rural state using telemedicine.Archives of gynecology and obstetrics · 2012Article
- The association between parity, infant gender, higher level of paternal education and preterm birth in Pakistan: a cohort study.BMC pregnancy and childbirth · 2011Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe objective of this study was to examine risks of preterm births, quantify the explanatory power achieved by adding medical and obstetric risk factors to the models and to examine temporal changes in preterm birth due to changes in Medicaid eligibility and the establishment of a maternal-fetal medicine referral system. STUDY
designThe study used data from the 2001 to 2005-linked Arkansas (AR) Medicaid claims and birth certificates of preterm and term singleton deliveries (N=89 459). Logistic regression modeled the association among gestational age, demographic characteristics and risk factors, pooled and separately by year.
resultPhysiological risk factors were additive with demographic factors and explained more of the preterm birth ≤32 weeks than later preterm birth. Changing eligibility requirements for Medicaid recipients and increasing the financial threshold from 133 to 200% of federal poverty level had an impact on temporal changes. The proportion of births ≤32 weeks declined to 33%, from 3.0 to 2.0. However, later preterm births declined and then increased in the last year.
conclusionPhysiological conditions are strongly associated with early preterm birth. Maternal behaviors and other stressors are predictive of later preterm birth. Unmeasured effects of poverty continue to have a role in preterm birth. Further examination of the referral system is needed.
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