ArticleMaternal and child health journal2015
Predicting Preterm Birth Among Women Screened by North Carolina's Pregnancy Medical Home Program.
Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Associations between food insecurity in high-income countries and pregnancy outcomes: A systematic review and meta-analysis.PLoS medicine · 2024Pooled it
- Housing instability and adverse perinatal outcomes: a systematic review.American journal of obstetrics & gynecology MFM · 2021Pooled it
- Impact of Chronic Hypertension and Antihypertensive Treatment on Adverse Perinatal Outcomes: Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2021Pooled it
- Low birthweight in second children after nurse home visiting.Journal of perinatology : official journal of the California Perinatal Association · 2018Trial
- Article
- Food insecurity during pregnancy and associated perinatal outcomes: a scoping review.Epidemiologic reviews · 2025Article
- Characterizing intersecting social determinants of health during pregnancy: a descriptive cross-sectional analysis from a northern New England health system.Frontiers in medicine · 2025Article
- A Scoping Review of Preterm Birth Risk Factors.American journal of perinatology · 2024Article
- A Framework for Neonatal Prematurity Information System Development Based on a Systematic Review on Current Registries: An Original Research.Journal of biomedical physics & engineering · 2024Article
- Associations between food insecurity and child and parental physical, nutritional, psychosocial and economic well-being globally during the first 1000 days: A scoping review.Maternal & child nutrition · 2024Article
- Dense phenotyping from electronic health records enables machine learning-based prediction of preterm birth.BMC medicine · 2022Article
- Neonatal Outcomes of Mothers With a Disability.Pediatrics · 2022Article
- Data-driven risk stratification for preterm birth in Brazil: a population-based study to develop of a machine learning risk assessment approach.Lancet regional health. Americas · 2021Article
- Maternal Food Insecurity is Positively Associated with Postpartum Mental Disorders in Ontario, Canada.The Journal of nutrition · 2020Article
- Food insecurity as a risk factor for preterm birth: a prospective facility-based cohort study in rural Haiti.BMJ global health · 2020Article
- Short interpregnancy interval as a risk factor for preterm birth in non-Hispanic Black and White women in California.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Article
- The Role of Extremes in Interpregnancy Interval in Women at Increased Risk for Adverse Obstetric Outcomes Due to Health Disparities: A Literature Review.Current women's health reviews · 2018Review
- Spontaneous and indicated preterm delivery risk is increased among overweight and obese women without prepregnancy chronic disease.BJOG : an international journal of obstetrics and gynaecology · 2017Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo determine which combination of risk factors from Community Care of North Carolina's (CCNC) Pregnancy Medical Home (PMH) risk screening form was most predictive of preterm birth (PTB) by parity and race/ethnicity.
methodsThis retrospective cohort included pregnant Medicaid patients screened by the PMH program before 24 weeks gestation who delivered a live birth in North Carolina between September 2011-September 2012 (N = 15,428). Data came from CCNC's Case Management Information System, Medicaid claims, and birth certificates. Logistic regression with backward stepwise elimination was used to arrive at the final models. To internally validate the predictive model, we used bootstrapping techniques.
resultsThe prevalence of PTB was 11 %. Multifetal gestation, a previous PTB, cervical insufficiency, diabetes, renal disease, and hypertension were the strongest risk factors with odds ratios ranging from 2.34 to 10.78. Non-Hispanic black race, underweight, smoking during pregnancy, asthma, other chronic conditions, nulliparity, and a history of a low birth weight infant or fetal death/second trimester loss were additional predictors in the final predictive model. About half of the risk factors prioritized by the PMH program remained in our final model (ROC = 0.66). The odds of PTB associated with food insecurity and obesity differed by parity. The influence of unsafe or unstable housing and short interpregnancy interval on PTB differed by race/ethnicity.
conclusionsEvaluation of the PMH risk screen provides insight to ensure women at highest risk are prioritized for care management. Using multiple data sources, salient risk factors for PTB were identified, allowing for better-targeted approaches for PTB prevention.
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