Infant and Maternal Risk Factors for Pertussis-Related Infant Mortality in the United States, 1999 to 2004

2009 ◽  
Vol 28 (3) ◽  
pp. 194-198 ◽  
Author(s):  
Dana L. Haberling ◽  
Robert C. Holman ◽  
Christopher D. Paddock ◽  
Trudy V. Murphy
2020 ◽  
Vol 29-30 ◽  
pp. 100657
Author(s):  
Eran Bornstein ◽  
Yael Eliner ◽  
Frank A. Chervenak ◽  
Amos Grünebaum

2016 ◽  
Vol 105 (6) ◽  
pp. e240-e246 ◽  
Author(s):  
Sara M. Seeman ◽  
Jason M. Mehal ◽  
Dana L. Haberling ◽  
Robert C. Holman ◽  
Barbara J. Stoll

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e4-e4
Author(s):  
Jennifer Smith ◽  
Astrid Guttmann ◽  
Alexander Kopp ◽  
Michelle Shouldice ◽  
Katie Harron

Abstract BACKGROUND A number of social risk factors are reported to increase infant mortality rates and child maltreatment. Public health programs attempt to mitigate risk factors and improve outcomes for infants. This study aimed to explore the association of exposure factors in mothers with infant mortality and maltreatment in Ontario. OBJECTIVES Objectives for this study included: 1. Describe prevalence of infant mortality and maltreatment in Ontario. 2. Explore how maternal risk factors influence infant mortality and maltreatment. DESIGN/METHODS This was a population-based study of 845, 567 infants born between April 1, 2005 and March 31, 2015 using administrative and healthcare databases available at the Institute of Clinical Evaluative Sciences (ICES). Maternal risk factors were selected based on public health home visiting referral criteria. These exposures included, maternal adversity (substance abuse, intimate partner violence, homelessness), newcomer status (new to Canada in past 3 years) and young maternal age (less than 22 years of age). The primary outcome measure was all-cause mortality of infants less than 12 months age. The secondary outcome measures were combined fatal and non-fatal child maltreatment outcomes and were defined using International Classification of Diseases for maltreatment diagnoses. Baseline characteristics and outcomes were described. The association between maternal risk factors and infant mortality and maltreatment was analysed using multivariable logistic modelling, including analysis by type of maternal risk factors and number of risk factors. RESULTS All-cause deaths were present in 0.14% and combined fatal and non-fatal maltreatment outcomes were present in 0.05% of the study population. Young maternal age increased the risk of all-cause mortality 2.4 times (n 171, OR 2.4, 95% CI 2.0–3.0) and maltreatment 6.3 times (n 292, OR 6.3, 95% CI 5.0–7.8). Mental health diagnosis increased the odds of maltreatment by 90% (n 209, OR 1.9, 95% CI 1.5–2.4). Adversity increased the odds of maltreatment by 63% (n 40, OR 1.63, 95% CI 1.0–2.6). The risk of maltreatment also increased as the number of risk factors increased with an OR of 3.5 (95% CI 2.9–4.4) with one risk factor, an OR of 8.2 (95% CI 5.9–11.4) with two risk factors, and an OR of 10.9 (95% CI 5.7 20.7) with three or more risk factors. Newcomer status was not associated with increased risk of maltreatment and mortality. Gestational age showed increasing ORs as prematurity increased. Material deprivation was included as a covariate and was associated with increased risk of maltreatment with increased level of deprivation. CONCLUSION Young maternal age carried the greatest risk of death and maltreatment in infants. There was also an increasing risk of infant mortality and maltreatment with increasing number of risk factors. These findings are important for ensuring public health interventions are targeting the most vulnerable populations with the aim of preventing maltreatment.


2012 ◽  
Vol 31 (7) ◽  
pp. 717-721 ◽  
Author(s):  
Jason M. Mehal ◽  
Douglas H. Esposito ◽  
Robert C. Holman ◽  
Jacqueline E. Tate ◽  
Laura S. Callinan ◽  
...  

2021 ◽  
pp. 9-14
Author(s):  
Ж.С. БЕГНИЯЗОВА ◽  
Б.Н. БИЩЕКОВА ◽  
Н.Ж. ДЖАРДЕМАЛИЕВА ◽  
А.М. МУХАМЕДОВА ◽  
Ф.А. АРИФОВА ◽  
...  

Статья посвящена одной из актуальных проблем современного акушерства на сегодняшний день - Covid-19.На сегодняшний день нет достаточного количества наблюдений за беременными женщинами, инфицированными Covid-19, однако некоторые наблюдения за инфицированными беременными в Китае, США, России позволяют сделать некоторые выводы. Таким образом, Covid-19 наиболее опасен во втором и третьем триместре с учетом нагрузок на разные системы организма. Ни в коем случае нельзя забывать и про факторы риска самой беременности. Чтобы не увеличивать процент материнской или младенческой смертности, не надо забывать о периоде, когда больная должна проходить скрининги. Все беременные независимо от коронавируса должны проходить обследования в четко установленные протоколом ведения беременности сроки. Своевременно сдавать анализы, проводить УЗИ, консультироваться у врача. Не пропускать сроков акушерского скрининга - это гарантия снижения акушерских и неонатальных осложнений. To date, there are not enough observations of pregnant women infected with COVID-19, however, some observations of infected pregnant women in China, the United States, Russia allow us to draw some conclusions. Thus, COVID-19 is most dangerous in the second and third trimester, taking into account the loads on different body systems. In no case should we forget about the risk factors of pregnancy itself. In order not to increase the percentage of maternal or infant mortality, one should not forget about the period when the patient should be screened. All pregnant women, regardless of the coronavirus, must undergo examinations within the periods clearly established by the pregnancy management protocol. Timely take tests, conduct an ultrasound scan, consult a doctor. Not missing the deadlines for obstetric screening is a guarantee of reducing obstetric and neonatal complications.


2022 ◽  
Vol 19 ◽  
Author(s):  
Meliha Salahuddin ◽  
Krystin J. Matthews ◽  
Nagla Elerian ◽  
David L. Lakey ◽  
Divya A. Patel

1995 ◽  
Vol 6 (5) ◽  
pp. 389-397 ◽  
Author(s):  
Kristina Paoff ◽  
Susan Preston-Martin ◽  
Wendy J. Mack ◽  
Kristine Monroe

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 236-241
Author(s):  
Tracey Sumits ◽  
Robert Bennett ◽  
Jeffrey Gould

Objective. To determine whether known maternal risk factors for low birth weight directly contribute to infant mortality among very low birth weight infants. Design. Retrospective population-based, case-control study. Setting. Four hospitals in the Oakland, California, area: one community, two private, one health maintenance organization. Participants. All live-born singleton very low birth weight (<1500 g) infants born to Oakland residents over a 3-year period. Cases were infants who died before their first birthday, identified by computerized linkage of birth and death certificates. For each case, a surviving control was selected to match for birth weight, sex, and race. Forty matched pairs were identified in total. Outcome Measures. Prevalence of maternal risk factors among cases versus controls. Results. After controlling for other factors known to influence either birth weight or infant mortality, maternal cocaine use (odds ratio [OR] = 5.43), prior infant death (OR = 27.14), and planned pregnancy (OR = 6.33) were significantly associated with the survival of very low birth weight infants. Conclusions. Some maternal risk factors for low birth weight confer a survival advantage to very low birth weight infants. Our data reveal that maternal cocaine use is independently associated with survival among this subset of infants. Prior research supports the observed relationship as well as the scientific plausibility of a cocaine-mediated survival advantage among premature infants. Our study also showed both planned pregnancy and prior infant death to be independently associated with infant survival among this subset of infants, sugesting that maternal behaviors may play a role in determining birth weight-specific mortality. These data should be systematically evaluated to better define their relationship to infant mortality.


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