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9 - Prenatal Care, Delivery, and Birth Outcomes

Published online by Cambridge University Press:  15 July 2009

By
Paul H. Wise
Edited by
Neal Halfon ,
Kathryn Taaffe McLearn  and
Mark A. Schuster
Paul H. Wise
Affiliation:
Professor of Pediatrics Boston University School of Medicine and Boston Medical Center; Lecturer Harvard Medical School; Associate Department of Medicine, Children's Hospital, Boston, MA
Neal Halfon
Affiliation:
University of California, Los Angeles
Kathryn Taaffe McLearn
Affiliation:
Columbia University, New York
Mark A. Schuster
Affiliation:
University of California, Los Angeles
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Summary

Childbirth, throughout history, has been shaped by the dual influences of technical expertise and the societal commitment to the promise of life. Current patterns of childbirth in America have been deeply affected by unprecedented innovations in clinical capability to prevent and treat many of the most important traditional threats to the health of women and newborns during pregnancy, labor and delivery, and early infancy. Improvements in preconceptual screening, preventive nutritional supplementation, prenatal diagnosis and intervention, management of high-risk labor and delivery, treatment of critically ill newborns, and integration of preventive educational and social services into primary family health services have all contributed to major changes in both the nature and the risks of childbirth in the United States.

Yet the evolution of childbirth in America is not only a product of technical progress; it is also a reflection of changes in American society and family life. This chapter outlines some of the more important emerging patterns of service utilization and health outcomes related to childbirth in the United States, with a focus on how technical capabilities interact with social forces and how services and outcomes are actually distributed in an increasingly diverse and socially stratified population. Findings from the Commonwealth Fund Survey of Parents with Young Children are then discussed as they reflect on several important areas: prenatal care, attendance at childbirth classes, type of delivery, prematurity and low birthweight, and length of postpartum hospital stay. The chapter ends with a discussion of policy implications and other conclusions.

Type
Chapter
Information
Child Rearing in America
Challenges Facing Parents with Young Children
 , pp. 263 - 292
Publisher: Cambridge University Press
Print publication year: 2002

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References

Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9, 208–20Google Scholar
Alexander, G. R., & Kotelchuck, M. (1996). Quantifying the adequacy of prenatal care: a comparison of indices. Public Health Reports, 111, 408–18Google ScholarPubMed
Alexander, G. R., & Howell, E. (1997). Preventing preterm birth and increasing access to prenatal care: Two important but distinct national goals. American Journal of Preventive Medicine, 13, 290–1CrossRefGoogle ScholarPubMed
American College of Obstetricians and Gynecologists. (1993). Standards for Obstetric-Gynecologic Services, 7th ed. Washington, DC
Andersen, R. M., McCutcheon, A., Aday, L. A., Chiu, G. Y., & Bell, R. (1983). Exploring dimensions of access to medical care. Health Services Research, 18, 49–74Google ScholarPubMed
Anderson, R. N., Kochanek, K. D., & Murphy, S. L. (1998). Births and Deaths: US, July 1996-June 1997. Monthly Vital Statistics Report, 46, 44
Baldwin, L. M.Larson, E. H., Connell, F. A., Nordlund, D., Cain, K. C., Cawthon, M. L., Byrns, P., & Rosenblatt, R. A. (1998). The Effect of Expanding Medicaid Prenatal Services on Birth Outcomes. American Journal of Public Health, 88, 1623–1629CrossRefGoogle ScholarPubMed
Beardslee, W., Bemporad, J., Keller, M., & Klerman, G. L. (1983). Children of parents with major affective disorder: a review. American Journal of Psychiatry, 140, 825–31Google ScholarPubMed
Beardslee, W. (1989). Children of parents with affective disorders. Pediatrics Review, 10, 313–17CrossRefGoogle Scholar
Blair, P. S., Fleming, P. H., Bensley, D., Smith, I., Bacon, C., Taylor, E., Berry, J., Golding, J., & Tripp, J. (1996). Smoking and the sudden infant death syndrome: results from 1993–5 case-control study for confidential inquiry into stillbirths and deaths in infancy. BMJ, 313–6CrossRef
Braveman, P., Egerter, S., Peral, M., Marchi, K., & Miller, C. (1995). Early discharge of newborns and mothers: a critical review of the literature. Pediatrics, 96, 716–26Google ScholarPubMed
Braveman, P., Miller, C., Egerter, S., Bennet, T., English, P., Katz, P., & Showstack, J. (1996). Health service use among low-risk newborns after early discharge with and without nurse home visiting. Journal of the American Board of Family Practitioners, 9, 254–60Google ScholarPubMed
Brown, S. (1993). Prenatal Care: Reaching Mothers, Reaching Infants. Washington, DC: Institute of Medicine
Buescher, P. A., Roth, M. S., Williams, D., & Goforth, C. M. (1991). An evaluation of the impact of maternity care coordination on Medicaid birth outcomes in North Carolina. American Journal of Public Health, 81, 1625–9CrossRefGoogle ScholarPubMed
Carty, E. M., & Bradley, C. (1990). A randomized, controlled evaluation of early postpartum hospital discharge. Birth, 17, 199–206CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report, (1995). Ectopic pregnancy, United States, 1990–1992. 44(3), 46–8
Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report, (1996). Summary of notifiable diseases, United States. 45(53), 1–87
Chavkin, W., Breitbart, V., & Wise, P. H. (1995). Efforts to reduce perinatal mortality, HIV, and drug addiction: Survey of the states. Journal of the American Medical Women's Association, 50(5), 164–6Google ScholarPubMed
Chavkin, W. (1995). Prenatal care and women's health. Journal of the American Medical Women's Association, 50, 143–47Google ScholarPubMed
Chilmonczyk, B. A., Salmun, L. M., Megathlin, K. N., Neveux, L. M., Palomaki, G. E., Knight, G. J., Pulkkinen, A. J., & Haddow, J. E. (1993). Association between exposure to environmental tobacco smoke and exacerbations of asthma in children. New England Journal of Medicine, 328, 1665–69CrossRefGoogle ScholarPubMed
Cooper, E. R., Nugent, R. P., Diaz, C., Pitt, J., Hanson, C., Kalish, L. A., Mendez, H., Zorrilla, C., Hershow, R., Moye, J., Smeriglio, V., & Fowler, M. G. (1996). After AIDS clinical trial 076: The changing pattern of zidovudine use during pregnancy, and the subsequent reduction in the vertical transmission of human immunodeficiency virus in a cohort of infected women and their infants. Journal of Infectious Disease. 174, 1207–11CrossRefGoogle Scholar
Curry, M. A. (1989). Nonfinancial barriers to prenatal care. Women's Health, 15, 85–9CrossRefGoogle ScholarPubMed
Daniels, N. (1985). Just Health Care. Cambridge: Cambridge University Press
Downey, G., Coyne, J. C. (1990). Children of depressed parents: An integrated review. Psychological Bulletin, 108(1), 50–76CrossRefGoogle Scholar
Dyson, D. C., Danbe, K. H., Bamber, J. A., Crites, Y. M., Field, D. R., Maier, J. A., Newman, L. A., Ray, D. A., Walton, D. L., & Armstrong, M. A. (1998). Monitoring women at risk for preterm labor. New England Journal of Medicine, 338, 15–9CrossRefGoogle ScholarPubMed
Epstein, J. A., Botvin, G. J., Diaz, T., & Schinke, S. P. (1995). The role of social factors and individual characteristics in promoting alcohol use among inner-city minority youths. Journal of the Study of Alcohol, 56, 39–46CrossRefGoogle ScholarPubMed
Expert Panel on the Content of Prenatal Care. (1989). The Content of Prenatal Care. Washington, DC: Department of Health and Human Services
Ey, J. L., Holberg, C. J., Aldous, M. B., Wright, A. L., Martinez, F. D., & Taussig, L. M. 1995. Passive smoke exposure and otitis media in the first year of life. Pediatrics, 95, 670–677Google ScholarPubMed
Freed, G. L., Clark, S. J., Pathman, D. E., & Schectman, R. (1999). Influences on the receipt of well-child visits in the first two years of life. Pediatrics, 103, 864–9Google ScholarPubMed
Goldenberg, R. L., & Andrews, W. W. (1996). Intrauterine infection and why preterm prevention programs have failed. American Journal of Public Health, 86, 781–3CrossRefGoogle ScholarPubMed
Goldenberg, R. L., & Rouse, D. J. (1998). Prevention of premature birth. New England Journal of Medicine. 339, 313–20CrossRefGoogle ScholarPubMed
Goyert, G. L., Bottoms, S. F., Treadwell, M. C., & Nehra, P. C. (1989). The physician factor in cesarean birth rates. New England Journal of Medicine, 320, 706–9CrossRefGoogle ScholarPubMed
Guyer, B. (1990). Medicaid and prenatal care: necessary but not sufficient. JAMA, 264, 2264–5CrossRefGoogle Scholar
Haas, J. S., & Waszak, S. J. (1993). The effect of health coverage on use of cesarean section. JAMA, 270, 20–4CrossRefGoogle ScholarPubMed
Haas, J. S., Udvarhelyi, I. S., Morris, C. N., & Epstein, A. M. (1993). The effect of providing health coverage to poor uninsured pregnant women in Massachusetts. JAMA, 269, 87–91CrossRefGoogle ScholarPubMed
Hauth, J. C., Goldenberg, R. L., Andrews, W. W., DuBard, M. B., & Copper, R. L. (1995). Mid-trimester treatment with metronidazole plus erythromycin reduces preterm birth only in women with bacterial vaginosis. New England Journal of Medicine, 333, 1732–6CrossRefGoogle Scholar
Hillier, S. L., Nugent, R. P., Eschenach, D. A., Krohn, M. A., Gibbs, R. S., & Martin, D. H. (1995). Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. New England Journal of Medicine, 333, 1737–42CrossRefGoogle ScholarPubMed
Iams, J. (1998). Prevention of preterm birth. New England Journal of Medicine, 338, 54–6CrossRefGoogle ScholarPubMed
Kempe, A., Wise, P. H., Barkan, S. E., Sappenfield, W. M., Sachs, B., Gortmaker, S. L., Sobol, A. M., First, L. R., Pursley, D., & Rinehart, H. (1992). Clinical determinants of the racial disparity in very low birth weight birth. New England Journal of Medicine, 327, 969–73CrossRefGoogle Scholar
Kessner, D. (1972). Infant Mortality. New York, NY: Metropolitan Life
Kogan, M. D., Alexander, G. R., Kotelchuck, M., Nagey, D. A., & Jack, B. W. (1994). Comparing mothers' reports on the content of prenatal care received with recommended national guidelines for care. Public Health Reports, 109, 637–46Google Scholar
Kogan, M. D.Martin, J. A., Alexander, G. R., Kotelchuck, M., Ventura, S. J., & Frigoletto, F. D. (1998a). The changing pattern of prenatal care utilization in the United States, 1981–1995, using different prenatal care indices. JAMA, 279(20), 1623–8CrossRefGoogle Scholar
Kogan, M. D., Alexander, G. R., Jack, B. W., & Allen, M. C. (1998b). The association between adequacy of prenatal care utilization and subsequent pediatric care utilization in the United States. Pediatrics, 102, 25–30CrossRefGoogle Scholar
Kotelchuck, M. (1992). A new index of prenatal care. American Journal of Public Health, 122, 134–41Google Scholar
Lee, K. S., Perlman, L., Ballantyne, M., Elliot, I., & To, T. (1995). Association between duration of neonatal hospital stay and readmission rate. Journal of Pediatrics, 127, 758–66CrossRefGoogle ScholarPubMed
Mandl, K. D., Brennan, T. A., Wise, P. H., Tronick, E. Z., & Homer, C. J. (1998). Maternal and infant health: effects of moderate reductions in postpartum length of stay. Archives of Pediatrics and Adolescent Medicine, 152, 411–15Google Scholar
Margolis, L. H., Kotch, J., & Lacey, J. H. (1986). Children in alcohol-related motor vehicle crashes. Pediatrics, 77, 870–2Google ScholarPubMed
Margolis, L. H., Kotelchuck, M., & Chang, H. Y. (1997). Factors associated with early maternal postpartum discharge from the hospital. Archives of Pediatric and Adolescent Medicine, 151, 466–72CrossRefGoogle ScholarPubMed
McGauhey, P. J., & Starfield, B. (1993). Child health and the social environment of white and black children. Social Science and Medicine, 36, 867–74CrossRefGoogle ScholarPubMed
Meckel, R. A. (1990). Save the Babies: American Public Health Reform and the Prevention of Infant Mortality 1850–1929. Ann Arbor, MI: University of Michigan Press
Mercer, B. M., Goldenberg, R. L., Das, A., Moawad, A. H., Iams, J. D., Meis, P. J., Copper, R. L., Johnson, F., Thom, E., McNellis, D., Miodovnik, M., Menard, M. K., Caritis, S. N., Thurnau, G. R., Bottoms, S. F., & Roberts, J. 1996. The preterm prediction study: a clinical risk assessment system. American Journal of Obstetrics and Gynecology, 174, 1885–95CrossRefGoogle ScholarPubMed
Misra, D. P., & Guyer, B. (1998). Benefits and limitations of prenatal measuring content. JAMA, 279(20), 1661–1662CrossRefGoogle ScholarPubMed
National Center for Health Statistics. (1995). Annual Report of Vital Statistics of the United States. Hyattsville, MD: Public Health Service
National Center for Health Statistics. (1996). Health, United States, 1995. Hyattsville, MD. Public Health Service. Table 71
National Commission to Prevent Infant Mortality. (1988). Death Before Life: The Tragedy of Infant Mortality. Washington, DC: Government Printing Office
Overpeck, M. D., Hoffman, H. J., & Prager, K. (1992). The Lowest Birth-Weight Infants and the US Infant Mortality Rate: NCHS 1983 Linked Birth/Infant Death Data. American Journal of Public Health, 82(3), 441–443CrossRefGoogle ScholarPubMed
Piper, J. M., Mitchel, E. F., & Ray, W. A. (1994). Expanded Medicaid coverage for pregnant women to 100 percent of the federal poverty level. American Journal of Preventive Medicine, 10, 97–102CrossRefGoogle ScholarPubMed
Ray, W. A., Mitchel, E. F., & Piper, J. M. (1997). Effect of Medicaid expansions on preterm birth. American Journal of Preventive Medicine, 13, 292–7CrossRefGoogle ScholarPubMed
Ray, W. A., Gigante, J., Mitchel, E. F., Edward, F., & Hickson, G. B. (1998). Perinatal Outcomes Following Implementation of TennCare. JAMA, 279, 314–16CrossRefGoogle ScholarPubMed
Sallis, J. F., Alcarez, J. E., McKenzie, T. L., Hovell, M. F., Kolody, B., & Nader, P. R. (1992). Parental behavior in relation to physical activity and fitness in 9-year-old children. American Journal of Disease in Childhood, 146, 1383–7Google ScholarPubMed
Sanderson, M., & Gonzalez, J. F. (1998). 1988 National Maternal and Infant Health Survey: methods and response characteristics. Vital and Health Statistics–Series 2: Data Evaluation and Methods Research, 125, 1–39Google Scholar
Seaman, S. (1997). Putting the brakes on drive-through deliveries. Journal of Contemporary Health, Law and Policy, 12, 497–521Google Scholar
Seidman, D. S., Stevenson, D. K., Ergaz, Z., & Gale, R. (1995). Hospital readmission due to neonatal hyperbilirubinemia. Pediatrics, 96, 727–9Google ScholarPubMed
Soskolne, E. I., Schumacher, R., Fyock, C., Young, M. L., & Schork, A. (1996). The effect of early discharge and other factors on readmission rates of newborns. Archives of Pediatrics and Adolescent Medicine, 150, 373–79CrossRefGoogle ScholarPubMed
Stafford, R. S. (1991). The impact of nonclinical factors on repeat cesarean section. JAMA, 265, 59–63CrossRefGoogle ScholarPubMed
Taffel, S. M., Placek, P. H., & Moien, M. (1990). 1988 U.S. cesarean-section rate at 24.7 per 100 births: a plateau? New England Journal of Medicine, 323, 199–200Google ScholarPubMed
Walters, V. (1993). Stress, anxiety and depression: women's accounts of their health problems. Social Science and Medicine, 36, 393–402CrossRefGoogle ScholarPubMed
Weissman, J. S., & Epstein, A. M. (1996). A framework for thinking about insurance status and access to care. In Weissman, J. S., & A. M. Epstein, (eds.), Falling Through the Safety Net. Baltimore, MD: Johns Hopkins Univeristy Press
Wise, P. H. (1993). Confronting racial disparities in infant mortality: reconciling science and politics. American Journal of Preventive Medicine, 9(suppl), 7–16CrossRefGoogle ScholarPubMed
Wise, P. H. (1999). Efficacy and justice: The importance of medical research and tertiary care to social disparities in infant mortality. Journal of Perinatology, 19(6 pt. 2), S24–27CrossRefGoogle ScholarPubMed
Wise, P. H., Wampler, N., & Barfield, W. (1995). The importance of extreme prematurity and low birthweight to US neonatal mortality patterns: implications for prenatal care and women's health. Journal of the American Medical Women's Association, 50, 152–55Google ScholarPubMed
Zuckerman, B. S., & Beardslee, W. R. (1987). Maternal depression: A concern for pediatricians. Pediatrics, 79, 110–17Google ScholarPubMed

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  • Prenatal Care, Delivery, and Birth Outcomes
    • By Paul H. Wise, Professor of Pediatrics Boston University School of Medicine and Boston Medical Center; Lecturer Harvard Medical School; Associate Department of Medicine, Children's Hospital, Boston, MA
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.009
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  • Prenatal Care, Delivery, and Birth Outcomes
    • By Paul H. Wise, Professor of Pediatrics Boston University School of Medicine and Boston Medical Center; Lecturer Harvard Medical School; Associate Department of Medicine, Children's Hospital, Boston, MA
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.009
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Prenatal Care, Delivery, and Birth Outcomes
    • By Paul H. Wise, Professor of Pediatrics Boston University School of Medicine and Boston Medical Center; Lecturer Harvard Medical School; Associate Department of Medicine, Children's Hospital, Boston, MA
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.009
Available formats
×