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RISK FACTORS ASSOCIATED WITH PRETERM BIRTH IN THE UNITED STATES

Kaewluang, Napatsawan
http://rave.ohiolink.edu/etdc/view?acc_num=case1417796797

Abstract Details

2015, Doctor of Philosophy, Case Western Reserve University, Nursing.
The United States is one of three countries with the highest number of preterm births per year. Of 3, 953,591 infants born in 2011 in the United States, 11.72% were premature. The increasing incidence of preterm birth infants in the United States indicates that factors predicting preterm birth have not been sufficiently minimized or eliminated. One reason the factors may not have diminished could be a lack of identification of the risk factors and a lack of knowledge as to which factors make the greatest contribution to preterm birth.The purpose of a cross-sectional descriptive secondary analysis of the United States birth certificate data of 2011 was to determine how maternal and infant physiologic and socio-demographic risk factors contribute to preterm birth. The multiple regression analysis was to identify women who delivered infants with a gestational age < 37 weeks; women who gave birth with a gestational age < 32 weeks; women who gave birth with gestational age between 32 and 36 weeks; women who gave birth to male and female infants. Then, an analysis was conducted in which the two factors that were the strongest predictors, infant birth weight and pregnancy weight gain were omitted from analyses to statistically control for the two strongest predictors. The strongest risk factors that contributed to preterm birth in the United States in 2011 was infant birth weight. When infant birth weight and pregnancy weight gain were xv excluded from the analysis, the strongest risk factor was maternal race. The largest differences in predictive ability for preterm birth in <32 weeks GA vs 32-36 weeks GA subgroups was gestational hypertension. When infant birth weight and pregnancy weight gain were omitted from analyses, the largest difference in predictive ability for preterm birth in <32 weeks GA vs 32-36 weeks GA subgroups was cervical cerclage. For the males vs female subgroups, the largest difference in predictive ability for preterm birth were eclampsia. When infant birth weight and pregnancy weight gain were omitted from analyses, the largest differences in predictive ability for preterm birth was also eclampsia.
Susan Ludington (Advisor)
120 p.
Nursing
Preterm birth, United States birth certificate, Risk factors

Recommended Citations

Citations

  • Kaewluang, N. (2015). RISK FACTORS ASSOCIATED WITH PRETERM BIRTH IN THE UNITED STATES [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1417796797

    APA Style (7th edition)

  • Kaewluang, Napatsawan. RISK FACTORS ASSOCIATED WITH PRETERM BIRTH IN THE UNITED STATES . 2015. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1417796797.

    MLA Style (8th edition)

  • Kaewluang, Napatsawan. "RISK FACTORS ASSOCIATED WITH PRETERM BIRTH IN THE UNITED STATES ." Doctoral dissertation, Case Western Reserve University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1417796797

    Chicago Manual of Style (17th edition)

case1417796797
6,050
© 2015, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.