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Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention

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  • Zimmer-Gembeck, Melanie J.
  • Helfand, Mark

Abstract

A retrospective, observational study of 3073 low income African American, Latina, and White women receiving comprehensive prenatal care at 26 provider sites was completed. The purpose of the study was to test three hypotheses. First, after adjustment for biomedical complications, the presence of maternal behavioral and psychosocial factors would be associated with an increased rate of low birthweight infants. Second, increased time spent in psychosocial services would negate the relationship between maternal psychosocial factors and low birthweight. Third, after adjusting for biomedical, behavioral, and psychosocial factors, rates of low birthweight would no longer differ by race. Maternal smoking (over five cigarettes per week), maternal low weight for height and/or weight gain, negative mood (depression, anxiety, and/or hostility) and rejection of the pregnancy were found to be related to an increased rate of low birthweight birth (

Suggested Citation

  • Zimmer-Gembeck, Melanie J. & Helfand, Mark, 1996. "Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention," Social Science & Medicine, Elsevier, vol. 43(2), pages 187-197, July.
    • Handle: RePEc:eee:socmed:v:43:y:1996:i:2:p:187-197
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    Cited by:

    1. Daniel Kim & Adrianna Saada, 2013. "The Social Determinants of Infant Mortality and Birth Outcomes in Western Developed Nations: A Cross-Country Systematic Review," IJERPH, MDPI, vol. 10(6), pages 1-40, June.

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