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Impact of maternal education on the outcome of newborns requiring surgery for congenital malformations

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  • Carmen Dingemann
  • Martin Sonne
  • Benno Ure
  • Bettina Bohnhorst
  • Constantin von Kaisenberg
  • Sabine Pirr

Abstract

Objective: Numerous studies established a link between socioeconomic status (SES) and several dimensions of general health. This study examines the association between maternal education as a widely used indicator of SES and outcome in newborns requiring surgical correction of congenital anomalies. Methods: Ambispective data analysis of newborns with esophageal atresia (EA), intestinal atresia (IA), congenital diaphragmatic hernia (CDH), omphalocele (OC), gastroschisis (GS) undergoing surgery between 01/2008-11/2017 accessing the clinical databases Neodat and Viewpoint. Maternal education was determined according to the validated education classification CASMIN and stratified into “low” SES and “high” SES group. Endpoints were incidence of postoperative complications, length of mechanical ventilation, and readmission to NICU. Results: Inclusion of 169 patients with EA (n = 32), IA (n = 24), CDH (n = 47), OC (n = 19), GS (n = 47). Women of low SES (n = 67, 40%) attended fewer prenatal screenings (total, 4.6 vs. 7.9, P

Suggested Citation

  • Carmen Dingemann & Martin Sonne & Benno Ure & Bettina Bohnhorst & Constantin von Kaisenberg & Sabine Pirr, 2019. "Impact of maternal education on the outcome of newborns requiring surgery for congenital malformations," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    • Handle: RePEc:plo:pone00:0214967
    DOI: 10.1371/journal.pone.0214967
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    References listed on IDEAS

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    1. Khoshnood, B. & Blondel, B. & De Vigan, C. & Bréart, G., 2004. "Socioeconomic Barriers to Informed Decisionmaking Regarding Maternal Serum Screening for Down Syndrome: Results of the French National Perinatal Survey of 1998," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 484-491.
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    Cited by:

    1. Bobonis, Gustavo J. & Stabile, Mark & Tovar, Leonardo, 2020. "Military training exercises, pollution, and their consequences for health," Journal of Health Economics, Elsevier, vol. 73(C).

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