2.50
Hdl Handle:
http://hdl.handle.net/10755/163223
Category:
Abstract
Type:
Presentation
Title:
Examining Pregnancy-Associated Injuries to Inform Prevention Strategies
Author(s):
Nannini, Angela; Lazar, Jane; Berg, Cynthia; Tomashek, Kay; Barger, Mary; Barfield, Wanda; Kotelchuck, Milton; Cabral, Howard
Author Details:
Angela Nannini, NP, PhD, Assistant Professor, Bouve College of Health Sciences, School of Nursing, Boston, Massachusetts, USA, email: a.nannini@neu.edu; Jane Lazar, RN, MPH; Cynthia Berg, MD, MPH; Kay Tomashek, MD, MPH; Mary Barger, CNM, MPH; Wanda Barfield, MD, MPH; Milton Kotelchuck, PhD, MPH; Howard Cabral, PhD, MPH
Abstract:
Purpose: To inform prevention strategies we completed the following objectives: 1) Report population-based incidence of injuries during pregnancy and the first year post partum; 2) Describe the distribution of pregnancy-associated injuries by intentionality and mechanism and; 3) Examine the distribution of injuries during each trimester in the prenatal and postpartum periods. Theoretical Framework: A life course health development model (Lu and Halfon, 2003) suggesting that different health trajectories are the product of cumulative risk and protective factors during critical periods was utilized. Methods (Design, Sample, Setting, Measures, Analysis): This retrospective cohort study used longitudinally linked birth/infant/fetal death certificates, maternal hospital inpatient, outpatient observational stay, and emergency visit discharge data for all MA resident women with a live birth or fetal death between 4/1 and 6/30 2002 and full antenatal and one year postpartum data (N= 21, 538). Pregnancy associated injury morbidity was based on non-delivery inpatient, observational and emergency visit utilization identified with an injury discharge diagnosis (ICD-9-CM codes 800-999.99 with exclusions of medical or late effect injuries noted by Weiss, 1999). Rates of pregnancy-associated injuries overall, and by intentionality, and "trimester" were calculated. Descriptive analyses of mechanisms, timing and type of visit were performed. Results: One in seven women had an injury visit during the pregnancy-associated period yielding a rate of 18,500 injury visits per 100,000 live births or fetal deaths. Unintentional and intentional injuries were 91% and 6% of injury visits respectively. Motor vehicle collisions accounted for 28.5% of injuries. The last 3 months of the first year postpartum had the highest proportion of injuries (16.7%). Conclusions and Implications: This first population based study of pregnancy-associated injuries found a high incidence with new information about intentionality, mechanisms and timing. These findings highlight the need for more comprehensive injury prevention strategies to be utilized by multidisciplinary providers of women in coordination with injury prevention specialists.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleExamining Pregnancy-Associated Injuries to Inform Prevention Strategiesen_GB
dc.contributor.authorNannini, Angelaen_US
dc.contributor.authorLazar, Janeen_US
dc.contributor.authorBerg, Cynthiaen_US
dc.contributor.authorTomashek, Kayen_US
dc.contributor.authorBarger, Maryen_US
dc.contributor.authorBarfield, Wandaen_US
dc.contributor.authorKotelchuck, Miltonen_US
dc.contributor.authorCabral, Howarden_US
dc.author.detailsAngela Nannini, NP, PhD, Assistant Professor, Bouve College of Health Sciences, School of Nursing, Boston, Massachusetts, USA, email: a.nannini@neu.edu; Jane Lazar, RN, MPH; Cynthia Berg, MD, MPH; Kay Tomashek, MD, MPH; Mary Barger, CNM, MPH; Wanda Barfield, MD, MPH; Milton Kotelchuck, PhD, MPH; Howard Cabral, PhD, MPHen_US
dc.identifier.urihttp://hdl.handle.net/10755/163223-
dc.description.abstractPurpose: To inform prevention strategies we completed the following objectives: 1) Report population-based incidence of injuries during pregnancy and the first year post partum; 2) Describe the distribution of pregnancy-associated injuries by intentionality and mechanism and; 3) Examine the distribution of injuries during each trimester in the prenatal and postpartum periods. Theoretical Framework: A life course health development model (Lu and Halfon, 2003) suggesting that different health trajectories are the product of cumulative risk and protective factors during critical periods was utilized. Methods (Design, Sample, Setting, Measures, Analysis): This retrospective cohort study used longitudinally linked birth/infant/fetal death certificates, maternal hospital inpatient, outpatient observational stay, and emergency visit discharge data for all MA resident women with a live birth or fetal death between 4/1 and 6/30 2002 and full antenatal and one year postpartum data (N= 21, 538). Pregnancy associated injury morbidity was based on non-delivery inpatient, observational and emergency visit utilization identified with an injury discharge diagnosis (ICD-9-CM codes 800-999.99 with exclusions of medical or late effect injuries noted by Weiss, 1999). Rates of pregnancy-associated injuries overall, and by intentionality, and "trimester" were calculated. Descriptive analyses of mechanisms, timing and type of visit were performed. Results: One in seven women had an injury visit during the pregnancy-associated period yielding a rate of 18,500 injury visits per 100,000 live births or fetal deaths. Unintentional and intentional injuries were 91% and 6% of injury visits respectively. Motor vehicle collisions accounted for 28.5% of injuries. The last 3 months of the first year postpartum had the highest proportion of injuries (16.7%). Conclusions and Implications: This first population based study of pregnancy-associated injuries found a high incidence with new information about intentionality, mechanisms and timing. These findings highlight the need for more comprehensive injury prevention strategies to be utilized by multidisciplinary providers of women in coordination with injury prevention specialists.en_GB
dc.date.available2011-10-27T11:03:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:03:36Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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