Preterm Birth and Continuation of Child's Follow-Up Care After Hospital Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/303845
Category:
Full-text
Type:
Presentation
Title:
Preterm Birth and Continuation of Child's Follow-Up Care After Hospital Discharge
Author(s):
Ayoola, Adejoke B.; Schipper, Anna
Lead Author STTI Affiliation:
Kappa Epsilon
Author Details:
Adejoke B. Ayoola, PhD, RN, aba3@calvin.edu; Anna Schipper, RN, BSN;
Abstract:

Session presented on:Wednesday, July 24, 2013

Purpose: The complications of preterm birth is enormous on the child such that non-use or inadequate use of recommended follow-up during the immediate first year of life could worsen the long term consequences of prematurity on the babies. This study examined the factors that influenced continued use of child's follow-up care namely attending a well-baby checkup within 2-6 months after NICU discharge among women with preterm babies.

Methods: This is a secondary analysis of the Pregnancy Risk Assessment and Monitoring System (PRAMS) multi-state data for United States from 2004-2008. The PRAMS program entails cross-sectional surveys, addressing maternal behaviors and experiences that occur before, during, and shortly after pregnancy among U.S. women of childbearing age. The analysis involved weighting of complex survey data using STATA 10.1 software. Statistical analyses involved bivariate and multiple logistic regression analyses.

Results: The total sample size for this analysis was 44,310 women who had babies admitted into NICU. About 73% of these women had preterm births. From bivariate analysis, marital status, and parity had significant relationship with attendance at well baby check up (p<0.01). 58% were married, Having a preterm birth was significantly associated with lower odds of not having a well-baby check up post discharge from NICU (OR=0.31, 99% CI: 0.12-0.8), maternal age of 25-29 years was also significantly associated with higher odds of not having a well-baby check up (OR=46.3, 99% CI: 8.1-266.4),

Conclusion: Relatively young maternal age between 25 and 29 years could predispose women to inadequate maternal attendance at well baby check up post discharge from a NICU. Women within this age group may benefit from additional support.

Keywords:
Preterm birth; Well-baby checkup; Health Promotion
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePreterm Birth and Continuation of Child's Follow-Up Care After Hospital Dischargeen
dc.contributor.authorAyoola, Adejoke B.en
dc.contributor.authorSchipper, Annaen
dc.contributor.departmentKappa Epsilonen
dc.author.detailsAdejoke B. Ayoola, PhD, RN, aba3@calvin.edu; Anna Schipper, RN, BSN;en
dc.identifier.urihttp://hdl.handle.net/10755/303845-
dc.description.abstract<p>Session presented on:Wednesday, July 24, 2013</p><b><b>Purpose: </b> </b>The complications of preterm birth is enormous on the child such that non-use or inadequate use of recommended follow-up during the immediate first year of life could worsen the long term consequences of prematurity on the babies. This study examined the factors that influenced continued use of child's follow-up care namely attending a well-baby checkup within 2-6 months after NICU discharge among women with preterm babies.<b></b><p><b><b>Methods: </b> </b>This is a secondary analysis of the Pregnancy Risk Assessment and Monitoring System (PRAMS) multi-state data for United States from 2004-2008. The PRAMS program entails cross-sectional surveys, addressing maternal behaviors and experiences that occur before, during, and shortly after pregnancy among U.S. women of childbearing age. The analysis involved weighting of complex survey data using STATA 10.1 software. Statistical analyses involved bivariate and multiple logistic regression analyses. <p><b><b>Results: </b> </b>The total sample size for this analysis was 44,310 women who had babies admitted into NICU. About 73% of these women had preterm births. From bivariate analysis, marital status, and parity had significant relationship with attendance at well baby check up (p<0.01). 58% were married, Having a preterm birth was significantly associated with lower odds of not having a well-baby check up post discharge from NICU (OR=0.31, 99% CI: 0.12-0.8), maternal age of 25-29 years was also significantly associated with higher odds of not having a well-baby check up (OR=46.3, 99% CI: 8.1-266.4), <p><b><b>Conclusion: </b> </b>Relatively young maternal age between 25 and 29 years could predispose women to inadequate maternal attendance at well baby check up post discharge from a NICU. Women within this age group may benefit from additional support.en
dc.subjectPreterm birthen
dc.subjectWell-baby checkupen
dc.subjectHealth Promotionen
dc.date.available2013-10-22T20:24:19Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:24:19Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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