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11-year trends in pregnancy-related health indicators in Maine, 2000-2010.

Harris DE, Aboueissa AM, Baugh N, Sarton C, Lichter E - J Pregnancy (2014)

Bottom Line: Average pregnancy weight gain decreased but the number of women whose pregnancy weight gain was within the recommended range was unchanged.The fraction of infants who were breast-fed increased.These results suggest that, despite some positive trends, Maine faces significant challenges in meeting Healthy People 2020 goals.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, University of Southern Maine, Portland, ME 04104, USA.

ABSTRACT
The objective of this study is to understand health and demographic trends among mothers and infants in Maine relative to the goals of Healthy People 2020. Pregnancy risk assessment monitoring system (PRAMS) data from Maine for 2000-2010 were used to determine yearly values of pregnancy-related variables. Means (for continuous variables) and percentages (for categorical variables) were calculated using the survey procedures in SAS. Linear trend analysis was applied with study year as the independent variable. The slope and significance of the trend were then calculated. Over the study period, new mothers in Maine became better educated but the fraction of households with incomes <$20,000/year remained stagnant. Maternal prepregnancy BMI increased. Average pregnancy weight gain decreased but the number of women whose pregnancy weight gain was within the recommended range was unchanged. The rates of smoking and alcohol consumption (before and during pregnancy) increased. The Caesarean section rate rose and the fraction of infants born premature (<37 wks gestation) or underweight (<2500 gms) remained unchanged. The fraction of infants who were breast-fed increased. These results suggest that, despite some positive trends, Maine faces significant challenges in meeting Healthy People 2020 goals.

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Caesarean section rate by year. Fraction of mothers giving birth in Maine who delivered by Caesarean section by year. The overall Caesarean section rate increased as a result of an increase in the rate of first-time Caesarean sections. The rate of repeat Caesarean sections remained unchanged. Healthy People 2020 has the objective of a 10% reduction in the rate of births by first-time Caesarean section. Maine is not moving toward this goal.
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fig5: Caesarean section rate by year. Fraction of mothers giving birth in Maine who delivered by Caesarean section by year. The overall Caesarean section rate increased as a result of an increase in the rate of first-time Caesarean sections. The rate of repeat Caesarean sections remained unchanged. Healthy People 2020 has the objective of a 10% reduction in the rate of births by first-time Caesarean section. Maine is not moving toward this goal.

Mentions: In 2000, 31.3% of women in this study smoked cigarettes in the 3 months prior to pregnancy (increasing by 0.02% per year during the study period), and 60.1% drank alcohol in the 3 months prior to pregnancy (increasing by 0.03% per year during the study period). The fractions of pregnant women who smoked and drank during the last 3 months of pregnancy also increased during the study period at similar rates but the fraction who smoked at the time of the questionnaire did not change (Figures 3 and 4, Table 3). The overall rate of Caesarean section deliveries was 22.2% in 2000 and increased at an average rate of 0.04%/year during the study period. This increase was the result of an increase in first-time Caesarean sections which started at 12.7% in 2000 and also increased by an average of 0.04%/year. The rate of repeat Caesarean sections did not change (Figure 5, Table 4).


11-year trends in pregnancy-related health indicators in Maine, 2000-2010.

Harris DE, Aboueissa AM, Baugh N, Sarton C, Lichter E - J Pregnancy (2014)

Caesarean section rate by year. Fraction of mothers giving birth in Maine who delivered by Caesarean section by year. The overall Caesarean section rate increased as a result of an increase in the rate of first-time Caesarean sections. The rate of repeat Caesarean sections remained unchanged. Healthy People 2020 has the objective of a 10% reduction in the rate of births by first-time Caesarean section. Maine is not moving toward this goal.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4248427&req=5

fig5: Caesarean section rate by year. Fraction of mothers giving birth in Maine who delivered by Caesarean section by year. The overall Caesarean section rate increased as a result of an increase in the rate of first-time Caesarean sections. The rate of repeat Caesarean sections remained unchanged. Healthy People 2020 has the objective of a 10% reduction in the rate of births by first-time Caesarean section. Maine is not moving toward this goal.
Mentions: In 2000, 31.3% of women in this study smoked cigarettes in the 3 months prior to pregnancy (increasing by 0.02% per year during the study period), and 60.1% drank alcohol in the 3 months prior to pregnancy (increasing by 0.03% per year during the study period). The fractions of pregnant women who smoked and drank during the last 3 months of pregnancy also increased during the study period at similar rates but the fraction who smoked at the time of the questionnaire did not change (Figures 3 and 4, Table 3). The overall rate of Caesarean section deliveries was 22.2% in 2000 and increased at an average rate of 0.04%/year during the study period. This increase was the result of an increase in first-time Caesarean sections which started at 12.7% in 2000 and also increased by an average of 0.04%/year. The rate of repeat Caesarean sections did not change (Figure 5, Table 4).

Bottom Line: Average pregnancy weight gain decreased but the number of women whose pregnancy weight gain was within the recommended range was unchanged.The fraction of infants who were breast-fed increased.These results suggest that, despite some positive trends, Maine faces significant challenges in meeting Healthy People 2020 goals.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, University of Southern Maine, Portland, ME 04104, USA.

ABSTRACT
The objective of this study is to understand health and demographic trends among mothers and infants in Maine relative to the goals of Healthy People 2020. Pregnancy risk assessment monitoring system (PRAMS) data from Maine for 2000-2010 were used to determine yearly values of pregnancy-related variables. Means (for continuous variables) and percentages (for categorical variables) were calculated using the survey procedures in SAS. Linear trend analysis was applied with study year as the independent variable. The slope and significance of the trend were then calculated. Over the study period, new mothers in Maine became better educated but the fraction of households with incomes <$20,000/year remained stagnant. Maternal prepregnancy BMI increased. Average pregnancy weight gain decreased but the number of women whose pregnancy weight gain was within the recommended range was unchanged. The rates of smoking and alcohol consumption (before and during pregnancy) increased. The Caesarean section rate rose and the fraction of infants born premature (<37 wks gestation) or underweight (<2500 gms) remained unchanged. The fraction of infants who were breast-fed increased. These results suggest that, despite some positive trends, Maine faces significant challenges in meeting Healthy People 2020 goals.

Show MeSH
Related in: MedlinePlus