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Maternal Health and Pregnancy Outcomes Among Hispanics. Edith C. Kieffer, MPH, PhD. Department of Health Behavior and Health Education …

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MCH/CCS-03-03
Maternal Health and Pregnancy Outcomes Among Hispanics
Edith C. Kieffer, MPH, PhD
Department of Health Behavior and Health Education
School of Public Health, University of Michigan
1420 Washington Heights
Ann Arbor MI 48109-2029
Published: January 2003
Final Report
Grant R40 MC 00115-03
Project Period: 09/30/98-07/31/01 (extended to 07/31/02)
Copies of this report may be obtained for a fee from the National Technical
Information Service, U.S. Department of Commerce, Springfield, Virginia 22161,
Telephone: (703) 487-4650
Prepared for:
THE MATERNAL AND CHILD HEALTH RESEARCH PROGRAM
MATERNAL AND CHILD HEALTH BUREAU, HRSA, PHS, DHHS
PARKLAWN BUILDING
5600 FISHERS LANE
ROCKVILLE, MARYLAND 208572
MATERNAL HEALTH AND PREGNANCY OUTCOMES AMONG HISPANICS
I. INTRODUCTION
A. Nature of the Research Problem
Low birth weight is rare among Hispanic infants, despite the substantial proportion of
mothers who live in poverty and receive inadequate prenatal care.1 Given the nation’s
focus on low birth weight as a major public health indicator of maternal and neonatal
health, this “better outcome” has reduced health policy and program attention to Hispanic
mothers and infants.2,3 However, obesity, impaired glucose tolerance and diabetes are
common among Hispanic women of childbearing age.4-7 These conditions are associated
with maternal labor and delivery complications, cesarean section, and diabetes after
pregnancy, and with fetal overgrowth, birth injuries, obesity and metabolic abnormalities
in subsequent life among gestationally exposed infants.8-15 While low birth weight is an
indisputably serious problem, the possible contribution of maternal obesity, abnormal
glucose tolerance and other metabolic abnormalities during pregnancy to the high
average birth weights of Hispanic infants has not been systematically assessed, nor have
the associated risks for adverse maternal and newborn pregnancy outcomes in this
population.16
Populations with a high prevalence of central body obesity, abnormal glucose tolerance
and other metabolic abnormalities during pregnancy,…

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