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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1002/chin.200126288

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1573-6628

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Screening Tests during Prenatal Care Does Practic

Authors: Juned Siddique John D Lantos Tyler J VanderWeele Diane S Lauderdale
Publish Date: 2010/11/28
Volume: 16, Issue: 1, Pages: 51-59
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Abstract

To examine whether the frequency of four screening tests during prenatal care conforms to evidence of effectiveness We estimated rates of urine culture anemia screening oral glucose tolerance test OGTT and urinalysis during prenatal care To do this we used national probability samples of office visits to physicians National Ambulatory Medical Care Survey and to hospital outpatient departments National Hospital Ambulatory Medical Care Survey from 2001 to 2006 We compare observed rates to recommendations from the US Preventive Services Task Force USPSTF On average women received a urine culture in less than half of pregnancies Women received just over one anemia screening on average per pregnancy From 2001–2003 women received an average of 56 urinalyses per pregnancy the average dropped to 43 urinalyses per pregnancy in 2004–2006 On average women received just under one OGTT per pregnancy Minorities and older women tend to get more anemia screenings urine cultures and OGTTs than white women and younger women Compared to USPSTF recommendations too few women are receiving a urine culture during prenatal care In contrast women receive far too many urinalyses but the rate appears to be falling Anemia screening conforms closely to recommendations The USPSTF does not recommend for or against universal diabetes screening using OGTT Women appear to receive OGTT routinelyHere we describe the details regarding the downweighting of the NAMCS/NHAMCS survey weights to produce estimates at the patient level rather than at the visit level We also describe our method for estimating the average number of procedures per pregnancy and its associated varianceAssume a population with M prenatal visits by N patients Let x j represent a binary visit characteristic of interest eg urinalysis for visit j where j=1ldotsM Define m i as the number of prenatal visits by patient i so that sum i=1Nm i=M


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  1. Public Finance Policy Strategies to Increase Access to Preconception Care
  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
  14. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  15. The Correlation Between Postpartum Depression and Health Status
  16. Preconception and the Young Cancer Survivor
  17. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  18. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  19. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  20. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  21. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
  22. Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy: Relations with Gestational Diabetes and Hypertension, and Birth Outcomes
  23. A Nationally Representative Study of Early Childhood Home Visiting Service Use in the United States
  24. Consultative Care Coordination Through the Medical Home for CSHCN: A Randomized Controlled Trial
  25. Prevalence of Medical Conditions Potentially Amenable to Cellular Therapy among Families Privately Storing Umbilical Cord Blood
  26. Rates and Success Rates of Trial of Labor After Cesarean Delivery in the United States, 1990–2009
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  28. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs?
  29. Physical Activity and Risk of Small-for-Gestational-Age Birth Among Predominantly Puerto Rican Women
  30. Maternal Health Risk Assessment and Behavioral Intervention in the NICU Setting Following Very Low Birth Weight Delivery
  31. A Process Evaluation of the WV Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Initiative: Assessing the Fidelity and Impact of Delivery for State-Wide, Home-Based Healthy Start Services
  32. Determinants of the Uptake of the Full Dose of Diphtheria–Pertussis–Tetanus Vaccines (DPT3) in Northern Nigeria: A Multilevel Analysis
  33. Awareness and Intake of Folic Acid for the Prevention of Neural Tube Defects Among Lebanese Women of Childbearing Age
  34. Exploring Maternal Patterns of Dietary Caffeine Consumption Before Conception and During Pregnancy
  35. Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya
  36. The Association of Parental Coping and Childhood Injury
  37. Predictors of Breastfeeding in Overweight and Obese Women: Data From Active Mothers Postpartum (AMP)
  38. Health Behaviors Among Women Using Fertility Treatment
  39. Variation in Birth Outcomes by Mother’s Country of Birth Among Non-Hispanic Black Women in the United States
  40. Does Health Insurance Continuity Among Low-income Adults Impact Their Children’s Insurance Coverage?
  41. Preconception Care Between Pregnancies: The Content of Internatal Care
  42. Access to care for children with autism in the context of state Medicaid reimbursement
  43. Prenatal Programming of Childhood Overweight and Obesity
  44. Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes and Skills in Pediatric Residents
  45. Fathering: The Relationship Between Fathers’ Residence, Fathers’ Sociodemographic Characteristics, and Father Involvement
  46. Empowering Head Start to Improve Access to Good Oral Health for Children from Low Income Families
  47. Measuring Women’s Cumulative Neighborhood Deprivation Exposure Using Longitudinally Linked Vital Records: A Method for Life Course MCH Research
  48. Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families’ Decision-Making About Maternity Services
  49. Association Between Low Dairy Intake During Pregnancy and Risk of Small-for-Gestational-Age Infants
  50. Electronic Medical Record Use and Maternal and Child Care and Health
  51. Prevention of Secondary Conditions in Fetal Alcohol Spectrum Disorders: Identification of Systems-Level Barriers
  52. Prevalence of Serious Psychological Distress and Mental Health Treatment in a National Sample of Pregnant and Postpartum Women
  53. The Agency for Healthcare Research and Quality’s Children’s Health Research Portfolio
  54. Maternal Education and Child Healthcare in Bangladesh
  55. Smoking Among Pregnant Women with Medicaid Insurance: Are Mental Health Factors Related?
  56. Adolescent Births in the Border Region: A Descriptive Analysis Based on US Hispanic and Mexican Birth Certificates
  57. The Influence of Pregnancy on Sweet Taste Perception and Plaque Acidogenicity
  58. Sports and Leisure Time Physical Activity During Pregnancy in Nulliparous Women
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