A5061410390- Assisted Reproductive Technology and Twin Pregnancy
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Infant Development and Preterm Care
- Maternal and Perinatal Health Interventions
- Food Security and Health in Diverse Populations
- Reproductive Health and Technologies
- Breastfeeding Practices and Influences
- Birth, Development, and Health
- Neonatal Respiratory Health Research
- Global Maternal and Child Health
- Gestational Diabetes Research and Management
- Prenatal Screening and Diagnostics
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare Policy and Management
- Family and Disability Support Research
- Obesity, Physical Activity, Diet
- Pregnancy and preeclampsia studies
- Health disparities and outcomes
- Reproductive Health and Contraception
- Prenatal Substance Exposure Effects
- Family Dynamics and Relationships
- Homelessness and Social Issues
- Adolescent Sexual and Reproductive Health
- Child Abuse and Trauma
Harvard University
2016-2025
Massachusetts General Hospital
2015-2024
Lemuel Shattuck Hospital
2018
MaineGeneral Medical Center
2012-2017
Boston Children's Hospital
1977-2016
Boston University
2003-2015
Centers for Disease Control and Prevention
2008-2015
Dartmouth College
2015
CT Group Of Institutions
2015
Scientific Consulting Group
2015
OBJECTIVES. The assessment of the adequacy prenatal care utilization is heavily shaped by way in which measured. Although it widely used, current major index utilization, Kessner/Institute Medicine Index, has not been subjected to systematic examination. This paper provides such an METHODS. Data from 1980 National Natality Survey are used disaggregate components Kessner Index for detailed analysis. An alternative two-part index, Adequacy Prenatal Care Utilization proposed that combines...
The proposed Adequacy of Prenatal Care Utilization Index is applied to data from the 1980 National Natality Survey assess adequacy prenatal care utilization and its association with low birthweight in United States. index suggests that only 61.1% women received adequate care, including 17.7% more intensive care; 16.7% inadequate care. More White (63.4%) than Black (51.9%) Low-birthweight rates were elevated among those who
OBJECTIVES. Late-preterm infants (34–36 weeks’ gestation) account for nearly three quarters of all preterm births in the United States, yet little is known about their morbidity risk. We compared late-preterm and term (37–41 with without selected maternal medical conditions assessed independent joint effects these exposures on newborn METHODS. used 1998–2003, population-based, Massachusetts birth death certificates data linked to infant hospital discharge records from Pregnancy Early Life...
In Brief OBJECTIVE: To compare the outcomes and costs associated with primary cesarean births no labor (planned cesareans) to vaginal vaginal). METHODS: Analysis was based on a Massachusetts data system linking 470,857 birth certificates, fetal death records, birth-related hospital discharge records from 1998 2003. We examined subset of 244,088 mothers prior documented prenatal risk. then divided into two groups: those deliveries—3,334 women) either or delivery vaginal—240,754 women)....
Objective The objective of this study was to compare international trends in pre-eclampsia rates and overall pregnancy hypertension (including gestational hypertension, eclampsia). Design Population data (from birth and/or hospital records) on all women giving were available from Australia (two states), Canada (Alberta), Denmark, Norway, Scotland, Sweden the USA (Massachusetts) for a minimum 6 years 1997 2007. All countries used 10th revision International Classification Diseases , except...
Objective. To identify risk factors for chronic lung disease (CLD) in a population-based cohort of very low birth weight infants, born an era surfactant usage. We specifically investigated the effects antenatal steroids, nosocomial infection, patent ductus arteriosus (PDA), fluid management, and ventilator support strategies. Methods. Data were prospectively collected on 1244 infants North Carolina 1994 with weights 500 to 1500 g, treated at 1 13 intensive care nurseries across state. The...
We examined racial and income-related patterns of mortality from birth through adolescence in Boston, where residents have high access to tertiary medical care. Childhood was significantly higher among black children (odds ratio, 1.24; P less than 0.05) low-income 1.47; 0.001). Socioeconomic effects varied for different age groups causes death. The largest relative disparity occurred the neonatal postneonatal periods, smallest adolescence. Of total differential (6.88 deaths per 1000 live...
OBJECTIVES. The relationship between certain maternal behaviors and adverse pregnancy outcomes has been well documented. One method to alter these is through the advice of women's health care providers. Advice from providers may be particularly important in minority populations, who have higher rates infant mortality prematurity. This study examines racial disparities according self-report received during four areas: tobacco use, alcohol consumption, drug breast-feeding. METHODS. Health...
<h3>Objective.</h3> —To estimate the prevalence of recent over-the-counter (OTC) medication use in a national sample preschool-age children. <h3>Design.</h3> —Follow-up survey nationally representative 3-year-old children US population by telephone or personal interview. <h3>Participants.</h3> —A total 8145 whose mothers were interviewed for 1991 Longitudinal Follow-up to National Maternal and Infant Health Survey. <h3>Main Outcome Measures.</h3> —Report any OTC medications given past 30...
Little attention has been given to men's preconception health and care. This paper reviews the key elements of an approach optimizing status men. Preconception care for men is important improving family planning pregnancy outcomes, enhancing reproductive behaviors their female partners, preparing fatherhood. Most importantly, offers opportunity, similar opportunity it presents women, disease prevention promotion in Currently, no consensus exists on service delivery men--who should provide...
The significance of ecological stress factors for understanding the etiology and interrelationships among pediatric social illnesses was explored in a case-control study 560 children under 4 years age. Cases child abuse neglect, failure to thrive, accidents, poisonings were matched on age, socioeconomic status, ethnic group with who had comparably acute medical conditions. Data ascertained from children's records an extensive maternal interview which probed historical contemporary familial,...
Objective. To assess the relationship between maternal depression and 4 parent-based prevention practices (use of car seats electrical plug covers, presence syrup ipecac in home, reading to their child), using a large nationally representative follow-back sample. Methods. The self-report components 2 databases were used for this study, 1988 National Maternal Infant Health Survey linked companion 1991 Longitudinal Follow-Up Survey. A total 7537 mothers with newborns served as subjects....
For more than two decades, prenatal care has been a cornerstone of our nation's strategy for improving pregnancy outcomes. In recent years, however, growing recognition the limits and importance maternal health before drawn increasing attention to preconception internatal care. Internatal refers package healthcare ancillary services provided woman her family from birth one child next child. healthy mothers, offers an opportunity wellness promotion between pregnancies. high-risk provides...
The effects of WIC prenatal participation were examined using data from the Massachusetts Birth and Death Registry. birth outcomes 4,126 pregnant women who participated in program gave 1978 compared to those individually matched on maternal age, race, parity, education, marital status did not participate WIC. participants are at greater demographic risk for poor pregnancy compare all same community. is associated with improved outcomes, including, a decrease low birthweight (LBW) incidence...
Thirty-six 1-year-old middle-class children with fathers who spent differential time them at home were observed in two experimental contexts separated by 2 weeks. In the first, each infant was shown six to eight repetitions of three different nonsocial events followed a change repeated standard. second, experienced unannounced entrances and departures his mother, father, female stranger. The infants most upset when alone stranger came from low-father-interaction families became bored rapidly...