Annals of Epidemiology
Volume 18, Issue 7 , Pages 545-551 , July 2008

Unintended Pregnancy and Prenatal Behaviors Among Urban, Black Women in Baltimore, Maryland: The Baltimore Preterm Birth Study

  • Suezanne T. Orr, PhD

      Affiliations

    • Department of Health Education and Promotion, East Carolina University, Greenville, NC
    • Corresponding Author InformationAddress correspondence to: Suezanne T. Orr, PhD, Department of Health Education and Promotion, East Carolina University, 200 Christenbury, Greenville, NC 27858. Tel.: 252-328-2526; fax: 252-328-1285.
    • ,
  • Sherman A. James, PhD

      Affiliations

    • Terry Sanford Institute of Public Policy, Duke University, Durham, NC
    • ,
  • Jerome P. Reiter, PhD

      Affiliations

    • Department of Statistical Science, Duke University, Durham, NC

Received 29 October 2007 ,Accepted 16 March 2008.

References 

  1. In:  Behrman RE,  Butler AS editor. Preterm Birth: Causes, Consequences and Prevention. Washington, DC: National Academy Press; 2006;
  2. Savitz DA, Pastore LM. Causes of prematurity. In:  McCormick MC,  Siegel JE editor. Prenatal Care: Effectiveness and Implementation. Cambridge: Cambridge University Press; 1999;p. 63–104
  3. Institute of Medicine . Preventing Low Birthweight. Washington, DC: National Academy Press; 1985;
  4. Mills JL, Graubard BI, Harley EE, Rhoads GG, Berendes HW. Maternal alcohol consumption and birthweight: how much drinking during pregnancy is safe?. JAMA. 1984;252:1875–1879
  5. Dew PC, Guillory VJ, Okah FA, Cai J, Hoff GL. The effect of health compromising behaviors on preterm births. Matern Child Health J. 2007;11:227–233
  6. Gregory KD, Johnson CT, Johnson TRB, Entman SS. The content of prenatal care—update 2005. Womens Health Issues. 2006;16:198–215
  7. In:  Brown SS editors. Prenatal Care: Reaching Mothers, Reaching Infants. Washington, DC: National Academy Press; 1988;
  8. Kost K, Landry DJ, Darroch JE. Predicting maternal behaviors during pregnancy: Does intention status matter?. Family Plan Perspect. 1998;30:79–88
  9. Hellerstedt WL, Pirie PL, Lando HA, Curry SJ, McBride CM, Grothaus LC, et al. Differences in preconceptual and prenatal behaviors in women with intended and unintended pregnancies. Am J Public Health. 1998;88:663–666
  10. Weller RH, Eberstein IW, Bailey M. Pregnancy wantedness and maternal behavior during pregnancy. Demography. 1987;24:407–412
  11. Sable MR. Pregnancy intentions may not be a useful measure for research on maternal and child health outcomes (forum). Fam Plan Perspect. 1999;31:249–250
  12. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspect Sex Reprod Health. 2006;38:90–96
  13. Blackmore CA, Ferre CD, Rowley DL, Hogue CJ, Gaiter J, Atrash H. Is race a risk factor or a risk marker for preterm delivery?. Ethn Dis. 1993;3:372–377
  14. Henshaw SK. Unintended pregnancy in the United States. Fam Plan Perspect. 1998;30:24–29
  15. Klerman LV. The intendedness of pregnancy: A concept in transition. (commentary). Matern Child Health J. 2000;4:155–162
  16. London K, Peterson L, Piccinino L. The national survey of family growth: Principal sources of statistics on unintended pregnancy. In:  Brown SS,  Eisenberg L editor. The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families. Washington, DC: National Academy Press; 1995;p. 286–295
  17. Beck LF, Johnson CJ, Morrow B, Lipscomb LE, Gaffield ME, Gilbert BC, et al. PRAMS 1999 surveillance report. Atlanta, GA: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention; 2003.
  18. Sanderson M, Placek PJ, Keppel KG. The 1988 National Maternal and Infant Health Survey: design, content and data availability. Birth. 1991;18:26–32
  19. Martin SL, English KT, Clark KA, Cilenti D, Kupper LL. Violence and substance use among North Carolina pregnant women. Am J Public Health. 1996;86:991–998
  20. Hellerstedt WL, Himes JH, Story M, Alton IR, Edwards LE. The effects of cigarette smoking and gestational weight change on birth outcomes in obese and normal-weight women. Am J Public Health. 1997;87:591–596
  21. In:  Brown SS,  Eisenberg L editor. The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families. Washington, DC: National Academy Press; 1995;
  22. Dietz PM, Adams MM, Spitz AM, Morris L, Johnson CH, the PRAMS Working Group . Live births resulting from unintended pregnancies: is there variation among states?. Fam Plan Perspect. 1999;31:132–136
  23. Luker KC. A reminder that human behavior frequently refuses to conform to models created by researchers (forum). Fam Plan Perspect. 1999;31:248–249
  24. Moos M-K, Petersen R, Meadows K, Melvin CL, Spitz AM. Pregnant women's perspectives on intendedness of pregnancy. Womens Health Issues. 1997;7:385–392
  25. Zabin LS. Ambivalent feelings about parenthood may lead to inconsistent contraceptive use- and pregnancy (forum). Fam Plan Perspect. 1999;31:250–251
  26. Santelli J, Rochat R, Hatfield-Timajchy K, Gilbert BC, Curtis K, Cabral R, et al. The measurement and meaning of unintended pregnancy. Perspect Sex Reprod Health. 2003;35:94–101
  27. Trussell J, Vaughan B, Stanford J. Are all contraceptive failures unintended pregnancies? Evidence from the 1995 National Survey of Family Growth (research note). Fam Plan Perspect. 1999;31:246–247
  28. Orr ST, James SA, Miller CA, Barakat B, Daikoku N, Pupkin M, et al. Psychosocial stressors and low birthweight in an urban population. Am J Prev Med. 1996;12:459–466
  29. Orr ST, Miller CA, James SA, Babones S. Unintended pregnancy and preterm birth. Paediatr Perinat Epidemiol. 2000;14:309–313
  30. Cnattingius S. The epidemiology of smoking during pregnancy: Smoking prevalence, maternal characteristics, and pregnancy outcomes. Nicotine Tob Res. 2004;6:S125–S140
  31. Bachrach CA, Newcomer S. Intended pregnancies and unintended pregnancies: Distinct categories or opposite ends of a continuum? (forum). Fam Plan Perspect. 1999;31:251–252
  32. Morris NM, Udry JR, Chase CL. Reduction of low-birthweight birth rates by the prevention of unwanted pregnancies. Am J Public Health. 1973;63:935–938

 The data collection for this study was supported by Cooperative Agreement SO 17-13/14 from the Associations of Schools of Public Health and the Centers for Disease Control and Prevention.

PII: S1047-2797(08)00060-4

doi: 10.1016/j.annepidem.2008.03.005

Annals of Epidemiology
Volume 18, Issue 7 , Pages 545-551 , July 2008

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