Sociodemographic factors associated with weekend birth and increased risk of neonatal mortality

J Obstet Gynecol Neonatal Nurs. Mar-Apr 2006;35(2):208-14. doi: 10.1111/j.1552-6909.2006.00034.x.

Abstract

Objective: To learn whether weekend risk of neonatal mortality is related to selected sociodemographic factors.

Design: A retrospective cohort design. Logistic regression was used to obtain odds ratios, and analysis of variance and chi-square to identify differences in values and incidence of key variables.

Samples: The data were derived from matched Texas birth and infant death certificates from 1999 through 2001.

Main outcome measures: A subset of deaths up to 28 days of life attributable to conditions originating in the perinatal period. These deaths were called neonatal mortality-p.

Results: Women who were White, married, had Medicaid assistance, and had private prenatal care were less likely to deliver on weekends. Odds of neonatal mortality-p increased 36.5% when a birth took place on the weekend. The weekend crude odds of neonatal mortality-p increased for all racial/ethnic groups, but the differences were not statistically significant.

Conclusions: The likelihood of delivering on the weekend increases with certain sociodemographic factors. This fact is important because the risk of neonatal mortality is higher among weekend births.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • Analysis of Variance
  • Birth Rate
  • Death Certificates
  • European Continental Ancestry Group / statistics & numerical data*
  • Female
  • Hispanic Americans / statistics & numerical data*
  • Humans
  • Infant Mortality*
  • Infant, Newborn
  • Insurance, Health
  • Logistic Models
  • Marital Status
  • Maternal Age
  • Medicaid
  • Middle Aged
  • Parturition*
  • Pregnancy
  • Prenatal Care
  • Risk Factors
  • Socioeconomic Factors
  • Texas / epidemiology
  • Time Factors