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Primiparous Outcomes and Future Pregnancy Health Behaviors

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Objective: To examine the impact of repeat, G2, and outcomes of first, G1, (previous livebirth, PLB, or stillbirth, PSB) pregnancies on health-compromising behaviors (HCB). Methods: Retrospective cohort study of 137,374 pregnancies in Kansas City, MO, 1990 through 2009, using birth certificate database. Results: Overall HCB rate was 17% and increased with G2 and PSB (G1=12% v G2-PLB=21% v G2-PSB=29%, p < .001). Compared to G2-PLB, the odds of HCB increased for G2-PSB (OR=1.42; 95%CI 1.10, 1.82) and decreased for G1 (0.54; 0.52, 0.56). Conclusion: Women are more likely to engage in HCB during their second pregnancy, especially those who lose their first pregnancy. This finding is evidence for promoting effective inter-conception health care at post-partum and primary care visits.
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Document Type: Research Article

Affiliations: 1: Children's Mercy Hospitals and Clinics, University of Missouri Kansas City School of Medicine, Kansas City, MO, USA. [email protected] 2: Health Department, Kansas City, MO, USA

Publication date: March 1, 2014

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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