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Author (up) Turner, Barbara J.; Markson, Leona; Hauck, Walter; Cocroft, James; Fanning, Thomas url 
  Title Prenatal care of HIV-infected women : analysis of a large New York state cohort Type Journal Article
  Year 1995 Publication Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association Abbreviated Journal  
  Volume 8 Issue 9 Pages 371-379  
  Keywords treatment and maintenance; methadone maintenance; woman; pregnancy; HIV infection; prenatal care; United States; New York City; study; drug substitution therapy  
  Abstract We examined the effect of methadone treatment, duration of Medicaid enrollment during pregnancy, and other maternal characteristics on receipt of prenatal care by 2,254 women infected with human immunodeficiency virus (HIV) delivering a singleton in New York state from 1985 through 1990. Data were obtained from the New York State Medicaid HIV/AIDS Research Data Base and vital statistics records. Adequacy of the number of prenatal visits reported by the mother on vital statistics records was assessed with use of the Kessner Index, which adjusts for gestational age at delivery. Too few visits were reported by 65% of the study population. Illicit drug users had higher odds of having too few visits [1.64, 95% confidence interval (CI) 1.24-2.17] than methadone-treated women but the odds were similar for non-drug users and methadone-treated women (0.79, 95% CI 0.60-1.25). Women with brief Medicaid enrollment (< or = 25% of pregnancy) had 45% higher odds of having too few visits than did longer enrollees. Treatment for drug addiction and longer Medicaid enrollment during pregnancy may offer important interventions to increase prenatal care of HIV-infected women. Approaches to increase prenatal care of HIV-infected women are especially important given trials showing a reduction in vertical transmission from zidovudine treatment during pregnancy.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1077-9450 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number 50-11775 Serial 59936  
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