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WASHINGTON -- Neonatal outcomes were the same for uninsured mothers as for those who had health insurance in a study of nearly 8,000 births in Tennessee, Mark F. Sewell, M.D., reported at the annual meeting of the Central Association of Obstetricians and Gynecologists.
Uninsured women were more likely to deliver prematurely, but that did not adversely affect the outcomes of their infants, whose overall morbidity and mortality were comparable with those for the infants of insured mothers, said Dr. Sewell of MetroHealth Medical Center, Cleveland.
Dr. Sewell conducted a secondary analysis of the medical charts of pregnant women who had participated in a prospective study in Tennessee. The study involved 7,932 singleton deliveries at six hospitals in Shelby County between 1997 and 1998. A total of 7,503 of these women had some form of public, private, or military health insurance, and 429 (5%) had no insurance. This rate is slightly higher than the national average of 3%, he noted.
Uninsured women were more likely to be Hispanic than white. African American, or of other ethnic backgrounds. They were less likely to receive prenatal care, and those who did obtain ...