Author
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MCGEE, BERNESTINE - SOUTHERN UNIV A&M COLLEGE |
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FOMBY, BETTY - SOUTHERN UNIV A&M COLLEGE |
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Submitted to: Nutrition and Health Status in the Lower Mississippi Delta of AR, LA, & MS
Publication Type: Book / Chapter Publication Acceptance Date: 9/1/1997 Publication Date: N/A Citation: N/A Interpretive Summary: Technical Abstract: Mothers before and during pregnancy and postpartum are among the most nutritionally vulnerable groups in any population. Nutrient needs are high during these periods and the potential consequences of malnutrition are profound. Risk factors for poor pregnancy outcomes are high in the Lower Mississippi Delta (LMD). Furthermore, indices of reproductive health including rates of low birthweight and premature delivery indicate that African-American women are especially vulnerable. The proportion of babies born with low birthweight is higher in the LMD than nationally, and highest among African-Americans. Arkansas, Louisiana, and Mississippi rank among the highest in rates of adolescent pregnancies, with both Caucasian and African-American teens at risk. Maternal mortality (deaths associated with pregnancy) in the three state area is seriously above national health goals. Access to prenatal and other preventive health care is problematic in many areas due to a shortage of appropriate health care personnel. Nutritional status significantly impacts pregnancy outcomes and can have lasting consequences for maternal health. The three states show large differences in the adequacy of pregnant women by racial group, with black women bearing an excess burden of higher maternal and fetal mortality, higher risk of low birthweight and its consequences. These findings highlight the need to improve maternal health through reducing fetal deaths, maternal mortality, maintaining a healthy weight status during pregnancy; and increasing the availability of preconception care and counseling. |
