Pietro Muratori, Iacopo Bertacchi, Gabriele Masi, Annarita Milone, Annalaura Nocentini, Nicole P Powell, John E Lochman, Shannon Jones, Francesca Kassing, Devon Romero
Effects of a universal prevention program on externalizing behaviors: Exploring the generalizability of findings across school and home settings
Journal of school psychology
examine association maternal education adverse maternal neonatal outcomes women conceived using medically assisted reproduction included fertility medications intrauterine insemination vitro fertilization conducted retrospective cohort study utilizing us vital statistics data set national birth certificates 2016 2020 women live nonanomalous singletons conceived using mar education status birthing female partner recorded included patients stratified two groups bachelors degree higher less bachelors degree primary outcome composite maternal adverse outcomes intensive care unit icu admission uterine rupture unplanned hysterectomy blood transfusion secondary outcome composite neonatal adverse outcomes neonatal icu admission ventilator support seizure multivariable modified poisson regression models robust error variance adjusted maternal age race marital status prenatal care smoking pregnancy neonatal sex birth year estimated relative risk rr outcomes 95 confidence interval ci 190444 patients met inclusion criteria 142943 bachelors degree higher 47501 without bachelors degree composite maternal adverse outcomes similar among patients bachelors degree 101 per 1000 live births without bachelors degree 94 per 1000 live births arr 105 95 ci 094117 however composite adverse neonatal outcomes significantly lower women bachelors degree higher 941 per 1000 live births compared women without bachelors degree 1059 per 1000 live births arr 091 95 ci 088094 study demonstrated lower maternal education level associated maternal adverse outcomes patients conceived using mar associated increased rates neonatal adverse outcomes access infertility care increases patients conceive mar may counseled education level associated maternal morbidity research association maternal education level neonatal morbidity indicated