1. Maternal language disparities in neonatal intensive care unit outcomes
- Author
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Margaret G. Parker, Erika G. Cordova-Ramos, Munish Gupta, Mandy B. Belfort, Nikita S. Kalluri, and Patrice Melvin
- Subjects
Pediatrics ,medicine.medical_specialty ,Neonatal intensive care unit ,business.industry ,First language ,MEDLINE ,Obstetrics and Gynecology ,Retrospective cohort study ,medicine.disease ,Sepsis ,Pediatrics, Perinatology and Child Health ,Necrotizing enterocolitis ,medicine ,medicine.symptom ,business ,Weight gain - Abstract
Objective To examine associations of maternal primary language with neonatal intensive care unit (NICU) outcomes (mother's milk at discharge, necrotizing enterocolitis [NEC], late-onset sepsis, weight gain) DESIGN: We performed a retrospective cohort study of mother-infant dyads ( Results Among 1402 mothers, 85% spoke English, 7% spoke Spanish, and 7% spoke another language. Compared to English, infants with Spanish-speaking mothers had slower growth (-0.34 z-score units [-0.58, -0.10]). Infants with other non-English-speaking mothers had increased mother's milk at discharge (aOR 1.48 [1.18, 1.85]), NEC (aOR 1.43 [1.05, 1.95]), late-onset sepsis (aOR 2.84) [1.67, 4.83] and slower growth (-0.17 z-score units [-0.29, -0.05]). Conclusions After adjustments, preterm infants with non-English-speaking mothers had worse outcomes than infants with English-speaking mothers.
- Published
- 2021