Abstract
To examine the impact of repeat, G2, and outcomes of first, G1, (previous livebirth, PLB, or stillbirth, PSB) pregnancies on health-compromising behaviors (HCB). Retrospective cohort study of 137,374 pregnancies in Kansas City, MO, 1990 through 2009, using birth certificate database. Overall HCB rate was 17% and increased with G2 and PSB (G1=12% v G2-PLB=21% v G2-PSB=29%, p < .001). Compared to G2-PLB, the odds of HCB increased for G2-PSB (OR=1.42; 95%CI 1.10, 1.82) and decreased for G1 (0.54; 0.52, 0.56). Women are more likely to engage in HCB during their second pregnancy, especially those who lose their first pregnancy. This finding is evidence for promoting effective inter-conception health care at post-partum and primary care visits.
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