Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing


The purpose of this retrospective study was to examine the incidence rates of five pre-selected perinatal variables that existed within the white and non-white groups of fetal, infant deaths that occurred in Kalamazoo County between January 1, 1995 and December 31, 1997. The variables were prenatal care, birth weight, estimated weeks of gestation, and maternal, fetal, infant medical complications. The question posed was as follows: Is there a difference in incidence rates of the variables between the white and non-white perinatal deaths in Kalamazoo County?

A sample size of 50 cases was studied. Kotelchuck's instrument tool (1994), the Adequacy of Prenatal Care Utilization Index, was used. The author's Audit Tool was used to collect data from abstract birth certificates and death certificates Neuman Systems Model (1989, 1995) theoretical framework was utilized. The findings of this study indicated no significant, statistical differences between the non-white and the white population in prenatal care, birth weight, estimated weeks of gestation, and maternal/fetal/infant medical complications.


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