The effects of maternal age on low birth weight, newborns' hospital co
sts and infant mortality were estimated based on individual 1989 and 1
990 vital statistics records from New Jersey that were linked with uni
form billing hospital discharge records. Results of multivariate analy
ses show a U-shaped relationship between maternal age and low birth we
ight among whites with the youngest (younger than 15) and oldest (aged
40 and older) mothers being at higher risk than 25-29-year-olds; olde
r teenagers were not at any significantly increased risk. Among blacks
, however, 15-19-year-olds faced significantly lower risks of deliveri
ng low-birth-weight babies than did black women aged 25-29. Both black
and white mothers in their 30s were significantly more likely to deli
ver a low-birth-weight baby than women aged 25-29 of the same race. Th
e multivariate analysis also showed that newborn hospitalization costs
increased with maternal age among both blacks and whites. The seeming
ly poorer birth outcomes of teenage mothers appear to result largely f
rom their adverse socioeconomic circumstances, not from young maternal
age per se.