Document Detail

Disparities in perinatal medicine: preterm birth, stillbirth, and infant mortality.
MedLine Citation:
PMID:  21422869     Owner:  NLM     Status:  MEDLINE    
Infant mortality, stillbirths, and preterm births are major public health priorities with significant disparities based on race and ethnicity. Interestingly, when evaluating the rates over the past 30 to 50 years, the disparity persists in all three and is remarkably consistent. In the United States, the infant mortality rate is 6.7 deaths per 1,000 live births, the stillbirth rate is 6.2 per 1,000 deliveries, and the preterm birth rate is 12.8% of live births. The rates among non-Hispanic African Americans are dramatically higher, nearly double the infant mortality at 13.4 infant deaths per 1,000 live births, nearly double the stillbirth rate at 11.1 stillbirths per 1,000 deliveries, and one third higher with preterm births at 18.4% of live births. Despite numerous conferences, workshops, articles, and investigators focusing on this line of work, the disparities persist and, in some cases, are growing. In this article, we summarize a Eunice Kennedy Shriver National Institute of Child Health and Human Development workshop that focused on these disparities to identify the associated factors to determine their relative contributions, identify gaps in knowledge, and develop specific strategies to address the disparities in the short-term and long-term.
Catherine Y Spong; Jay Iams; Robert Goldenberg; Fern R Hauck; Marian Willinger
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  117     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-22     Completed Date:  2012-06-07     Revised Date:  2013-10-28    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  948-55     Citation Subset:  AIM; IM    
Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20892, USA.
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MeSH Terms
African Americans / statistics & numerical data
Cross-Sectional Studies
Healthcare Disparities / statistics & numerical data*
Hispanic Americans / statistics & numerical data
Infant Mortality / trends*
Infant, Newborn
Needs Assessment
Perinatal Care / organization & administration*
Premature Birth / epidemiology*,  ethnology
Risk Assessment
Stillbirth / epidemiology*,  ethnology
United States / epidemiology
Grant Support

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