Document Detail


Racial differences in gestational age-specific neonatal morbidity: further evidence for different gestational lengths.
MedLine Citation:
PMID:  22265090     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to quantify the gestational age-specific morbidity of black vs white neonates.
STUDY DESIGN: This was a population-based retrospective cohort study of singleton live births in Ohio from 2006 through 2007. The primary outcome was a composite of adverse neonatal outcomes of ≥ 1 morbidity: Apgar score < 7 at 5 minutes, assisted ventilation > 6 hours, seizures, or neonatal transport to a tertiary care facility. Generalized linear regression estimated the relative risk of adverse neonatal outcome by week of gestation after adjustment for influential coexistent risk factors.
RESULTS: The frequency distribution curve of composite morbidity by gestational age were similar, but shifted to left (earlier gestational age) for black compared with white neonates. Adverse outcome was lower for black compared with white births at each preterm week of gestational age. The lowest adverse outcome rate for black neonates was at 38 weeks and 39 weeks for white neonates, each increasing by week of gestation thereafter.
CONCLUSION: These data suggest that pregnancies in black women perhaps have a shorter physiologic gestational length.
Authors:
Ryan Loftin; Aimin Chen; Arthur Evans; Emily DeFranco
Publication Detail:
Type:  Journal Article     Date:  2011-12-24
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  206     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-03-02     Completed Date:  2012-04-24     Revised Date:  2014-04-08    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259.e1-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
African Continental Ancestry Group / statistics & numerical data
Apgar Score
European Continental Ancestry Group / statistics & numerical data
Female
Gestational Age*
Humans
Infant Mortality / ethnology*
Infant, Newborn
Male
Ohio / epidemiology
Pregnancy
Pregnancy Outcome*
Retrospective Studies
Risk Factors
Grant Support
ID/Acronym/Agency:
UL1 TR000077/TR/NCATS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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