| Racial differences in gestational age-specific neonatal morbidity: further evidence for different gestational lengths. | |
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MedLine Citation:
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PMID: 22265090 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ryan Loftin; Aimin Chen; Arthur Evans; Emily DeFranco |
Publication Detail:
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Type: Journal Article Date: 2011-12-24 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 206 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-03-02 Completed Date: 2012-04-24 Revised Date: 2013-04-26 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 259.e1-6 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0526, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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UL1 TR000077/TR/NCATS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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