Maternal racial origin and adverse pregnancy outcome: a cohort study

Khalil, Asma; Rezende, Juliana Costa de; Akolekar, Ranjit; Syngelaki, Argyro; Nicolaides, Kypros H.

doi:10.1002/uog.12313

Cited by 99 publications

(104 citation statements)

References 53 publications

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“…15 The difference between the miscarriage rate in our study and the background rate is 0.82% which is not statistically significant. Similar difference in miscarriage rate (0.7%) has been observed in a very large study.…”

Section: Discussioncontrasting

confidence: 71%

Usefulness of chorionic villus sampling for prenatal diagnosis of thalassaemia: a clinical study in eastern India

Dasgupta

Chaudhury

Mukherjee³

2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussioncontrasting

confidence: 71%

Usefulness of chorionic villus sampling for prenatal diagnosis of thalassaemia: a clinical study in eastern India

Dasgupta

Chaudhury

Mukherjee³

2015

Int J Reprod Contracept Obstet Gynecol

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“…However, disparities in pregnancy outcomes continue between women of differing racial or ethnic background accessing the same health-care services. [64][65][66] Stillbirth rates for women of south Asian and African origin giving birth in Europe or Australia are two to three times higher than white women. [64][65][66] The challenge is to understand why and how we can manage the excess risk of stillbirth correlated with ethnicity within routine and comprehensive antenatal care.…”

Section: Beyond Health-care Deliverymentioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

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Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

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“…20 However, other data on the maternal background and obstetric outcome from the M0 data, which were based on medical records collected prospectively by physician, midwives, nurses, and trained research coordinators, are likely to be relatively accurate. Second, Khalil et al 21 reported that maternal ethnicity was related to adverse pregnancy outcomes; however, according to the JECS recruitment protocols, almost all participants in our study were Japanese women. Therefore, our results did not consider the maternal ethnicity, and the findings may not be applicable to other ethnicities.…”

Section: Discussionmentioning

confidence: 75%

The Effect of Maternal Age at the First Childbirth on Gestational Age and Birth Weight: The Japan Environment and Children’s Study (JECS)

Kyozuka

Fujimori

Hosoya

et al. 2019

Journal of Epidemiology

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Background: In Japan, mean maternal age at first childbirth is increasing. The aim of this study was to investigate whether maternal age at the first childbirth is a risk factor for preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA). Methods: We used the results of Japan Environment and Children's Study (JECS) who gave birth in 2011-2014. Cases of primiparous singleton pregnancies where the subject was ≥20 years and delivered after 22 weeks were included. All subjects were categorized into five groups according to maternal age: 20-24, 25-29, 30-34, 35-39, and ≥40 years. Adjusted odds ratios (aORs) for PTB (before 37 and 34 weeks), LBW (<2,500 g and <1,500 g), and SGA were calculated using a logistic regression model, with the 20-24-year age group as reference. Results: We analyzed 38,412 singleton primiparous pregnancies. The aORs of all outcomes increased in parallel with each maternal age group >30 years. The aORs of PTB before 37 and 34 weeks, LBW <2,500 g, LBW <1,500 g, and SGA in the 30-34-year age group were 1. Conclusion:The present study showed that higher maternal age (>30 years) at the first childbirth was an independent risk factor for PTB, LBW, and SGA.

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Maternal racial origin and adverse pregnancy outcome: a cohort study

Abstract: ABSTRACT

Cited by 99 publications

References 53 publications

Usefulness of chorionic villus sampling for prenatal diagnosis of thalassaemia: a clinical study in eastern India

Usefulness of chorionic villus sampling for prenatal diagnosis of thalassaemia: a clinical study in eastern India

Stillbirths: recall to action in high-income countries

The Effect of Maternal Age at the First Childbirth on Gestational Age and Birth Weight: The Japan Environment and Children’s Study (JECS)

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