Abstract
Racial and Ethnic Differences in Pregnancy Outcomes in Women With Chronic Hypertension
Obstetrics and gynecology (New York. 1953), Vol.123 Suppl 1(Supplement 1), pp.168S-169S
05/2014
DOI: 10.1097/01.AOG.0000447176.91016.01
Abstract
INTRODUCTION:This study evaluates the association between race and ethnicity and obstetric outcomes in women with chronic hypertension.
METHODS:A retrospective cohort study of African American, Hispanic, Asian, and white California residents who delivered live, singleton, nonanomalous neonates from 2005 to 2008. The data consisted of birth records linked to hospital discharge data; chronic hypertension was identified by International Classification of Diseases, 9th Revision codes. Univariate and multivariable analyses were conducted to examine the association between chronic hypertension and preeclampsia, gestational diabetes, preterm delivery, birth weight, intrauterine fetal demise, neonatal death, and postneonatal death.
RESULTS:After accounting for education level, socioeconomic status, maternal age, and parity, African American, Hispanic, and Asian women with chronic hypertension were significantly more likely than whites to develop preeclampsia and deliver preterm (P<.001). African American women had a significantly elevated risk of intrauterine fetal demise (P<.001) and postneonatal death (P<.05). Hispanic and Asian women were significantly more likely to develop gestational diabetes (P<.001). There were no significant differences in neonatal death (). Mean birth weights were significantly less for each race and ethnicityAfrican American (2,891 g), Hispanic (3,053 g), and Asian (2,933 g) when compared with whites (3,221 g) (P<.001).(Table is included in full-text article.)
CONCLUSION:Racial and ethnic disparities affect maternal and neonatal outcomes in women whose pregnancies are complicated by chronic hypertension. Whether this represents disparities in quality of care compared with biologic differences requires further investigation.
Details
- Title: Subtitle
- Racial and Ethnic Differences in Pregnancy Outcomes in Women With Chronic Hypertension
- Creators
- Bethany Sabol - Oregon Health & Science UniversityShireen de Sam Lazaro - Oregon Health & Science UniversityJennifer Salati - Oregon Health & Science UniversityAllison Allen - Oregon Health & Science UniversityJonathan Snowden - Oregon Health & Science UniversityAaron Caughey - Oregon Health & Science University
- Resource Type
- Abstract
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.123 Suppl 1(Supplement 1), pp.168S-169S
- DOI
- 10.1097/01.AOG.0000447176.91016.01
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Publisher
- by The American College of Obstetricians and Gynecologists; PHILADELPHIA
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984920477502771
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