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Racial Differences in the Patterns of Preterm Delivery in Central North Carolina, USA

Citation

Blackmore, Cheryl A.; Savitz, David A.; Edwards, Lloyd J.; Harlow, Siobán D.; & Bowes, Watson A., Jr. (1995). Racial Differences in the Patterns of Preterm Delivery in Central North Carolina, USA. Paediatric and Perinatal Epidemiology, 9(3), 281-95.

Abstract

In order to assess racial differences in rates of idiopathic preterm labour, preterm premature rupture of membranes, and medically indicated preterm delivery, the authors analysed data on 388 preterm (< 37 completed weeks of gestation) births (7.9% of all births) occurring between 1 September 1988 and 31 August 1989, in three central North Carolina counties. The crude relative risk (RR) of preterm birth among black women compared with white women was 2.6 [95% confidence interval (CI) 2.1, 3.1]. With adjustment for age, gravidity, marital status, education, and county of residence, the estimated relative risk for black women compared with white women was 2.1 (95% CI 1.1, 4.1) for medically indicated preterm delivery, 1.6 (95% CI 1.1, 2.3) for preterm birth as a result of preterm labour, and 1.9 (95% CI 1.2, 3.1) for preterm premature rupture of membranes. Compared with white women, black women were at the highest risk of a preterm birth before 34 weeks of gestation (RR = 2.9; 95% CI 1.8, 4.7). The risk of medically indicated preterm delivery at 36 weeks was considerably higher for black women than for white women (RR = 3.4; 95% CI 1.1, 10.2). For a better understanding and ultimately a reduction of the risk for preterm delivery among black women, investigation of specific aetiological pathways and gestational age groups may be required.

URL

http://dx.doi.org/10.1111/j.1365-3016.1995.tb00144.x

Reference Type

Journal Article

Journal Title

Paediatric and Perinatal Epidemiology

Author(s)

Blackmore, Cheryl A.
Savitz, David A.
Edwards, Lloyd J.
Harlow, Siobán D.
Bowes, Watson A., Jr.

Year Published

1995

Volume Number

9

Issue Number

3

Pages

281-95

Reference ID

634