Maternal and Neonatal Morbidities by Race in College-Educated Women

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Objective  Non-Hispanic black and Hispanic women experience significantly higher adverse maternal and neonatal outcomes compared with non-Hispanic white women. The purpose of this study is to explore whether disparities in obstetric outcomes exist by race among women who are college-educated. Study Design  This is a retrospective cohort study from a multicenter observational cohort of women undergoing cesarean delivery. Women were defined as "college-educated" if they reported completion of a 4-year college degree. Race/ethnicity was categorized as non-Hispanic white, non-Hispanic black, Hispanic, Asian, Native American, or unknown. The primary outcome was a composite of maternal morbidity, and a composite of neonatal morbidity was evaluated as a secondary outcome. A multivariable logistic regression model was then utilized to assess associations of race with the primary and secondary outcomes. Results  A total of 2,540 women were included in the study. After adjusting for potential confounding variables, maternal morbidity was found to be significantly higher for college-educated non-Hispanic black women compared with non-Hispanic white women (odds ratio [OR] 1.77, 95% confidence interval [CI] 1.12-2.80). The incidence of neonatal morbidity was significantly higher for non-Hispanic black (OR 1.91, 95% CI 1.31-2.79) and Hispanic (OR 3.34, 95% CI 2.23-5.01) women. Conclusion  In this cohort, the odds of cesarean-related maternal and neonatal morbidities were significantly higher for college-educated non-Hispanic black women, compared with their non-Hispanic white counterparts. This demonstrates that even among women with higher level education, racial and ethnic disparities persist in obstetric outcomes.

Medienart:	E-Artikel

Erscheinungsjahr:	2024
Erschienen:	2024

Enthalten in:	Zur Gesamtaufnahme - volume:14
Enthalten in:	AJP reports - 14(2024), 1 vom: 23. Jan., Seite e57-e61

Sprache:	Englisch

Beteiligte Personen:	Kern-Goldberger, Adina R [VerfasserIn] Madden, Nigel [VerfasserIn] Baptiste, Caitlin [VerfasserIn] Friedman, Alexander [VerfasserIn] Gyamfi-Bannerman, Cynthia [VerfasserIn]

Links:	Volltext

Themen:	Education Journal Article Maternal morbidity Neonatal morbidity Racial disparities

Anmerkungen:	Date Revised 31.01.2024 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE

doi:	10.1055/s-0043-1778000

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	NLM367785048