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Ethnic differences in stillbirth and early neonatal mortality in The Netherlands

BACKGROUND: Ethnic disparities in perinatal mortality are well known. This study aimed to explore the contribution of demographic, socioeconomic, health behavioural and pre-existent medical risk factors among different ethnic groups on fetal and early neonatal mortality. METHODS: We assessed perinat...

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Autores principales: Ravelli, A C J, Tromp, M, Eskes, M, Droog, J C, van der Post, J A M, Jager, K J, Mol, B W, Reitsma, J B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129515/
https://www.ncbi.nlm.nih.gov/pubmed/20719806
http://dx.doi.org/10.1136/jech.2009.095406
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author Ravelli, A C J
Tromp, M
Eskes, M
Droog, J C
van der Post, J A M
Jager, K J
Mol, B W
Reitsma, J B
author_facet Ravelli, A C J
Tromp, M
Eskes, M
Droog, J C
van der Post, J A M
Jager, K J
Mol, B W
Reitsma, J B
author_sort Ravelli, A C J
collection PubMed
description BACKGROUND: Ethnic disparities in perinatal mortality are well known. This study aimed to explore the contribution of demographic, socioeconomic, health behavioural and pre-existent medical risk factors among different ethnic groups on fetal and early neonatal mortality. METHODS: We assessed perinatal mortality from 24.0 weeks' gestation onwards in 554 234 singleton pregnancies of nulliparous women in the linked Netherlands Perinatal Registry over the period 2000–2006. Logistic regression modelling was used. RESULTS: Considerable ethnic differences in perinatal mortality exist especially in fetal mortality. Maternal age, socioeconomic status and pre-existent diseases could not explain these ethnic differences. Late booking visit could explain some differences. Compared with the Dutch, African women had an increased fetal mortality risk of OR 1.7 (95% CI 1.4 to 2.1); South Asian women, 1.8 (1.4 to 2.3); other non-Western women, 1.3 (1.1 to 1.6) and Turkish/Moroccan women, 1.3 (1.1 to 1.4). The risk on early neonatal mortality was only increased in other non-Western women, OR 1.3 (1.0 to 1.8). Ethnic differences were even present in the women without risk factors including preterm births. Mortality risk for East Asian and other Western women was lower or comparable with the Dutch. CONCLUSION: Important ethnic differences in fetal mortality exist, especially among women of African and South Asian origin. Ethnic minorities should be more acquainted with the significance of early start of prenatal care. Tailored prenatal care for women with African and South Asian origin seems necessary. More research on underlying cause of deaths is needed by ethnic group.
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spelling pubmed-31295152011-07-11 Ethnic differences in stillbirth and early neonatal mortality in The Netherlands Ravelli, A C J Tromp, M Eskes, M Droog, J C van der Post, J A M Jager, K J Mol, B W Reitsma, J B J Epidemiol Community Health Research Report BACKGROUND: Ethnic disparities in perinatal mortality are well known. This study aimed to explore the contribution of demographic, socioeconomic, health behavioural and pre-existent medical risk factors among different ethnic groups on fetal and early neonatal mortality. METHODS: We assessed perinatal mortality from 24.0 weeks' gestation onwards in 554 234 singleton pregnancies of nulliparous women in the linked Netherlands Perinatal Registry over the period 2000–2006. Logistic regression modelling was used. RESULTS: Considerable ethnic differences in perinatal mortality exist especially in fetal mortality. Maternal age, socioeconomic status and pre-existent diseases could not explain these ethnic differences. Late booking visit could explain some differences. Compared with the Dutch, African women had an increased fetal mortality risk of OR 1.7 (95% CI 1.4 to 2.1); South Asian women, 1.8 (1.4 to 2.3); other non-Western women, 1.3 (1.1 to 1.6) and Turkish/Moroccan women, 1.3 (1.1 to 1.4). The risk on early neonatal mortality was only increased in other non-Western women, OR 1.3 (1.0 to 1.8). Ethnic differences were even present in the women without risk factors including preterm births. Mortality risk for East Asian and other Western women was lower or comparable with the Dutch. CONCLUSION: Important ethnic differences in fetal mortality exist, especially among women of African and South Asian origin. Ethnic minorities should be more acquainted with the significance of early start of prenatal care. Tailored prenatal care for women with African and South Asian origin seems necessary. More research on underlying cause of deaths is needed by ethnic group. BMJ Group 2010-08-18 2011-08 /pmc/articles/PMC3129515/ /pubmed/20719806 http://dx.doi.org/10.1136/jech.2009.095406 Text en © 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.
spellingShingle Research Report
Ravelli, A C J
Tromp, M
Eskes, M
Droog, J C
van der Post, J A M
Jager, K J
Mol, B W
Reitsma, J B
Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title_full Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title_fullStr Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title_full_unstemmed Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title_short Ethnic differences in stillbirth and early neonatal mortality in The Netherlands
title_sort ethnic differences in stillbirth and early neonatal mortality in the netherlands
topic Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129515/
https://www.ncbi.nlm.nih.gov/pubmed/20719806
http://dx.doi.org/10.1136/jech.2009.095406
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