Decreased Preterm Births in an Inner-City Public Hospital
Decreased Preterm Births in an Inner-City Public Hospital
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DOI：
10.1097/aog.0b013e318195e257
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发表时间：
2009-03-01
影响因子：
7.2
通讯作者：
Anderson, Ron J.
中科院分区：
文献类型：
--
作者：
Leveno, Kenneth J.;McIntire, Donald D.;Anderson, Ron J.
目的：在美国内城区公立医院分娩的非裔美国人和西班牙裔妇女的早产率同时上升的背景下进行调查。方法：将 1988 年至 2006 年间在帕克兰医院接受产前护理的妇女所生的出生体重为 500 克或以上的单胎新生儿的早产率（定义为妊娠 37 周前出生）与类似的早产率进行比较。我们还比较了 1995 年至 2002 年美国的出生率。还比较了白人、非裔美国人和西班牙裔妇女的早产率，以及以白人妇女为参照物的早产率差异。结果：帕克兰纪念医院队列包括 260,197 名妇女，其中 70% 是西班牙裔，20% 是非裔美国人，8% 是白人。美国队列包括 29,366,816 名女性，其中 61% 是白人，19% 是西班牙裔，14% 是非裔美国人。 1995年至2002年间，美国的早产率从9.4%上升到10.1%（P
OBJECTIVE: To examine preterm births among African-American and Hispanic women who delivered at an inner-city public hospital in the context of contemporaneously increasing rates in the United States.METHODS: The rates of preterm birth, defined as birth before 37 weeks of gestation, for singleton neonates with birth weights of 500 g or higher delivered to women who had prenatal care at Parkland Hospital between 1988 and 2006 were compared with similar births in the United States from 1995 to 2002. Preterm birth rates also were compared for white, African-American, and Hispanic women as were disparity in these rates using white women as the referent.RESULTS: The Parkland Memorial Hospital cohort included 260,197 women, of whom 70% were Hispanic, 20% African-American, and 8% white. The U.S. cohort included 29,366,816 women, of whom 61% were white, 19% Hispanic, and 14% African-American. Between 1995 and 2002, the rate of preterm birth in the United States increased from 9.4% to 10.1% (P