A population-based study of race-specific risk for preterm premature rupture of membranes
Objective The purpose of this study was to test the hypothesis that race is associated with the risk of preterm birth due to preterm premature rupture of membranes (PPROM) and its recurrence. Study Design We conducted a population-based cohort study using the Missouri Department of Health's mat...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2008-10, Vol.199 (4), p.373.e1-373.e7 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Shen, Tammy T., BS DeFranco, Emily A., DO Stamilio, David M., MD, MSCE Chang, Jen Jen, PhD Muglia, Louis J., MD, PhD |
| description | Objective The purpose of this study was to test the hypothesis that race is associated with the risk of preterm birth due to preterm premature rupture of membranes (PPROM) and its recurrence. Study Design We conducted a population-based cohort study using the Missouri Department of Health's maternally linked birth certificate database (1989-1997) to assess racial effects on the occurrence and recurrence of PPROM, while adjusting for socioeconomic and maternal medical risk factors (n = 644,462). Results Black mothers were more likely to have PPROM compared to white mothers (aOR, 2.3; 95% CI, 2.0-2.5). The magnitude of risk of PPROM for black mothers compared to white mothers was greatest at < 28 weeks of gestation (aOR 2.8, 95% CI, 2.5-3.2). Black mothers were at significantly higher risk of recurrent PPROM compared to white mothers (aOR 6.4, 95% CI, 3.7-11.0). Conclusion There is an overrepresentation in the occurrence and recurrence of PPROM in black mothers that persists after adjusting for known risk factors. |
| doi_str_mv | 10.1016/j.ajog.2008.05.011 |
| format | Article |
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Study Design We conducted a population-based cohort study using the Missouri Department of Health's maternally linked birth certificate database (1989-1997) to assess racial effects on the occurrence and recurrence of PPROM, while adjusting for socioeconomic and maternal medical risk factors (n = 644,462). Results Black mothers were more likely to have PPROM compared to white mothers (aOR, 2.3; 95% CI, 2.0-2.5). The magnitude of risk of PPROM for black mothers compared to white mothers was greatest at < 28 weeks of gestation (aOR 2.8, 95% CI, 2.5-3.2). Black mothers were at significantly higher risk of recurrent PPROM compared to white mothers (aOR 6.4, 95% CI, 3.7-11.0). Conclusion There is an overrepresentation in the occurrence and recurrence of PPROM in black mothers that persists after adjusting for known risk factors.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2008.05.011</identifier><identifier>PMID: 18667175</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; African Americans - statistics & numerical data ; Biological and medical sciences ; black ; Delivery. Postpartum. Lactation ; Diseases of mother, fetus and pregnancy ; Disorders ; Female ; Fetal Membranes, Premature Rupture - ethnology ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Missouri - epidemiology ; Multivariate Analysis ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy. Fetus. Placenta ; preterm birth ; preterm premature rupture of membranes ; race ; Recurrence ; Risk Factors ; Socioeconomic Factors ; white</subject><ispartof>American journal of obstetrics and gynecology, 2008-10, Vol.199 (4), p.373.e1-373.e7</ispartof><rights>Mosby, Inc.</rights><rights>2008 Mosby, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-fc392bdbab2ae3be9356248ceb2628c2ed9784f99cfb222565888a51f3b203023</citedby><cites>FETCH-LOGICAL-c483t-fc392bdbab2ae3be9356248ceb2628c2ed9784f99cfb222565888a51f3b203023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937808005516$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20759276$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18667175$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shen, Tammy T., BS</creatorcontrib><creatorcontrib>DeFranco, Emily A., DO</creatorcontrib><creatorcontrib>Stamilio, David M., MD, MSCE</creatorcontrib><creatorcontrib>Chang, Jen Jen, PhD</creatorcontrib><creatorcontrib>Muglia, Louis J., MD, PhD</creatorcontrib><title>A population-based study of race-specific risk for preterm premature rupture of membranes</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The purpose of this study was to test the hypothesis that race is associated with the risk of preterm birth due to preterm premature rupture of membranes (PPROM) and its recurrence. Study Design We conducted a population-based cohort study using the Missouri Department of Health's maternally linked birth certificate database (1989-1997) to assess racial effects on the occurrence and recurrence of PPROM, while adjusting for socioeconomic and maternal medical risk factors (n = 644,462). Results Black mothers were more likely to have PPROM compared to white mothers (aOR, 2.3; 95% CI, 2.0-2.5). The magnitude of risk of PPROM for black mothers compared to white mothers was greatest at < 28 weeks of gestation (aOR 2.8, 95% CI, 2.5-3.2). Black mothers were at significantly higher risk of recurrent PPROM compared to white mothers (aOR 6.4, 95% CI, 3.7-11.0). Conclusion There is an overrepresentation in the occurrence and recurrence of PPROM in black mothers that persists after adjusting for known risk factors.</description><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>black</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Disorders</subject><subject>Female</subject><subject>Fetal Membranes, Premature Rupture - ethnology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Missouri - epidemiology</subject><subject>Multivariate Analysis</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>preterm birth</subject><subject>preterm premature rupture of membranes</subject><subject>race</subject><subject>Recurrence</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>white</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1TAUhoMozp3RP-BCutFdaz6aNAERhkFHYcCFunAVkvRE0mmbmrQD99-bei8KLlwdAs97zslzEHpBcEMwEW-GxgzxR0Mxlg3mDSbkEToQrLpaSCEfowPGmNaKdfICXeY87E-q6FN0QaQQHen4AX2_rpa4bKNZQ5xrazL0VV63_lhFXyXjoM4LuOCDq1LI95WPqVoSrJCmvU5m3RJUaVt-15KZYLLJzJCfoSfejBmen-sV-vbh_debj_Xd59tPN9d3tWslW2vvmKK2t8ZSA8yCYlzQVjqwVFDpKPSqk61XynlLKeWCSykNJ55Zihmm7Aq9PvVdUvy5QV71FLKDcSxLxC1roUTXtq0oID2BLsWcE3i9pDCZdNQE612oHvQuVO9CNea6CC2hl-fum52g_xs5GyzAqzNgsjOjL393If_hKO64ot0-_e2Jg-LiIUDS2QWYHfQhgVt1H8P_93j3T9yNYQ5l4j0cIQ9xS3OxrInOVGP9Zb_1fnksMeacCPYLkBWpbA</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Shen, Tammy T., BS</creator><creator>DeFranco, Emily A., DO</creator><creator>Stamilio, David M., MD, MSCE</creator><creator>Chang, Jen Jen, PhD</creator><creator>Muglia, Louis J., MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>A population-based study of race-specific risk for preterm premature rupture of membranes</title><author>Shen, Tammy T., BS ; DeFranco, Emily A., DO ; Stamilio, David M., MD, MSCE ; Chang, Jen Jen, PhD ; Muglia, Louis J., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-fc392bdbab2ae3be9356248ceb2628c2ed9784f99cfb222565888a51f3b203023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>black</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Disorders</topic><topic>Female</topic><topic>Fetal Membranes, Premature Rupture - ethnology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Missouri - epidemiology</topic><topic>Multivariate Analysis</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>preterm birth</topic><topic>preterm premature rupture of membranes</topic><topic>race</topic><topic>Recurrence</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>white</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shen, Tammy T., BS</creatorcontrib><creatorcontrib>DeFranco, Emily A., DO</creatorcontrib><creatorcontrib>Stamilio, David M., MD, MSCE</creatorcontrib><creatorcontrib>Chang, Jen Jen, PhD</creatorcontrib><creatorcontrib>Muglia, Louis J., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shen, Tammy T., BS</au><au>DeFranco, Emily A., DO</au><au>Stamilio, David M., MD, MSCE</au><au>Chang, Jen Jen, PhD</au><au>Muglia, Louis J., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A population-based study of race-specific risk for preterm premature rupture of membranes</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>199</volume><issue>4</issue><spage>373.e1</spage><epage>373.e7</epage><pages>373.e1-373.e7</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The purpose of this study was to test the hypothesis that race is associated with the risk of preterm birth due to preterm premature rupture of membranes (PPROM) and its recurrence. Study Design We conducted a population-based cohort study using the Missouri Department of Health's maternally linked birth certificate database (1989-1997) to assess racial effects on the occurrence and recurrence of PPROM, while adjusting for socioeconomic and maternal medical risk factors (n = 644,462). Results Black mothers were more likely to have PPROM compared to white mothers (aOR, 2.3; 95% CI, 2.0-2.5). The magnitude of risk of PPROM for black mothers compared to white mothers was greatest at < 28 weeks of gestation (aOR 2.8, 95% CI, 2.5-3.2). Black mothers were at significantly higher risk of recurrent PPROM compared to white mothers (aOR 6.4, 95% CI, 3.7-11.0). Conclusion There is an overrepresentation in the occurrence and recurrence of PPROM in black mothers that persists after adjusting for known risk factors.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>18667175</pmid><doi>10.1016/j.ajog.2008.05.011</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult African Americans - statistics & numerical data Biological and medical sciences black Delivery. Postpartum. Lactation Diseases of mother, fetus and pregnancy Disorders Female Fetal Membranes, Premature Rupture - ethnology Gynecology. Andrology. Obstetrics Humans Medical sciences Missouri - epidemiology Multivariate Analysis Obstetrics and Gynecology Pregnancy Pregnancy. Fetus. Placenta preterm birth preterm premature rupture of membranes race Recurrence Risk Factors Socioeconomic Factors white |
| title | A population-based study of race-specific risk for preterm premature rupture of membranes |
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