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Ethno-Specific Risk Factors for Adverse Pregnancy Outcomes: Findings from the Born in Bradford Cohort Study

Tomasina Stacey1, Stephanie Prady2, Melanie Haith-Cooper3

  • 1School of Healthcare, University of Leeds, Leeds, LS2 9JT, UK. t.stacey@leeds.ac.uk.

Maternal and Child Health Journal
|March 18, 2016
PubMed

Insights

Financial strain significantly increases preterm birth (PTB) risk. Maternal distress in Pakistani women was linked to lower small for gestational age (SGA) rates, highlighting ethnic differences in perinatal risk factors.

Area of Science:

  • Maternal and Child Health
  • Perinatal Epidemiology
  • Sociology of Health

Background:

  • Preterm birth (PTB) and small for gestational age (SGA) are leading causes of perinatal mortality and morbidity.
  • Maternal psychosocial and economic well-being are implicated as risk factors for adverse perinatal outcomes.

Purpose of the Study:

  • To investigate the association between psycho-social and economic factors and perinatal outcomes in an ethnically diverse population.
  • To identify ethno-specific risk factors for PTB and SGA.

Main Methods:

  • Analysis of data from 9680 singleton live births in the Born in Bradford cohort study (2007-2010).
  • Maternal socio-demographic and mental health data collected at baseline; outcome data collected prospectively.
  • Multivariate regression models used to analyze PTB (<37 weeks' gestation) and SGA (<10th customized centile).

Main Results:

  • Financial strain was associated with a 45% increased risk of PTB (OR 1.45).
  • Maternal distress showed a negative association with SGA in Pakistani women (OR 0.65).
  • Obesity was protective against PTB in White British women (OR 0.67); smoking and hypertension confirmed as risk factors.

Conclusions:

  • Financial strain emerges as a significant risk factor for PTB.
  • Significant ethnic variations in risk factors for PTB and SGA were observed.
  • Understanding ethno-specific risks is crucial for developing targeted preventative strategies to improve perinatal outcomes in disadvantaged populations.

Keywords:
Born in BradfordDepressionEthnic differencesFinancial strainPreterm birthSmall for gestational age

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