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Ethnic differences in perinatal mortality--a challenge

M J Robinson, S R Palmer, A Avery

    Journal of Epidemiology and Community Health
    |March 1, 1982
    PubMed
    Summary
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    West Indian mothers delivering in the UK experienced higher perinatal mortality rates, particularly for infants over 2.0 kg and 37 weeks gestation. This increased risk was linked to factors like pre-eclampsia and forceps delivery.

    Area of Science:

    • Perinatal Health
    • Epidemiology
    • Maternal-Infant Health Disparities

    Background:

    • Perinatal mortality rates vary significantly across different ethnic populations.
    • Understanding these disparities is crucial for targeted public health interventions.

    Purpose of the Study:

    • To investigate perinatal mortality rates among West Indian mothers delivering at St. Thomas's Hospital (1969-1976).
    • To compare these rates with the United Kingdom white population.
    • To identify factors contributing to observed mortality differences.

    Main Methods:

    • Retrospective analysis of perinatal mortality data.
    • Comparison of rates between West Indian and UK white mothers.
    • Stratification of data by infant birth weight, gestational age, maternal age, and parity.

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    Main Results:

    • West Indian infants had significantly higher perinatal mortality than UK white infants.
    • Increased mortality was concentrated in infants >2.0 kg and >37 weeks gestation.
    • Relative risk of perinatal death increased with birth weight for West Indian mothers.
    • Pre-eclampsia and forceps delivery were associated with higher mortality in West Indian babies.
    • African perinatal mortality rates were not significantly different from UK white rates.

    Conclusions:

    • The excess perinatal mortality in West Indian infants could not be fully explained by known demographic or clinical factors.
    • Further research is needed to explore underlying causes and develop effective prevention strategies.
    • Addressing disparities in perinatal care for minority ethnic groups is essential.