Evidence map›Paper›PMID 16407965›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2006

Racial differences in prenatal care of mothers delivering very low birth weight infants.

D A Paul, R Locke, K Zook, K H Leef, J L Stefano, G Colmorgen

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Prematurity and race account for much of the interstate variation in infant mortality rates in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  7. Infant mortality in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  8. Article
  9. Maternal and neonatal characteristics of extremely low birth weight infants who die in the first day of life.Journal of perinatology : official journal of the California Perinatal Association · 2009
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

D A PaulDepartment of Pediatrics, Section of Neonatology, Christiana Care Health Services, Newark, DE 19718, USA. paul.d@christianacare.org
R Locke
K Zook
K H Leef
J L Stefano
G Colmorgen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether there are any racial differences in the prenatal care of mothers delivering very low birth weight infants (VLBW). STUDY

designRetrospective cohort study of infants cared for at a single regional level III neonatal intensive care unit over a 9-year period, July 1993-June 2002, N = 1234. The main outcome variables investigated included antenatal administration of steroids, delivery by cesarean section, and use of tocolytic medications. Both univariate and multivariate analyses were performed.

resultsAfter controlling for potential confounding variables, white mothers delivering VLBWs had an increased odds of cesarean delivery (odds ratio 1.5, 95% confidence intervals (CI) 1.1-2.0), receiving antenatal steroids (1.3, CI 1.01-1.8), and tocolysis (1.4, CI 1.1-2.0) compared to black mothers. The models controlled for gestational age, multiple gestation, premature labor, clinical chorioamnionitis, maternal age, income, year of birth, and presentation.

conclusionsIn our population of VLBWs, white mothers are more likely to receive antenatal steroids, tocolytic medications, and deliver by cesarean section when compared to black mothers. From our data we cannot determine the reasons behind these racial differences in care of mothers delivering VLBWs.

Indexed as

Infant, Very Low Birth WeightBlack or African AmericanCohort StudiesConfidence IntervalsDelawareDelivery, ObstetricFemaleFollow-Up StudiesGestational AgeHealth Services AccessibilityHumansInfant MortalityInfant, NewbornIntensive Care Units, NeonatalMaternal AgePregnancy

Identifiers

PMID16407965

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.