ArticleBMJ (Clinical research ed.)2009
Socioeconomic inequalities in survival and provision of neonatal care: population based study of very preterm infants.
Article in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Deprived areas and adverse perinatal outcome: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- Area level measures of socioeconomic deprivation and their impact on very preterm birth and very preterm birth outcomes: A retrospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Article
- Socioeconomic inequity in extreme outcomes within very pre-term and/or very low birthweight infants: evidence from multi-national cohorts.Frontiers in public health · 2026Article
- Improving UK data on avoidable perinatal brain injury: review of data dictionaries and consultation.Pediatric research · 2025Review
- Multiprofessional cross-site working between a level 1 and a level 3 neonatal unit: a retrospective cohort study.BMJ paediatrics open · 2022Article
- Birth outcomes between 22 and 26 weeks' gestation in national population-based cohorts from Sweden, England and France.Acta paediatrica (Oslo, Norway : 1992) · 2022Article
- The neurobiology of childhood trauma, from early physical pain onwards: as relevant as ever in today's fractured world.European journal of psychotraumatology · 2022Review
- Introduction of 24 h Resident Consultant Cover in a Tertiary Neonatal Unit-Impact on Mortality and Clinical Outcomes.Children (Basel, Switzerland) · 2021Article
- An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers.Health SA = SA Gesondheid · 2021Article
- Impact of a Multifactorial Educational Training on the Management of Preterm Infants in the Central-Eastern European Region.Frontiers in pediatrics · 2021Article
- Article
- Ethnic and socioeconomic variation in cause-specific preterm infant mortality by gestational age at birth: national cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2020Article
- How do women with social risk factors experience United Kingdom maternity care? A realist synthesis.Birth (Berkeley, Calif.) · 2019Article
- Wide variation in severe neonatal morbidity among very preterm infants in European regions.Archives of disease in childhood. Fetal and neonatal edition · 2019Article
- Using a Clustering Approach to Investigate Socio-Environmental Inequality in Preterm Birth-A Study Conducted at Fine Spatial Scale in Paris (France).International journal of environmental research and public health · 2018Article
- Use of hospital-based health care services among children aged 1 through 9 years who were born very preterm - a population-based study.BMC health services research · 2017Article
- All-Cause Mortality of Low Birthweight Infants in Infancy, Childhood, and Adolescence: Population Study of England and Wales.PLoS medicine · 2016Article
- Seven key investments for health equity across the lifecourse: Scotland versus the rest of the UK.Social science & medicine (1982) · 2015Article
- Neighbourhood deprivation and very preterm birth in an English and French cohort.BMC pregnancy and childbirth · 2013Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo assess socioeconomic inequalities in survival and provision of neonatal care among very preterm infants.
designProspective cohort study in a geographically defined population.
settingFormer Trent health region of the United Kingdom (covering about a twelfth of UK births).
participantsAll infants born between 22+0 and 32+6 weeks' gestation from 1 January 1998 to 31 December 2007 who were alive at the onset of labour and followed until discharge from neonatal care.
main outcome measuresSurvival to discharge from neonatal care per 1000 total births and per 1000 very preterm births. Neonatal care provision for very preterm infants surviving to discharge measured with length of stay, provision of ventilation, and respiratory support. Deprivation measured with the UK index of multiple deprivation 2004 score at super output area level.
results7449 very preterm singleton infants were born in the 10 year period. The incidence of very preterm birth was nearly twice as high in the most deprived areas compared with the least deprived areas. Consequently rates of mortality due to very preterm birth per 1000 total births were almost twice as high in the most deprived areas compared with the least deprived (incidence rate ratio 1.94, 95% confidence interval 1.62 to 2.32). Mortality rates per 1000 very preterm births, however, showed little variation across all deprivation fifths (incidence rate ratio for most deprived fifth versus least deprived 1.02, 0.86 to 1.20). For infants surviving to discharge from neonatal care, measures of length of stay and provision of ventilation and respiratory support were similar across all deprivation fifths.
conclusionsThe burden of mortality and morbidity is greater among babies born to women from deprived areas because of increased rates of very preterm birth. After very preterm birth, however, survival rates and neonatal care provision is similar for infants from all areas.
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