ArticleHuman reproduction (Oxford, England)2010
Health disparities in risk for cervical insufficiency.
Article in Human reproduction (Oxford, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prior Spontaneous or Induced Abortion Is a Risk Factor for Cervical Dysfunction in Pregnant Women: a Systematic Review and Meta-analysis.Reproductive sciences (Thousand Oaks, Calif.) · 2023Pooled it
- The genetic architecture of cervical length is shared with spontaneous preterm birth risk.Communications medicine · 2025Article
- Racial and Ethnic Disparities in Cervical Insufficiency, Cervical Cerclage, and Preterm Birth.Journal of women's health (2002) · 2025Article
- Patients with acute cervical insufficiency without intra-amniotic infection/inflammation treated with cerclage have a good prognosis.Journal of perinatal medicine · 2019Article
- Racial and ethnic differences in preterm birth: A complex, multifactorial problem.Seminars in perinatology · 2017Review
- Racial and social predictors of longitudinal cervical measures: the Cervical Ultrasound Study.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Racial variation in the number of spontaneous abortions before a first successful pregnancy, and effects on subsequent pregnancies.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2015Article
- Obstetric complications in women with IVF conceived pregnancies and polycystic ovarian syndrome.Journal of human reproductive sciences · 2014Review
- Two Live Births following Robotic-Assisted Abdominal Cerclage in Nonpregnant Women.Case reports in obstetrics and gynecology · 2013Article
- Preconception mental health predicts pregnancy complications and adverse birth outcomes: a national population-based study.Maternal and child health journal · 2012Article
- Prevalence of cervical insufficiency in polycystic ovarian syndrome.Human reproduction (Oxford, England) · 2012Article
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Abstract
backgroundThe purpose of the study was to examine racial/ethnic differences in cervical insufficiency risk.
methodsWe used the US 2005 Natality data file. Analysis was limited to singleton births. The prevalence of cervical insufficiency was examined by the maternal characteristic for each racial group. Unconditional logistic regression modeling was used to assess the association between race and cervical insufficiency while controlling for confounders.
resultsCervical insufficiency risk for Black women was more than twice that for their White counterparts [odds ratio (OR) (95% confidence interval (CI)) of 2.45 (2.22-2.71)]. Prior pregnancy termination showed a dose-response relationship with cervical insufficiency. Compared with women with no history of prior pregnancy termination, primiparous women who have had one pregnancy termination had an OR (95% CI) of 2.49 (2.23-2.77). The OR for two, three and four or more terminations were 4.66 (4.07-5.33), 8.07 (6.77-9.61) and 12.36 (10.19-15.00), respectively. Other predictors of cervical insufficiency included previous preterm birth, parity, marital status, renal disease, history of diabetes, polyhydramnios and anemia.
conclusionsThere were significant racial/ethnic disparities with Black women having increased cervical insufficiency risk, independent of other studied factors. Prior pregnancy termination is also a major risk factor for cervical insufficiency. The White/Black disparity is evident in both primiparous and multiparous women.
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