ArticleBJOG : an international journal of obstetrics and gynaecology2022
Reducing health inequality in Black, Asian and other minority ethnic pregnant women: impact of first trimester combined screening for placental dysfunction on perinatal mortality.
Article in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Interventions to Address Disparities in Perinatal Outcomes by Ethnicity: A Systematic Review.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Pooled it
- Review
- Effect of Targeted Aspirin Administration Based on First Trimester Combined Screening for Preeclampsia on Preterm Birth: An Interrupted Time Series Analysis.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- The Role of Ethnicity and Migration in Perinatal Inequalities: A Retrospective Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Tommy's Clinical Decision Support Tool: an intervention development and feasibility study to inform a future randomised controlled trial.Pilot and feasibility studies · 2026Article
- Role of PD-L1 in the Pathogenesis of Pre-Eclampsia and Its Association with Adverse Fetal Outcomes.Turk patoloji dergisi · 2026Article
- Prediction of stillbirth using machine learning methods.Scientific reports · 2025Article
- Disparities in Stillbirths in England: Analysis of A Population-Based Study of 1.3 Million Births.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Impact of pandemic service changes on ethnic inequalities in maternal and perinatal outcomes in England: a population-based study.BMJ open · 2025Article
- Systematic review of interventions to reduce ethnic health inequalities in maternal and perinatal health in the UK.BMJ public health · 2025Article
- Redesigning antenatal care: Prospective use of an implementation framework to establish a population-based multidisciplinary first-trimester screening, assessment and prevention service.The Australian & New Zealand journal of obstetrics & gynaecology · 2024Article
- Racial and ethnic differences in access to and outcomes of elective induction of labor in low-risk pregnancies: a scoping review.Archives of gynecology and obstetrics · 2024Article
- Exploring the Spectrum of Electrolyte Imbalances in Preeclampsia: Mechanisms, Implications, and Clinical Insights.Cureus · 2024Review
- Metabotropic glutamate receptors (mGluRs) in epileptogenesis: an update on abnormal mGluRs signaling and its therapeutic implications.Neural regeneration research · 2024Review
- Pre-eclampsia.Nature reviews. Disease primers · 2023Review
- Reducing health inequality in Black, Asian and other minority ethnic pregnant women: impact of first trimester combined screening for placental dysfunction on perinatal mortality.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Placental dysfunction screening and perinatal loss.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Preventing Stillbirth: A Review of Screening and Prevention Strategies.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2022Review
- Action on patient safety can reduce health inequalities.BMJ (Clinical research ed.) · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo assess the impact of the Fetal Medicine Foundation (FMF) first trimester screening algorithm for pre-eclampsia on health disparities in perinatal death among minority ethnic groups.
designA retrospective cohort study from July 2016 to December 2020.
settingA large London teaching hospital. PATIENTS AND
methodsAll women who underwent first trimester pre-eclampsia risk assessment using either the NICE screening checklist or the FMF multimodal approach. Women considered at high-risk in the FMF cohort were offered 150 mg aspirin before 16 weeks' gestation, serial growth scans and elective birth at 40 weeks.
main outcome measuresStillbirth, neonatal death and perinatal death rates stratified by screening method and maternal ethnicity.
resultsIn the NICE cohort, the perinatal death rate was significantly higher in non-white than white women (7.95 versus 2.63/1000 births, OR 3.035, 95% CI 1.551-5.941). Following the introduction of FMF screening, the perinatal death rate in non-white women fell from 7.95 to 3.22/1000 births (OR 0.403, 95% CI 0.206-0.789), such that it was no longer significantly different from the perinatal mortality rate in white women (3.22 versus 2.55/1000 births, OR 1.261, 95% CI 0.641-2.483).
conclusionsFirst trimester combined screening for placental dysfunction is associated with a significant reduction in perinatal death in minority ethnic women. Health disparities in perinatal death among ethnic minority women demand urgent attention from both clinicians and health policy makers. The data of this study suggest that this ethnic health inequality may be avoidable. TWEETABLE ABSTRACT: Multimodal early pregnancy placental dysfunction screening can lead to a significant reduction in perinatal deaths in non-white women.
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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.