Evidence map›Paper›PMID 38048042›Full record

ArticleJournal of racial and ethnic health disparities2025

Chorioamnionitis, Cesarean Deliveries, and Racial Disparities in the USA.

Injy El-Dib, Mohsen A A Farghaly, Firas Saker, Jalal M Abu-Shaweesh, Sarah Alzayyat, Mohamed A Mohamed, Hany Aly

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Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Racial and ethnic disparities in postnatal growth of infants born before 30 weeks of gestation.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Injy El-Dib *Cleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.
Mohsen A A Farghaly *Cleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA. fargham@ccf.org.ORCID 0000-0002-1475-2145
Firas SakerCleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.
Jalal M Abu-ShaweeshCleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.
Sarah AlzayyatCleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.
Mohamed A MohamedCleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.
Hany AlyCleveland Clinic Children's, 9500 Euclid Avenue #M31, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies showed disparities in management and outcomes of African American when compared to Caucasian population. The presence of chorioamnionitis may affect the decision to have a cesarean delivery (CD); however, it is not known if such a decision is affected by the mothers' race/ethnicity.

objectiveTo assess the interaction between African American race/ethnicity and CD in women with chorioamnionitis.

methodsUtilizing the National Inpatient Sample dataset, we examined the association of CD with chorioamnionitis in the overall population and within Caucasian and African American. Logistic regression models were used to control for confounders.

resultsThe study included 6,648,883 women who delivered 6,925,920 infants. The prevalence of chorioamnionitis was 0.78 and 1.1 in Caucasian and African American, respectively. CD with and without chorioamnionitis was 41.2% and 32.4%, respectively (aOR 1.46 (1.43-1.49), p < 0.001), in Caucasian population and 45.0% and 36.6% in African American population aOR 1.42 (1.37-1.47), p < 0.001. African American population had significantly higher CD after controlling for chorioamnionitis and other confounding variables (aOR of 1.18 (1.17-1.18), p < 0.001).

conclusionChorioamnionitis is associated with increased rate of CD. Ethnic disparities exist in CD rates regardless of the chorioamnionitis status. Such findings warrant further investigation to explore factors associated with this discrepancy.

Indexed as

Black or African AmericanCesarean SectionChorioamnionitisHealthcare DisparitiesHealth Status DisparitiesAdultFemaleHumansPregnancyPrevalenceUnited StatesWhiteYoung AdultAfrican AmericanCesarean deliveriesChorioamnionitisNICURacial disparities

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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.