Evidence map›Paper›PMID 41198793›Full record

ArticleScientific reports2025

Stillbirths and the race-specific gap in neonatal death among extremely preterm births.

Tim A Bruckner, Allison Stolte, Brenda Bustos, Alison Gemmill, Joan A Casey, Hedwig Lee, Ralph A Catalano

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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.

Tim A BrucknerDepartment of Health, Society, and Behavior, Joe C. Wen School of Population and Public Health, University of California, Irvine, CA, USA. brucknet@uci.edu.
Allison StolteDepartment of Health, Society, and Behavior, Joe C. Wen School of Population and Public Health, University of California, Irvine, CA, USA.
Brenda BustosDepartment of Health, Society, and Behavior, Joe C. Wen School of Population and Public Health, University of California, Irvine, CA, USA. vazqueb3@hs.uci.edu.
Alison GemmillDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Joan A CaseyDepartment of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA, USA.
Hedwig LeeDepartment of Sociology, Duke University, Durham, NC, USA.
Ralph A CatalanoSchool of Public Health, University of California, Berkeley, CA, USA.

Funding

Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI Giovanna M Merli · 2015 to 2026
$5.7M
Racial disparities in preterm births and fetal lossesR01HD103736 · NICHD · UNIVERSITY OF CALIFORNIA-IRVINE · PI BRUCKNER, TIM ALLEN · 2021 to 2025
$2.7M
Eunice Kennedy Shriver National Institute of Child Health and Human Development 5R01HD103736-04NICHD NIH HHS P2C HD065563NICHD NIH HHS R01 HD103736
6 · The paper itself

Abstract

In the extremely preterm period (ePTB; less than 28 weeks), non-Hispanic (NH) Black infants in the US show relatively lower risk of neonatal death than do NH white infants. Explanations for this survival advantage include higher levels of stillbirth among NH Black persons, which could leave behind hardier members of the conception cohort that survive to birth. We test this "high stillbirth" explanation in the US and focus on NH Black singleton ePTB males given their large survival advantage. We applied time-series methods to 288 monthly conception cohorts (1995-2018 US fetal, birth, and neonatal death records) for NH Black and NH white singletons in the ePTB range (N = 473,472). We specified positive monthly outliers in male relative to female NH Black stillbirths in the ePTB range to gauge high NH Black male stillbirths. NH Black male ePTB singleton infants show a stronger neonatal survival advantage (relative to NH whites) for cohorts with high NH Black male stillbirth (4.4 fewer deaths per 100 live births, standard error = 1.3, p < .001). Cohort variation in fetal loss, as measured by high NH Black male stillbirth, may explain a portion of the counterintuitive racial/ethnic patterns in live birth mortality among extremely preterm births.

Indexed as

Infant, Extremely PrematureInfant MortalityPerinatal DeathPremature BirthStillbirthBlack or African AmericanCohort StudiesFemaleHumansInfantInfant, NewbornMalePregnancyUnited StatesWhiteExtremely preterm birthsFetal deathNeonatal deathRace differencesStillbirthSurvival advantage

Identifiers

PMID41198793
PMCPMC12592548

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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.