Evidence map›Paper›PMID 41242945›Full record

ArticlePaediatric and perinatal epidemiology2026

Disparities in Patterns of Preterm and Early Term Second Births Among Non-Hispanic Black and White Mothers.

Puneet Kaur Chehal, Maria Dieci, E Kathleen Adams, Michael R Kramer, Anne L Dunlop

Abstract read
In one paragraph

Article in Paediatric and perinatal epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Puneet Kaur ChehalDepartment of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-4993-3242
Maria DieciDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-5364-8789
E Kathleen AdamsDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-4811-2752
Michael R KramerCenter for Rural Health and Health Disparities, School of Medicine, Mercer University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-6372-6170
Anne L DunlopDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-5092-8136

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Georgia Clinical and Translational Science Alliance KL2TR002381Georgia Clinical and Translational Science Alliance UL1TR002378NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundEarly term births (37-38 weeks), like preterm births (< 37 weeks) are associated with increased infant morbidity, mortality, and risk of future preterm births. While racial disparities in preterm births are well documented, longitudinal patterns of early term and preterm births by maternal race remain underexplored.

objectivesTo estimate the likelihood of second births that are preterm or early term, conditional on the gestational age category of the mother's first birth and maternal race.

methodsThis population-based cohort study used linked birth and hospital discharge records for non-Hispanic (NH) Black and White mothers in Georgia with a first and second singleton live birth between 2011 and 2020. We examined the unadjusted distributions of second birth gestational age (< 32, 32-36, 37-38, ≥ 39 weeks) stratified by first birth gestational age category and maternal race. Adjusted relative risk ratios (RRRs) were estimated using multinomial logit models.

resultsNH Black mothers delivered 31,768 births; NH White mothers delivered 58,113. Among mothers with a first preterm birth < 32 weeks, NH Black mothers had a higher likelihood of second births at < 32 (RRR 19.08, 95% CI 14.48, 24.98) than NH White mothers (10.17, 95% CI 7.00, 14.78) and had similar disparities for second births at 32-36 weeks. After early term first births, NH Black mothers had elevated risks of < 32 or 32-36 week births (RRRs 3.53, 95% CI 2.90, 4.30 and 2.88, 95% CI 2.64, 3.13 respectively) versus NH White mothers (1.73, 95% CI 1.41, 2.11 and 2.07, 95% CI 1.92, 2.22). Racial disparities extended to second births following full-term first births and persisted after restricting the sample to non-indicated first births.

conclusionsNH Black mothers face relatively elevated risks of shortened gestation in subsequent births, regardless of the gestational age of their first birth, including after early term or full-term births.

Indexed as

Black or African AmericanPremature BirthWhiteAdultFemaleGeorgiaGestational AgeHealth Status DisparitiesHumansInfant, NewbornMothersPregnancyTerm BirthYoung Adultearly term birthpreterm birthprevious birthrace disparitiessecond birthsshortened gestational age

Identifiers

PMID41242945
PMCPMC12853229

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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.