Temporal Trends in Chorioamnionitis by Maternal RaceEthnicity and Gestational Age (1995–2010)
Joint Authors
Wing, Deborah A.
Getahun, Darios
Fassett, Michael J.
Source
International Journal of Reproductive Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To characterize trends in chorioamnionitis (CAM) by maternal race/ethnicity and gestational age.
Study Design.
We examined trends in CAM from 1995–2010 among singleton births in all Kaiser Permanente Southern California hospitals (n=471,821).
Data were extracted from Perinatal Service System and clinical utilization records.
Gestational age- and race/ethnicity-specific biannual diagnosis rates were estimated using the Poisson regression after adjusting for potential confounding factors.
Results.
Overall diagnosis rates of CAM increased from 2.7% in 1995-1996 to 6.0% in 2009-2010 with a relative increase of 126% (95% confidence intervals [CI] 113%–149%).
From 1995-1996 to 2009-2010, CAM increased among the Whites (1.8% to 4.3%, P-value for trend <.001), Blacks (2.2% to 3.7%, P-value for trend <.001), Hispanics (2.4% to 5.8%, P-value for trend <.001), and Asian/Pacific Islanders (3.6% to 9.0%, P-value for trend <.001).
The adjusted relative percentage change in CAM from 1995-1996 to 2009-2010 was for Whites [preterm 21% (9%–78%), term 138% (108%–173%)], for Blacks [preterm 24% (−9%–81%), term 62% (30%–101%)], for Hispanics [preterm 31% (3%–66%), term 135% (114%–159%)], and for Asian/Pacific Islanders [preterm 44% (9%–127%), term 145% (109%–188%)].
Conclusion.
The findings suggest that CAM diagnosis rate has increased for all race/ethnic groups.
This increase is primarily due to increased diagnosis at term gestation.
American Psychological Association (APA)
Fassett, Michael J.& Wing, Deborah A.& Getahun, Darios. 2013. Temporal Trends in Chorioamnionitis by Maternal RaceEthnicity and Gestational Age (1995–2010). International Journal of Reproductive Medicine،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507020
Modern Language Association (MLA)
Fassett, Michael J.…[et al.]. Temporal Trends in Chorioamnionitis by Maternal RaceEthnicity and Gestational Age (1995–2010). International Journal of Reproductive Medicine No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-507020
American Medical Association (AMA)
Fassett, Michael J.& Wing, Deborah A.& Getahun, Darios. Temporal Trends in Chorioamnionitis by Maternal RaceEthnicity and Gestational Age (1995–2010). International Journal of Reproductive Medicine. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507020
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507020