Details:

Alternative Title:
Public Health Rep
Personal Author:
Buck, G M ; Shelton, J A ; Mahoney, M C ; Michalek, A M ; Powell, E J
Buck, G M ; Shelton, J A ; Mahoney, M C ; Michalek, A M ; Powell, E J Less -
Description:
The distribution of spontaneous fetal deaths (at age 20 weeks or more) by maternal race has received considerably less study than other adverse pregnancy outcomes. The purpose of this study was twofold--(a) to describe spontaneous fetal deaths among white, black, and American Indian women and (b) to determine if there was any variation by International Classification of Diseases, Ninth Revision (ICD-9) cause of death, gestational age at death, or maternal age at loss among these groups of mothers. Using the fetal death certificate registry maintained by the New York State Department of Health, 8,592 spontaneous fetal deaths at age 20 weeks or more were identified among upstate (exclusive of New York City) mothers between 1980 and 1986. By race it was 7,300 for white women, 1,257 for black women, and 27 for American Indian women. Spontaneous fetal death rates varied by maternal race as listed on vital records--black, 13.5 per 1,000 total births, white, 8.3, and American Indian, 8.1. The three leading causes of death (ICD-9,779, 762, and 761) did not vary by maternal race. Gestational age at death, imputed from last menstrual period, did vary by maternal race. Fetal deaths to white and black mothers were observed to occur most often between 24 weeks of pregnancy (39 percent) and 32 weeks (43 percent), while American Indian fetal deaths generally occurred later (more than 33 weeks) in pregnancy (41 percent). Most spontaneous fetal deaths occurred to mothers ages 20-29 regardless of race. Black teenage mothers, however, experienced the largest proportion of losses(23 percent) compared with white (10 percent) and American Indian (I I percent) teenage mothers.
Subject:
[+]
Adolescent
Adult
Blacks
Cause Of Death
Death Certificates
Female
Fetal Death
Gestational Age
Humans
Indians, North American
Maternal Age
Middle Aged
Population Surveillance
Pregnancy
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Whites

Source:
Public Health Rep. 110(5):587-592
Pubmed ID:
7480613
Pubmed Central ID:
PMCnull
Document Type:
Journal Article
Place as Subject:
New York
Collection(s):
Public Health Reports
Main Document Checksum:
[+]
urn:sha256:b35a8b2e969ad0b2696670722698e0f4cadb7f8d92a89ae1418e2154c3bf5f91
File Type:

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