{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:35:23Z","timestamp":1782189323568,"version":"3.54.5"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>\n            Objective\u2003The objective of this study was to compare maternal and neonatal outcomes in women with chronic hypertension by maternal race and ethnicity.<\/jats:p><jats:p>\n            Methods\u2003A retrospective cohort study of women with chronic hypertension was performed from the Consortium on Safe Labor (2002\u20132008). Maternal self-reported race and ethnicity were analyzed as non-Hispanic White, non-Hispanic Black, and Hispanic. Maternal outcomes included cesarean birth, postpartum hemorrhage, blood transfusion, placental abruption, eclampsia, maternal intensive care unit admission, and death. Neonatal outcomes included preterm birth (PTB), low birth weight (LBW), small for gestational age (SGA), 5-minute Apgar &lt;7, respiratory distress syndrome, hypoxic-ischemic encephalopathy, intraventricular hemorrhage, neonatal intensive care unit admission, sepsis, and death. Univariable and multivariable analyses were performed to examine the association between maternal race and ethnicity and perinatal outcomes.<\/jats:p><jats:p>\n            Results\u2003A total of 2,729 women were included. In unadjusted analysis, non-Hispanic White women had higher rates of placental abruption and Hispanic women had higher rates of placental abruption and eclampsia. In multivariable analysis, non-Hispanic Black continued to have higher odds of placental abruption (adjusted odds ratio 4.16, 95% confidence interval 1.29\u201318.70), but the rest of the maternal outcomes did not differ between the groups. When comparing neonatal outcomes, PTB, SGA, and LBW were more frequent in, 5-minute Apgar &lt;7 non-Hispanic Black and Hispanic women compared with non-Hispanic White women. In addition, 5-minute Apgar &lt;7 and neonatal sepsis were more frequent in non-Hispanic Black neonates and neonatal death was more frequent in Hispanic neonates compared with non-Hispanic White women. In multivariable regression, neonates of non-Hispanic Black women had higher odds of PTB, SGA, LBW, 5-minute Apgar\u2009&lt;\u20097, and sepsis compared with non-Hispanic White women. Similarly, neonates of Hispanic women had higher odds of SGA, LBW, and death.<\/jats:p><jats:p>\n            Conclusion\u2003Significant racial and ethnic disparities were identified mainly in neonatal outcomes of women with chronic hypertension.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-1745-2902","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T23:37:46Z","timestamp":1642635466000},"page":"1033-1041","source":"Crossref","is-referenced-by-count":7,"title":["Racial and Ethnic Disparities in Maternal and Neonatal Outcomes among Women with Chronic Hypertension"],"prefix":"10.1055","volume":"39","author":[{"given":"Kristen","family":"Stearns","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirng-Wern","family":"Tsaih","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6568-0201","authenticated-orcid":false,"given":"Anna","family":"Palatnik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin"},{"name":"Cardiovascular Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1161\/CIRCULATIONAHA.113.003904","article-title":"Chronic hypertension in pregnancy","volume":"129","author":"E W Seely","year":"2014","journal-title":"Circulation"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"134.e1","DOI":"10.1016\/j.ajog.2011.10.878","article-title":"Prevalence, trends, and outcomes of chronic hypertension: a nationwide sample of delivery admissions","volume":"206","author":"B T Bateman","year":"2012","journal-title":"Am J Obstet Gynecol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1161\/HYPERTENSIONAHA.119.12968","article-title":"Changes in the prevalence of chronic hypertension in pregnancy, United States, 1970 to 2010","volume":"74","author":"C V Ananth","year":"2019","journal-title":"Hypertension"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.ajog.2019.11.1243","article-title":"Chronic hypertension in pregnancy","volume":"222","author":"A N Battarbee","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref6","first-page":"369","article-title":"Chronic hypertension in pregnancy","volume":"100","author":"B M Sibai","year":"2002","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref7","first-page":"1122","article-title":"Hypertension in pregnancy. 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