{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:51:43Z","timestamp":1793127103984,"version":"4.5.0"},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"S 01","funder":[{"name":"Parker B. Francis"},{"name":"Eunice Kennedy Shriver National Institute Of Child Health","award":["K23HD101701"],"award-info":[{"award-number":["K23HD101701"]}]},{"name":"Human Development of the National Institutes of Health"},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["KL2 TR002646"],"award-info":[{"award-number":["KL2 TR002646"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Institute of Health Grant"},{"DOI":"10.13039\/100000897","name":"Cystic Fibrosis Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000897","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to investigate the impact of race\/ethnicity and insurance status on obstetric outcomes in nulliparous women.<\/jats:p><jats:p>\n            Study Design\u2003Secondary analysis of the Nulliparous Pregnancy Outcomes Study Monitoring Mothers-To-Be. Obstetric outcomes included the development of a hypertensive event during pregnancy, need for a cesarean section, delivery of a preterm neonate, and postpartum hemorrhage.<\/jats:p><jats:p>\n            Results\u2003Of 7,887 nulliparous women, 64.7% were non-Hispanic White (White), 13.4% non-Hispanic Black (Black), 17.8% Hispanic, and 4.1% were Asian. Black women had the highest rates of developing new-onset hypertension (32%) and delivering preterm (11%). Cesarean deliveries were the highest in Asian (32%) and Black women (32%). Individuals with government insurance were more likely to deliver preterm (11%) and\/or experience hemorrhage after delivery. In multivariable analyses, race\/ethnicity was associated with hypertension and cesarean delivery. More important, the adjusted odds ratios for preventable risk factors, such as obesity, diabetes, and severe anemia were greater than the adjusted odds ratios for race\/ethnicity in terms of poor maternal outcome.<\/jats:p><jats:p>\n            Conclusion\u2003Although disparities were observed between race\/ethnicity and obstetric outcomes, other modifiable risk factors played a larger role in clinical differences.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0043-1776345","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:05:26Z","timestamp":1699401926000},"page":"e2907-e2918","source":"Crossref","is-referenced-by-count":6,"special_numbering":"S","title":["Impact of Race\/Ethnicity and Insurance Status on Obstetric Outcomes: Secondary Analysis of the NuMoM2b Study"],"prefix":"10.1055","volume":"41","author":[{"given":"Maria S.","family":"Rayas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessian L.","family":"Munoz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3177-8697","authenticated-orcid":false,"given":"Angela","family":"Boyd","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheyenne","family":"Mangold","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"ref1","first-page":"167","article-title":"Health disparities: gaps in access, quality and affordability of medical care","volume":"123","author":"W J Riley","year":"2012","journal-title":"Trans Am Clin Climatol Assoc"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s40615-020-00759-x","article-title":"Multiparous Black and 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