{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:41:47Z","timestamp":1782315707956,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,4,6]],"date-time":"2021-04-06T00:00:00Z","timestamp":1617667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The trend of delayed childbearing has implications for the increasing national burden of adverse perinatal outcomes across vulnerable racial\u2013ethnic groups. The objective of this study was to investigate age\u2010adjusted risk for adverse maternal\u2013fetal outcomes among Asian Americans of advanced maternal age (\u226535\u2009years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study using the 1992\u20132018 Natality data files. We calculated the prevalence of maternal\u2013fetal outcomes: maternal diabetes, hypertensive disorders of pregnancy (HDP), C\u2010section, small\u2010for\u2010gestational age (SGA), large\u2010for\u2010gestational age (LGA), and preterm birth. Adjusted binomial logistic regression was created to evaluate the association between maternal race\/ethnicity and each of the maternal\u2013fetal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with non\u2010Hispanic Whites, Asian American women had reduced odds of diabetes, HDP, and LGA babies and increased odds of preterm birth, C\u2010section delivery, and SGA, irrespective of the advanced maternal age group. The odds of developing specific adverse outcomes by advanced maternal age varied by Asian American ethnic subgrouping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The risk of maternal\u2013fetal outcomes varied among the ethnic subgroups of Asian Americans in the United States. Future studies should explore the sociocultural and environmental nuances that might explain these differences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14790","type":"journal-article","created":{"date-parts":[[2021,4,6]],"date-time":"2021-04-06T23:16:00Z","timestamp":1617750960000},"page":"2117-2125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Pregnancy outcomes among Asian Americans of advanced maternal age, 1992\u20132018"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7338-0636","authenticated-orcid":false,"given":"Deepa","family":"Dongarwar","sequence":"first","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danyal","family":"Tahseen","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muktar H.","family":"Aliyu","sequence":"additional","affiliation":[{"name":"Vanderbilt Institute for Global Health Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamisu M.","family":"Salihu","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Family Medicine Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbagen.2011.05.001"},{"issue":"8","key":"e_1_2_6_3_1","first-page":"1","article-title":"Births: final data for 2017","volume":"67","author":"Martin JA","year":"2018","journal-title":"Natl Vital Stat Rep"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"1","article-title":"Births: final data for 2015","volume":"66","author":"Martin JA","year":"2017","journal-title":"Natl Vital Stat Rep"},{"issue":"1","key":"e_1_2_6_5_1","first-page":"1","article-title":"Births: final data for 2010","volume":"61","author":"Martin JA","year":"2012","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.01.027"},{"key":"e_1_2_6_7_1","unstructured":"Asian Population Percentage by State.United States Census Bureau.2017https:\/\/www.census.gov\/content\/dam\/Census\/library\/visualizations\/2017\/comm\/cb17\u2010ff07_graphic_aapi.pdf. 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